Work

Giant splenic hemangioma during pregnancy: a case report

Year: 2025

Type: article

Abstract: INTRODUCTION AND IMPORTANCE: Giant splenic hemangiomas are rare and pose diagnostic and management challenges, particularly during pregnancy. This case highlights the need for multidisciplinary approach to manage such a massive splenic lesion in the second trimester. CASE PRESENTATION: A 34-year-old woman with pre-pregnancy splenic cysts developed left upper quadrant distension at 19 weeks of gestation. Physical examination and preoperative ultrasound confirmed splenic enlargement. Due to concerns for splenic rupture from uterine compression, open splenectomy was performed at 19 weeks + 5 days. Histopathology analysis confirmed splenic hemangioma. CLINICAL DISCUSSION: Management of splenic hemangioma or other types of massive splenic mass lacks standardized guideline. And imaging alone cannot reliably differentiate type of splenic lesions. In pregnant patients, management should be individualized based on lesion size, symptoms, gestational age, and complication risk of conservative approaches. Treatment options necessitate multidisciplinary collaboration to balance maternal-fetal safety. CONCLUSION: This case of giant splenic hemangioma during pregnancy demonstrates that splenectomy in the second trimester is feasible after balancing balance maternal-fetal risks. It emphasizes the necessity of multidisciplinary decision-making to optimize maternal and fetal outcomes in management of complex abdominal masses during pregnancy.

Source: International Journal of Surgery Case Reports

DOI: 10.1016/j.ijscr.2025.111900

Authors: Han Chen, Yiyao Xu, Xin Lu, Bao Jin

Institutions: Chinese Academy of Medical Sciences & Peking Union Medical College, Peking Union Medical College Hospital

Language: English

Topic: Vascular Malformations and Hemangiomas

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,090