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Surgery Today
Published in: Surgery Today 4/2012

01-04-2012 | Case Report

Huge inflammatory pseudotumor of the spleen with postoperative portal vein thrombosis: report of a case

Authors: Norifumi Tsutsumi, Hirofumi Kawanaka, Shohei Yamaguchi, Masahiro Sakai, Seiya Momosaki, Kazuya Endo, Koji Ikejiri

Published in: Surgery Today | Issue 4/2012

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Abstract

We report the rare case of a splenic inflammatory pseudotumor associated with massive splenomegaly, diagnosed after surgery. A 51-year-old woman was admitted to our hospital for investigation of anemia. Physical examination revealed a palpable left upper quadrant mass. Computed tomography and magnetic resonance imaging showed a splenic mass, 20 cm in diameter. We performed splenectomy for both diagnosis and treatment. The spleen weighed 2400 g, and histologic examination of the mass confirmed an inflammatory pseudotumor. Portal vein thrombosis (PVT) developed the day after surgery, but resolved with anticoagulation therapy. This case highlights that there is a risk of PVT after splenectomy in patients with massive splenomegaly, and that anticoagulant therapy should be initiated promptly.
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Metadata
Title
Huge inflammatory pseudotumor of the spleen with postoperative portal vein thrombosis: report of a case
Authors
Norifumi Tsutsumi
Hirofumi Kawanaka
Shohei Yamaguchi
Masahiro Sakai
Seiya Momosaki
Kazuya Endo
Koji Ikejiri
Publication date
01-04-2012
Publisher
Springer Japan
Published in
Surgery Today / Issue 4/2012
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI
https://doi.org/10.1007/s00595-011-0081-9

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