Hand-assisted laparoscopic splenectomy for a huge splenic vascular lesion with aneurysms in a patient with impending Kasabach-Merritt syndrome-like phenomenon.

Abstract

Splenic vascular lesions are relatively rare and are usually found incidentally. However, the vascular lesions associated with Kasabach-Merritt syndrome, such as hemangioma, can be life-threatening. We herein describe the case of a young adult female patient with a huge splenic vascular lesion, aneurysms of the splenic artery, and increased plasma levels of fibrin/fibrinogen degradation products and D-dimers. Hand-assisted laparoscopic splenectomy was performed, after which the coagulopathy was drastically improved. Minimally invasive surgical intervention such as hand-assisted laparoscopic splenectomy should be considered as the first treatment choice in such a case.

• Authors: Koji Sugimoto, Tohru Utsunomiya, Tetsuya Ikemoto, Yuji Morine, Satoru Imura, Chie Takasu, Mitsuo Shimada
• Journal: The journal of medical investigation : JMI (J Med Invest) Vol. 60 Issue 3-4 Pg. 276-9 ( 2013) ISSN: 1349-6867 [Electronic] Japan
• PMID: 24190048 (Publication Type: Case Reports, Journal Article)

Chemical References

• Fibrin Fibrinogen Degradation Products

Topics

• Adult
• Aneurysm (complications, surgery)
• Female
• Fibrin Fibrinogen Degradation Products (metabolism)
• Hand-Assisted Laparoscopy (methods)
• Humans
• Kasabach-Merritt Syndrome (blood, complications, surgery)
• Splenectomy (methods)
• Splenic Artery (surgery)
• Splenic Neoplasms (complications, surgery)