Cao XF, Yang LP, Fan SS, Wei Q, Lin XT, Zhang XY, Kong LQ. Incidentally discovered asymptomatic splenic hamartoma misdiagnosed as an aneurysm: A case report. World J Clin Cases 2021; 9(24): 7231-7236 [PMID: 34540983 DOI: 10.12998/wjcc.v9.i24.7231]
Corresponding Author of This Article
Ling-Qun Kong, MD, Additional Professor, Department of Hepatobiliary Surgery, Binzhou Medical University Hospital, Huanghe 2th Road, Binzhou 256603, Shandong Province, China. konglingqun2014@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Xue-Feng Cao, Li-Peng Yang, Song-Song Fan, Xu-Tao Lin, Xing-Yuan Zhang, Ling-Qun Kong, Department of Hepatobiliary Surgery, Binzhou Medical University Hospital, Binzhou 256603, Shandong Province, China
Qiang Wei, Department of Hepatobiliary Surgery and Clinical Nutrition Center, Binzhou Medical University Hospital, Binzhou 256600, Shandong Province, China
Author contributions: Cao XF, Kong LQ, Zhang XY, and Lin XT treated the patient; Cao XF, Yang LP, and Fan SS collected the data and drafted the manuscript; Cao XF, Wei Q, and Kong LQ participated in the analysis; Cao XF, Yang LP, Fan SS, Kong LQ, and Zhang XY critically revised the manuscript; All authors have approved the final article.
Informed consent statement: Written informed consent was obtained from all individual participants included in the study.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ling-Qun Kong, MD, Additional Professor, Department of Hepatobiliary Surgery, Binzhou Medical University Hospital, Huanghe 2th Road, Binzhou 256603, Shandong Province, China. konglingqun2014@163.com
Received: April 8, 2021 Peer-review started: April 8, 2021 First decision: May 11, 2021 Revised: May 24, 2021 Accepted: July 2, 2021 Article in press: July 2, 2021 Published online: August 26, 2021 Processing time: 137 Days and 10.7 Hours
Abstract
BACKGROUND
Splenic hamartoma (SH) is a rare, benign vascular proliferation that is often found incidentally. It may be misdiagnosed as a splenic aneurysm or splenic malignancy.
CASE SUMMARY
A 21-year-old male patient was admitted to our hospital with a complaint of an incidentally discovered asymptomatic splenic space-occupying lesion for 2 wk. Abdominal computed tomography (CT) scan showed a circular low-density shadow in the hilum of the spleen. Contrast-enhanced CT revealed an aneurysm located in the hilum of the spleen before operation. Laparoscopic splenectomy was performed and postoperative pathology revealed the presence of SH.
CONCLUSION
Imaging studies are insufficient for the differential diagnosis of SH from other diseases, and laparoscopic splenectomy is a less invasive procedure and useful for the diagnostic purpose as well.
Core Tip: Splenic hamartoma (SH) is a rare, benign vascular proliferation that is found incidentally and often misdiagnosed. We present a case of incidentally discovered asymptomatic splenic space-occupying lesion, which was misdiagnosed as a splenic aneurysm. Laparoscopic splenectomy was performed and postoperative pathology revealed the presence of SH. The findings of this case study emphasize that imaging studies are insufficient for the differential diagnosis of SH from other diseases, and laparoscopic splenectomy is a less invasive procedure that is useful for diagnostic purposes as well.
