Abstract
Although unusual, hemangioma is the most common primary splenic neoplasm. Splenectomy is indicated when the tumor is large, with increased risk of hemorrhage. The laparoscopic approach is preferred for most elective splenectomies. Although technically feasible, laparoscopic splenectomy can be a challenge in the patient with splenomegaly. We present herein a case of an 18-year-old male asymptomatic patient who underwent laparoscopic splenectomy for the incidental finding of splenomegaly caused by a large splenic hemangioma. Laparoscopic splenectomy appears to be a safe and effective procedure, in appropriately experienced hands, for patients with splenomegaly, given the spleen's fragile anatomy and its relationship to other abdominal viscera.
Highlights
Splenic hemangioma is a rare disorder, but remains the most common benign neoplasm of the spleen [1]
We present a case of a patient who underwent Laparoscopic splenectomy (LS) for a hemangioma of the spleen
LS is a safe procedure for patients with splenomegaly
Summary
Splenic hemangioma is a rare disorder, but remains the most common benign neoplasm of the spleen [1]. We present a case of a patient who underwent LS for a hemangioma of the spleen. Ultrasonography and Magnetic resonance imaging (MRI) showed a hypoechogenic mass involving the spleen and the splenomegaly (Figure 1). The patient was placed on a beanbag in a 60-degree right lateral decubitus position. The short gastric vessels and main vascular pedicle were visualized. After the short gastric vessels had been divided with ultrasonic dissector, the splenic artery and vein were dissected. The splenocolic ligament was divided (Figure 3) This mobilized the inferior aspect of the spleen and allowed the spleen to be retracted cephalad. The lateral peritoneal attachments of the spleen, the splenorenal and splenophrenic ligaments were sequentially incised (Figure 4). Http://www.casesjournal.com/content/2/1/10 neal irrigation was carried out and a Rob drain tube N° 24 was placed at the residual cavity
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