Abstract
BackgroundSplenic hemangioma is the most common benign tumor of the spleen. However, it remains a rare medical condition in children. Although the natural course of splenic hemangioma is slow growth, treatment for large splenic hemangiomas has been recommended due to the risk of spontaneous rupture causing life-threating hemorrhage. However, the optimal treatment for splenic hemangioma in children is unclear.Case presentationAn 11-year-old girl had an enhancing mass, 61 × 54 × 65 mm in size and numerous daughter nodules throughout the entire spleen on a contrast-enhanced computed tomography scan of the abdomen and angiography. The patient was treated by complete embolization at the distal level of splenic artery, which resulted in total splenic infarction. Treatment-related complications were thrombocytosis and postembolization syndrome, including abdominal pain and, intermittent fever below 39 °C. There were no other serious complications, including bleeding.ConclusionSplenic embolization may be a safe and less invasive intervention for children with a large splenic hemangioma. Further studies are needed to confirm the effectiveness of our approach.
Highlights
Splenic hemangioma is the most common benign tumor of the spleen
Further studies are needed to confirm the effectiveness of our approach
We present a pediatric case in which a giant splenic hemangioma treated with splenic embolization
Summary
Splenic hemangioma is the most common benign tumor of the spleen. it remains a rare medical condition in children. Conclusion: Splenic embolization may be a safe and less invasive intervention for children with a large splenic hemangioma. Less than 100 cases of splenic hemangioma have been reported, with fewer 20 being pediatric cases [1,2,3]. We present a pediatric case in which a giant splenic hemangioma treated with splenic embolization.
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