Splenic haemangioma is a rare disorder but remains the most common benign neoplasm of the spleen. It accounts for 0.1 to 14% of many large autopsy series. Most haemangiomas tend to be discovered in adults in the age group 30-50 years. In 80% of cases splenic haemangioma is usually found incidentally. Spontaneous rupture has been reported to occur in as many as 25% of these patients especially when the diameter of the tumour is more than 4 cm necessitating splenectomy as the only modality of treatment. We report a case of splenic haemangioma in a 23-year female. Laparoscopic splenectomy was undertaken and spleen removed through a small left inguinal hand port incision. Post-operative period was uneventful and histopathological examination report showed splenic haemangioma. She remains well three years post-operative.

Original Research Article The aim of the study was to study the per-operative indications of splenic preservation with the criteria and various modes of splenic preservation. It was a retrospective study conducted on 50 patients of splenic trauma from 2016 to 2019. The mean age of patients was 38.48 years with male to female ratio of 4:1. Majority of the patients presented with pain abdomen, shock and abdominal tenderness. USG was able to identify the splenic injury in most of the patients. Laparotomy was done in 25 cases (50%), splenectomy was done in 16 cases (32%), while in 9 cases (18% 0 splenorrhaphy was done. 23 cases were managed conservatively. Spleen preservation was done in 32 cases while 16 cases had splenectomy. Spleen preservation was possible in 64% of cases by operative or non-operative methods.