Sclerosing angiomatoid nodular transformation of the spleen treated by laparoscopic partial splenectomy

2 Department of General Surgery, Jagiellonian University Collegium Medicum, Cracow, Poland.
Videosurgery and Other Miniinvasive Techniques / Wideochirurgia i Inne Techniki Malo Inwazyjne (Impact Factor: 1.09). 12/2011; 6(4):249-55. DOI: 10.5114/wiitm.2011.26261
Source: PubMed


The authors describe a case of sclerosing angiomatoid nodular transformation (SANT) of the spleen treated at the 2(nd) Department of Surgery, Jagiellonian University, Medical College. The patient was a 23-year-old woman. Clinically she presented with 2-year history of recurrent mild fever, diffuse joint pain, abdominal discomfort and iron deficiency anaemia of chronic disease. The laboratory tests revealed a non-characteristic chronic inflammatory response. A splenic solid lesion 9 cm in diameter was found on abdominal computed tomography. The patient underwent uneventful laparoscopic resection of the upper half of the splenic parenchyma. The resected tumour showed characteristic histological and immunophenotypical findings of SANT as previously described in the literature. In long-term follow-up, improvement of preoperative symptoms and abnormalities in the blood tests was documented.

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Available from: Maciej Matlok, Nov 20, 2014
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    • "In this series, we also confirmed that LS is feasible and safe in cirrhotic patients with hypersplenism. Rarely, total or partial splenectomy via the laparoscopic approach may be employed as a surgical alternative for splenic infarction due to sleeve gastrectomy or sclerosing angiomatoid nodular transformation of the spleen [18, 19]. "
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