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Splenic hamartoma: Report of a case and review of the literature

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Abstract

A 39-year-old Japanese man with a splenic hamartoma who underwent surgery, is reported herein. The patient had a volvulus of the transverse colon and acute Type A hepatitis. His symptoms included fever, abdominal pain and icterus and the serum chemistry showed liver dysfunction and an elevation of hepatitis A antibody levels. Barium enema revealed a volvulus of the transverse colon. Ultrasonogram showed a hypoechoic mass and angiogram showed evidence of stretching of the intrasplenic vessels in the arterial phase and a hypovascular mass lesion in the venous phase. Macroscopically, the tumor was a well-defined, whitishyellow, hard nodule. Microscopically, the tumor was composed of fibrous scar tissue containing scattered red pulp tissues and the histologic diagnosis was a splenic hamartoma of the fibrous type. The patient’s postoperative recovery was uneventful. The clinical features of splenic hamartoma are reviewed in this report and the differential diagnosis is also discussed.

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Authors and Affiliations

  1. The Department of Surgery, Shin-Kokura Hospital, 1-3-1 Kanada, Kokura-Kita-ku, 803, Kitakyushu, Japan

    Koji Yamaguchi MD, Shogo Maeda & Katsutoshi Kitamura

  2. The Department of Surgery I, Kyushu University Faculty of Medicine, Fukuoka, Japan

    Koji Yamaguchi MD

Authors
  1. Koji Yamaguchi MD
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  2. Shogo Maeda
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  3. Katsutoshi Kitamura
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Yamaguchi, K., Maeda, S. & Kitamura, K. Splenic hamartoma: Report of a case and review of the literature. The Japanese Journal of Surgery 19, 381–386 (1989). https://doi.org/10.1007/BF02471418

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  • DOI: https://doi.org/10.1007/BF02471418

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