Rapid Communication| Volume 47, ISSUE 7, e21-e23, July 2012

Laparoscopic excision of a giant splenic vascular tumor


      The splenic vascular tumor referred to as a hemangioma is rare and typically presents as a small asymptomatic lesion. We report a case of a giant splenic cyst in a 13-year-old boy with abdominal distension. He underwent laparoscopic excision of the splenic cyst without complication. Pathology revealed a vascular tumor. At 15 months of follow-up, he continued to be asymptomatic, and abdominal ultrasound showed no recurrence of his disease. Laparoscopic excision of giant splenic cysts is a viable option in children, allowing for preservation of normal splenic tissue.

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        • Ferrozzi F.
        • Bova D.
        • Draghi F.
        • et al.
        CT findings in primary vascular tumors of the spleen.
        AJR Am J Roentgenol. 1996; 166: 1097-1101
        • Kato M.
        • Lubitz C.
        • Finley D.
        • et al.
        Splenic cord capillary hemangioma and anemia: resolution after splenectomy.
        Am J Hematol. 2006; 81: 538-542
        • Pitiakoudis M.
        • Zezos P.
        • Oikonomou A.
        • et al.
        Total splenectomy due to an unexpected “complication” after successful extended laparoscopic partial decapsulation of a giant epidermoid splenic cyst: a case report.
        Case Report Med. 2011; ([Epub 2011 May 31]): 318208
        • Hansen M.B.
        • Moller A.C.
        Splenic cysts.
        Surg Laparosc Endosc Percutan Tech. 2004; 14: 316-322
        • Elias A.H.
        The clinical course of splenic hemangioma with emphasis on spontaneous rupture.
        Arch Surg. 1983; 196: 681-688
        • Brown M.F.
        • Ross 3rd, A.J.
        • Bishop H.C.
        • et al.
        Partial splenectomy: the preferred alternative for the treatment of splenic cyst.
        J Pediatr Surg. 1989; 24: 694-696
        • Khan A.H.
        • Bensoussan A.L.
        • Ouimert A.
        • et al.
        Partial splenectomy for benign cystic lesions of the spleen.
        J Pediatr Surg. 1986; 21: 749-752
        • Calisti A.
        • Perrotta M.L.
        • Moelle P.
        • et al.
        Epithelial splenic cysts in children: surgical treatment by cyst wall “peeling”.
        Pediatr Surg Int. 2003; 19: 300-302
        • Czauderna P.
        • Vajda P.
        • Schaarschmidt K.
        • et al.
        Nonparasitic splenic cysts in children: a multicentric study.
        Eur J Pediatr Surg. 2006; 16: 415-419
        • Fisher J.C.
        • Gurung B.
        • Cowles R.A.
        Recurrence after laparoscopic excision of nonparasitic splenic cysts.
        J Pediatr Surg. 2008; 43: 1644-1648
        • Lee H.
        • Maeda K.
        Hamartoma of the spleen.
        Arch Pathol Lab Med. 2009; 133: 147-151
        • Mulliken J.B.
        • Glowacki J.
        Hemangiomas and vascular malformations in infants and children: A classification based on endothelial characteristics.
        Plast Reconstr Surg. 1982; 69: 412-420
        • Hassanein A.H.
        • Mulliken J.B.
        • Fishman S.J.
        • et al.
        Evaluation of terminology for vascular anomalies in current literature.
        Plast Reconstr Surg. 2011; 127: 347-351
        • Abbott R.M.
        • Levy A.D.
        • Aguilera N.S.
        • et al.
        From the archives of the AFIP: primary vascular neoplasms of the spleen: radiologic-pathologic correlation.
        Radiographics. 2004; 24: 1137-1163
        • Schier F.
        • Waag K.L.
        • Ure B.
        Laparoscopic unroofing of splenic cysts results in a high rate of recurrences.
        J Pediatr Surg. 2007; 42: 1860-1863
        • Keckler S.J.
        • St. Peter S.D.
        • Tsao K.
        • et al.
        Laparoscopic excision of splenic cysts: a comparison to the open approach.
        Eur J Pediatr Surg. 2010; 20: 287-289