Littoral Cell Angioma of the Spleen With Massive Splenomegaly Treated by Hand-Assisted Laparoscopic Splenectomy After Splenic Artery Embolization

Sung Pil Yun, MD, Jae Hun Kim, MD, Hyung Il Seo, MD, PhD, Sung Jin Park, MD

Department of Surgery, Biomedical Research Institute, Pusan National University Hospital, Busan, South Korea (all authors).

ABSTRACT

Introduction: Littoral cell angioma of the spleen is an extremely rare primary vascular tumor.

Case Description: We report a case of littoral cell angioma of the spleen with massive splenomegaly. A 37-year-old man with anemia, thrombocytopenia, leukocytosis, and splenomegaly was admitted to our hospital. A computed tomography scan of the abdomen showed multiple hypodense nodules in the spleen, and the size of the spleen was 20 29 cm. The preoperative computed tomography diagnosis was littoral cell angioma of the spleen. We successfully performed hand-assisted laparoscopic splenectomy after splenic artery embolization, and the final diagnosis was littoral cell angioma.

Discussion: HALS with SAE during the appropriate time period is feasible and adequate for LCA with massive splenomegaly.

Key Words: Littoral cell angioma, Hand-assisted laparoscopic splenectomy, Splenic artery embolization, Splenomegaly.

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