From: Splenic lymphangiomas as a common indication for splenectomy: a case series with literature review
Cases | Age (year) | Sex | Preoperative diagnosis | Spleen weight (g) | Spleen size (cm) | Spleen gross features | Surgery | Histological diagnosis |
---|---|---|---|---|---|---|---|---|
1 | 33 | F | Distal pancreatic tumor | – | 12.5 | Smooth surface, with normal parenchymal aspect | Distal splenopancreatectomy | Pancreatic neuroendocrine tumor, without spleen infiltration |
2 | 55 | F | Gastric tumor | – | 11 | Splenic surface involved by the gastric tumor | Partial gastrectomy + distal splenopancreatectomy | Gastric GIST involving the splenic capsule |
3 | 64 | M | Left colon tumor | – | 10 | Splenic surface involved by the colic tumor | Left colectomy + splenectomy | Colic adenocarcinoma involving the splenic capsule |
4 | 35 | M | Spleen abscess, hydatid cyst | 2300 | 24 | Unicystic lesion involving the entire spleen with yellowish compact content | Total splenectomy | Splenic lymphangioma |
5 | 24 | M | Splenic cyst | 1300 | 17 | Unicystic lesion involving the entire spleen with sero-hematic content | Total splenectomy | Splenic lymphangioma |
6 | 15 | M | Sickle cell disease (abdominal pain, gallstones) | 200 | 11 | Congestive spleen | Laparoscopic splenectomy + cholecystectomy | Congestive spleen + chronic cholecystitis |
7 | 37 | M | Splenic cyst | 1500 | 13 | Spleen centered by a 7 cm well-encapsulated septated cyst with serous content and mural calcifications | Total splenectomy | Splenic lymphangioma |
8 | 52 | M | Gastric carcinoma | - | 12 | Splenic surface involved by the gastric tumor | En-bloc gastrectomy with spleen, partial resection of pancreas, liver and colon | Gastric carcinoma with infiltration of the spleen capsule |
9 | 17 | M | Sickle cell disease (hypersplenism) | 500 | 18 | Congestive spleen | Total splenectomy | Congestive spleen |
10 | 17 | F | Splenic cystic lesion | 1600 | 24.5 | Multiple cysts with involvement of the entire spleen, mucoid and sero-hematic content | Total splenectomy | Splenic lymphangioma |
11 | 14 | F | Splenomegaly (fever, abdominal pain) | 200 | 12 | Ruptured cyst lined by fibrin deposits | Total splenectomy | Splenic abscess |
12 | 12 | M | Sickle cell disease (hypersplenism) | 800 | 17 | Congestive spleen | Total splenectomy | Congestive spleen |
13 | 6 | F | Sickle cell disease (hypersplenism) | 200 | 11 | Congestive spleen | Total splenectomy | Congestive spleen |
14 | 19 | M | Abdominal trauma | 500 | 15.5 | Splenic rupture with 5 cm supcapsular hematoma | Total splenectomy | Splenic rupture with subcapsular hematoma |
15 | 70 | M | Abdominal pain | 100 | 10 | Focal fibrous focis | Total splenectomy | Spleen abscess |
16 | 14 | F | Sickle cell disease (hypersplenism) | 850 | 21 | Congestive spleen | Total splenectomy | Congestive spleen |