Kolekar Shreesh, Chincholi Tejas, Kshirsagar Ashok, Patankar Ritvij
Department of Surgery, Krishna Institute of Medical Sciences, Karad, Satara, Maharashtra, India.
J Surg Case Rep. 2017 Nov 7;2017(11):rjx217. doi: 10.1093/jscr/rjx217. eCollection 2017 Nov.
Tumors of spleen are rare. The most common benign tumor of spleen is hemangioma. Most splenic hemangiomas (SH) tend to be discovered in mid-30s to mid-50s. SH are discovered incidentally in most of the cases as they are usually asymptomatic. Small asymptomatic SH can be managed with observation. The treatment options for large hemangiomas are embolization of the splenic arterial branch, splenectomy by laparotomy or laparoscopy. Partial splenectomy can be done if the lesion is small and located at the poles of the spleen. We present a rare case of splenic hemangioma in a 10-year-old boy who presented with a painless palpable mass in the left upper abdomen. On CT scan-A large well-defined cystic lesion with few thin enhancing septa within it is seen involving the spleen. Laparotomy was done followed by Partial splenectomy. The histopathology report was suggestive of Cavernous Hemangioma of spleen.
脾脏肿瘤较为罕见。脾脏最常见的良性肿瘤是血管瘤。大多数脾血管瘤(SH)往往在35岁至55岁之间被发现。大多数情况下,脾血管瘤是偶然发现的,因为它们通常没有症状。小的无症状脾血管瘤可以通过观察来处理。大血管瘤的治疗选择包括脾动脉分支栓塞、开腹或腹腔镜脾切除术。如果病变较小且位于脾的两极,可以进行部分脾切除术。我们报告了一例罕见的10岁男孩脾血管瘤病例,该男孩左上腹出现无痛性可触及肿块。CT扫描显示脾脏有一个边界清晰的大囊性病变,内部有少量薄强化间隔。进行了开腹手术,随后进行了部分脾切除术。组织病理学报告提示为脾脏海绵状血管瘤。