Laparoscopic Partial Splenectomy for Giant Hemangioma Misdiagnosed as Splenic Cyst: a Case Report

Abstract

LTHOUGH unusual, hemangioma is the most common type of primary splenic neoplasm. Usually, splenic hemangioma  appears as solid mass, but sometimes it presents cystic component as well, which is difficult to discriminate from some other lesions, such as abscess, simple cyst, parasitic cyst, and lymphangioma. Preoperative diagnosis of splenic hemangioma mainly depends on imaging study (e.g. ultrasonography, CT, MRI). As the laparoscopic technique develops, laparoscopic splenectomy is becoming the standard treatment for benign tumor of the spleen. Compared with that procedure, laparoscopic partial splenectomy (LPS) has some unique advantages except for higher requirements for surgical skills. We described in this report a successful LPS in a patient who was misdiagnosed as splenic cyst initially.