Laparoscopic partial splenectomy for splenic lymphangioma: a case report
Abstract Background Lymphangioma is a benign malformation of the lymphatic system and is often found in the neck and axilla, the orbit, the mediastinum, etc. However, isolated splenic lymphangioma is a rare disease in young women, and its treatment is controversial. We report a case of laparoscopic...
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Japan Surgical Society
2020-06-01
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| Series: | Surgical Case Reports |
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| Online Access: | http://link.springer.com/article/10.1186/s40792-020-00882-1 |
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| author | Kotaro Kimura Yo Kurashima Kimitaka Tanaka Yoshitsugu Nakanishi Toshimichi Asano Yuma Ebihara Takehiro Noji Soichi Murakami Toru Nakamura Takahiro Tsuchikawa Keisuke Okamura Toshiaki Shichinohe Hiromi Kanno-Okada Satoshi Hirano |
| author_facet | Kotaro Kimura Yo Kurashima Kimitaka Tanaka Yoshitsugu Nakanishi Toshimichi Asano Yuma Ebihara Takehiro Noji Soichi Murakami Toru Nakamura Takahiro Tsuchikawa Keisuke Okamura Toshiaki Shichinohe Hiromi Kanno-Okada Satoshi Hirano |
| author_sort | Kotaro Kimura |
| collection | DOAJ |
| description | Abstract Background Lymphangioma is a benign malformation of the lymphatic system and is often found in the neck and axilla, the orbit, the mediastinum, etc. However, isolated splenic lymphangioma is a rare disease in young women, and its treatment is controversial. We report a case of laparoscopic partial splenectomy for isolated splenic lymphangioma in a young woman. Case presentation An 18-year-old woman with mild epigastralgia was admitted to a nearby hospital. Abdominal ultrasound detected a 6-cm mass confined to the upper pole of the spleen; thereafter, she was referred to our department for surgical treatment. Although a benign tumor, we decided to resect it because of her symptoms. To preserve part of the normal spleen, laparoscopic partial splenectomy was performed with a co-axial approach using four ports and a liver retractor in the lithotomy position. After dissection around the spleen hilum, we identified that the tumor was being fed from the splenic vessels of the upper pole and severed the branch. Postoperatively, the patient showed no complications and was discharged on postoperative day 8 without symptoms. Pathological examination revealed splenic lymphangioma, which is rare in young women. No recurrence was seen 1 year after surgery, and a computed tomography scan showed no problems with the remaining spleen. Conclusions In our experience of laparoscopic partial splenectomy for a young woman with an isolated splenic lymphangioma, we determined that laparoscopic partial splenectomy is a safe, effective, and valuable option for the treatment of benign splenic tumors. |
| format | Article |
| id | doaj-art-4dedfc83d41a4a6dad1ae7d4d265ac11 |
| institution | Kabale University |
| issn | 2198-7793 |
| language | English |
| publishDate | 2020-06-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-4dedfc83d41a4a6dad1ae7d4d265ac112025-08-20T03:58:23ZengJapan Surgical SocietySurgical Case Reports2198-77932020-06-01611610.1186/s40792-020-00882-1Laparoscopic partial splenectomy for splenic lymphangioma: a case reportKotaro Kimura0Yo Kurashima1Kimitaka Tanaka2Yoshitsugu Nakanishi3Toshimichi Asano4Yuma Ebihara5Takehiro Noji6Soichi Murakami7Toru Nakamura8Takahiro Tsuchikawa9Keisuke Okamura10Toshiaki Shichinohe11Hiromi Kanno-Okada12Satoshi Hirano13Department of Gastroenterological Surgery II, Hokkaido University Faculty School of MedicineDepartment of Gastroenterological Surgery II, Hokkaido University Faculty School of MedicineDepartment of Gastroenterological Surgery II, Hokkaido University Faculty School of MedicineDepartment of Gastroenterological Surgery II, Hokkaido University Faculty School of MedicineDepartment of Gastroenterological Surgery II, Hokkaido University Faculty School of MedicineDepartment of Gastroenterological Surgery II, Hokkaido University Faculty School of MedicineDepartment of Gastroenterological Surgery II, Hokkaido University Faculty School of MedicineDepartment of Gastroenterological Surgery II, Hokkaido University Faculty School of MedicineDepartment of Gastroenterological Surgery II, Hokkaido University Faculty School of MedicineDepartment of Gastroenterological Surgery II, Hokkaido University Faculty School of MedicineDepartment of Gastroenterological Surgery II, Hokkaido University Faculty School of MedicineDepartment of Gastroenterological Surgery II, Hokkaido University Faculty School of MedicineDepartment of Surgical Pathology, Hokkaido University HospitalDepartment of Gastroenterological Surgery II, Hokkaido University Faculty School of MedicineAbstract Background Lymphangioma is a benign malformation of the lymphatic system and is often found in the neck and axilla, the orbit, the mediastinum, etc. However, isolated splenic lymphangioma is a rare disease in young women, and its treatment is controversial. We report a case of laparoscopic partial splenectomy for isolated splenic lymphangioma in a young woman. Case presentation An 18-year-old woman with mild epigastralgia was admitted to a nearby hospital. Abdominal ultrasound detected a 6-cm mass confined to the upper pole of the spleen; thereafter, she was referred to our department for surgical treatment. Although a benign tumor, we decided to resect it because of her symptoms. To preserve part of the normal spleen, laparoscopic partial splenectomy was performed with a co-axial approach using four ports and a liver retractor in the lithotomy position. After dissection around the spleen hilum, we identified that the tumor was being fed from the splenic vessels of the upper pole and severed the branch. Postoperatively, the patient showed no complications and was discharged on postoperative day 8 without symptoms. Pathological examination revealed splenic lymphangioma, which is rare in young women. No recurrence was seen 1 year after surgery, and a computed tomography scan showed no problems with the remaining spleen. Conclusions In our experience of laparoscopic partial splenectomy for a young woman with an isolated splenic lymphangioma, we determined that laparoscopic partial splenectomy is a safe, effective, and valuable option for the treatment of benign splenic tumors.http://link.springer.com/article/10.1186/s40792-020-00882-1Laparoscopic partial splenectomySplenic benign tumorSplenic lymphangioma |
| spellingShingle | Kotaro Kimura Yo Kurashima Kimitaka Tanaka Yoshitsugu Nakanishi Toshimichi Asano Yuma Ebihara Takehiro Noji Soichi Murakami Toru Nakamura Takahiro Tsuchikawa Keisuke Okamura Toshiaki Shichinohe Hiromi Kanno-Okada Satoshi Hirano Laparoscopic partial splenectomy for splenic lymphangioma: a case report Surgical Case Reports Laparoscopic partial splenectomy Splenic benign tumor Splenic lymphangioma |
| title | Laparoscopic partial splenectomy for splenic lymphangioma: a case report |
| title_full | Laparoscopic partial splenectomy for splenic lymphangioma: a case report |
| title_fullStr | Laparoscopic partial splenectomy for splenic lymphangioma: a case report |
| title_full_unstemmed | Laparoscopic partial splenectomy for splenic lymphangioma: a case report |
| title_short | Laparoscopic partial splenectomy for splenic lymphangioma: a case report |
| title_sort | laparoscopic partial splenectomy for splenic lymphangioma a case report |
| topic | Laparoscopic partial splenectomy Splenic benign tumor Splenic lymphangioma |
| url | http://link.springer.com/article/10.1186/s40792-020-00882-1 |
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