Cases Journal


Open Access Case Report

Elective laparoscopic splenectomy for giant hemangioma: a case report

Christophoros Kosmidis1*, Christopher Efthimiadis1, Georgios Anthimidis1, Marios Grigoriou1, Kalliopi Vasiliadou1, Petros Sfikakis1, Nikolaos Tziris2 and Epaminondas Fahantidis3

Author Affiliations

1 Department of Surgery, Interbalkan European Medical Center, Thessaloniki, Greece

2 3rd Surgical Clinic, AHEPA Hospital, Thessaloniki, Greece

3 1st Propeudeutic Surgical Clinic of A.U.Th., AHEPA Hospital, Thessaloniki, Greece

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Cases Journal 2009, 2:10 doi:10.1186/1757-1626-2-10

Published: 5 January 2009

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.