Abstract

Hemolymphangioma is a malformation of both lymphatic and blood vessels. The incidence of splenic hemolymphangioma is extremely rare. Laparoscopic partial splenectomy is feasible, reproducible, and safe in children with focal splenic tumors. We report on the case of a 12-year-old male with a large splenic hemolymphangioma successfully managed by laparoscopic partial splenectomy. The patient recovered well after operation. Laparoscopic partial splenectomy is a safe and minimally invasive technique for treatment of splenic hemolymphangioma located in the pole of the spleen.

Highlights

  • Focal splenic tumors, including splenic cysts and vascular neoplasms, are uncommon and require complete resection to prevent complications or recurrence [1]

  • Total splenectomy has been the method of choice for the treatment of splenic tumors

  • We report on a rare case of splenic hemolymphangioma successfully managed by laparoscopic partial splenectomy

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Summary

Background

Focal splenic tumors, including splenic cysts and vascular neoplasms, are uncommon and require complete resection to prevent complications or recurrence [1]. Hemolymphangioma is a malformation of both lymphatic and blood vessels. We report on a rare case of splenic hemolymphangioma successfully managed by laparoscopic partial splenectomy. The vessels were clipped, which resulted in a well-defined line of demarcation at the upper pole (Figure 3). After the cyst was evacuated and opened, using an UltraCision Harmonic Scalpel® (Ethicon EndoSurgery Inc., USA), the upper pole of the spleen, along with the cyst, was resected keeping a 5-mm rim of devascularized splenic tissue (Figure 4). A suction drain was introduced through the anterior axillary line port and positioned lateral to the upper pole of the spleen.

Discussion
Conclusions
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