Laparoscopic Splenectomy for Splenic Hamartoma: A Case Report

Abstract

Hamartoma is a rare splenic benign tumor usually accidentally detected as a radiologic finding. Preoperative diagnosis poses a challenge and thus surgery becomes necessary to confirm the clinical suspicion. Laparoscopic splenectomy has gained consensus as a standard surgical procedure particularly for autoimmune hematological diseases. This former experience has allowed this technique to be extended to other splenic pathologies. Here we report a case of total laparoscopic splenectomy for a bulky splenic hamartoma in a young male patient.

Asymptomatic multinodular splenoma (splenic hamartoma) in a child with sickle cell anemia

“…However, the spleen is a fragile organ, which can bleed when the capsule is injured. In order to prevent the risk of manipulation, in case of massive splenomegaly, open total or partial splenectomy was described with the advantage of easy control of hemorrhage 6,7…”

“…Although most reported cases involve adult patients, some studies suggest that 20% of splenomas might actually be found in children. 6 – 8 However, < 40 cases have been reported in the literature. In >50% of these cases, an association with hematological abnormality has been noted.…”

First case of laparoscopic partial splenectomy in a child with hamartoma: Case report and review of the literature

“…The first open splenectomy for hamartoma was described in 1990; most recently, in 2012, total laparoscopic splenectomy for hamartoma was described [ 8 ].…”

Splenic hamartomas in two children

“…Splenic tumours are relatively rare and include malignancies such as lymphomas, angiosarcomas, plasmacytomas, primary malignant fibrous histiocytomas, and metastatic disease. Benign splenic tumours are extremely rare and most are hemangiomas, cysts, and inflammatory pseudotumours [ 1 , 2 ]. Splenic hamartomas or splenomas, which were described in 1861 by Rokitansky, are extremely rare benign tumours with fewer than 150 cases having been reported in the literature [ 3 ].…”