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Related Experiment Video

Updated: Jun 25, 2026

Bloodless Laparoscopic Partial Splenectomy Assisted by Bipolar Radiofrequency Excision Hemostatic Device

Bloodless Laparoscopic Partial Splenectomy Assisted by Bipolar Radiofrequency Excision Hemostatic Device

Published on: November 4, 2022

Splenic hamartomas in children.

Maja Milickovic^1,2, Petar Rasic³, Sofija Cvejic⁴

¹Department of Abdominal Surgery, Mother and Child Health Care Institute of Serbia "Dr. Vukan Cupic", Belgrade 11000, Serbia.

World Journal of Clinical Cases

|April 25, 2024

Summary

Splenic hamartomas (SHs) are rare benign tumors in children, often presenting with symptoms like splenomegaly and hematological issues. Surgical removal typically resolves these symptoms and improves blood cell counts.

Keywords:

Clinical features Histopathology Pediatric Radiological features Splenic hamartoma Splenoma Treatment

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Area of Science:

Pediatric Surgery
Pediatric Oncology
Vascular Lesions

Background:

Splenic hamartomas (SHs) are uncommon benign vascular tumors with unknown causes.
Fewer than 50 pediatric SH cases have been documented since 1861.
Pediatric SHs manifest symptoms more frequently than in adults.

Purpose of the Study:

To analyze all reported pediatric splenic hamartoma cases.
To present a case of an 8-year-old male with SH.
To review clinical presentation, diagnosis, and management of pediatric SHs.

Main Methods:

Literature review of pediatric SH cases.
Analysis of clinical findings, imaging, and histopathology.
Case presentation of an 8-year-old male with SH.

Main Results:

Pediatric SHs range from millimeters to 18 cm; larger or multiple lesions cause symptoms.
Common findings include splenomegaly, hypersplenism, and hematological abnormalities (anemia, thrombocytopenia, pancytopenia) in 80% of cases.
Symptoms include abdominal pain, infections, fever, lethargy, growth retardation, and weight loss.

Conclusions:

Imaging modalities aid preoperative diagnosis, but histopathology confirms SH.
Splenectomy (total or partial) is the primary treatment for symptomatic SH.
Surgery leads to symptom resolution and improved hematological parameters in most pediatric patients.