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Splenic embolization for a giant splenic hemangioma in a child: a case report
1Department of Radiology, Chung-Ang University Hospital, Seoul, Republic of Korea.
Insights
Splenic hemangioma is rare in children. Complete splenic artery embolization is a potentially safe and less invasive treatment option for large splenic hemangiomas, reducing rupture risk.
Area of Science:
- Pediatric Surgery
- Interventional Radiology
- Oncology
Background:
- Splenic hemangioma, the most common benign splenic tumor, is rare in pediatric patients.
- Large splenic hemangiomas pose a risk of spontaneous rupture and life-threatening hemorrhage.
- Optimal treatment strategies for pediatric splenic hemangioma remain undefined.
Observation:
- An 11-year-old girl presented with a large splenic hemangioma with multiple nodules.
- The patient underwent complete embolization of the splenic artery, leading to total splenic infarction.
- Complications included thrombocytosis and postembolization syndrome (abdominal pain, intermittent fever).
Findings:
- Complete splenic artery embolization resulted in splenic infarction without significant bleeding.
- The procedure was technically successful in treating the large splenic hemangioma.
Implications:
- Splenic embolization may represent a less invasive therapeutic option for pediatric splenic hemangioma.
- Further research is warranted to validate the efficacy and safety of this approach in children.
- This case highlights a potential management strategy for a rare pediatric condition.
Background:
Splenic hemangioma is the most common benign tumor of the spleen. However, it remains a rare medical condition in children. Although the natural course of splenic hemangioma is slow growth, treatment for large splenic hemangiomas has been recommended due to the risk of spontaneous rupture causing life-threating hemorrhage. However, the optimal treatment for splenic hemangioma in children is unclear.
Case Presentation:
An 11-year-old girl had an enhancing mass, 61 × 54 × 65 mm in size and numerous daughter nodules throughout the entire spleen on a contrast-enhanced computed tomography scan of the abdomen and angiography. The patient was treated by complete embolization at the distal level of splenic artery, which resulted in total splenic infarction. Treatment-related complications were thrombocytosis and postembolization syndrome, including abdominal pain and, intermittent fever below 39 °C. There were no other serious complications, including bleeding.
Conclusion:
Splenic embolization may be a safe and less invasive intervention for children with a large splenic hemangioma. Further studies are needed to confirm the effectiveness of our approach.
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