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Laparoscopic splenectomy for inflammatory pseudotumor of the spleen.

Abstract
We report two cases of inflammatory pseudotumor of the spleen treated by laparoscopic splenectomy. The first patient was a 61-year-old woman with a 3cm splenic tumor detected incidentally by ultrasonography. Computed tomography showed a well-demarcated splenic mass. She underwent hand-assisted laparoscopic splenectomy. The second patient was a 51-year-old man in whom a splenic tumor was found on follow-up computed tomography after resection of occipital malignant neurinoma. Ultrasound and magnetic resonance imaging confirmed a splenic tumor, which showed no uptake on 18F-fluorodeoxyglucose positron emission tomography. Laparoscopic splenectomy was performed. The histopathological diagnosis was inflammatory pseudotumor in both cases. Their postoperative course was uneventful, with a postoperative hospital stay of 11 and 8 days, respectively. Splenectomy is usually performed in patients with splenic tumors because imaging techniques cannot exclude malignancy. Laparoscopic splenectomy may be a useful option for patients with splenic tumors.
AuthorsKazuhiro Suzumura, Toshihiro Okada, Makoto Satake, Jiro Fujimito
JournalHepato-gastroenterology (Hepatogastroenterology) 2011 Nov-Dec Vol. 58 Issue 112 Pg. 1909-11 ISSN: 0172-6390 [Print] Greece
PMID22234059 (Publication Type: Case Reports, Journal Article)
Topics
  • Female
  • Granuloma, Plasma Cell (diagnosis, surgery)
  • Humans
  • Laparoscopy (methods)
  • Male
  • Middle Aged
  • Splenectomy (methods)
  • Splenic Diseases (diagnosis, surgery)

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