Symptomatic splenic hamartoma with renal, cutaneous, and hematological abnormalities.
BACKGROUND
There is a rare association between splenic hamartomas and hematological abnormalities with, to our knowledge, only 24 reported cases in the English literature.


METHODS
We report a case of a splenic hamartoma in a 14-year-old boy associated with membranoproliferative glomerulonephritis, multiple lobular capillary hemangiomas of the skin, hypertension, and anemia. Following imaging with ultrasonography, MRI, and nuclear scans, a hamartoma was suspected, but malignancy could not be excluded. The lesion was removed by partial splenectomy, and pathological examination confirmed the presence of a red pulp splenic hamartoma.


RESULTS
The renal, hematological, and dermatological abnormalities resolved following removal of the splenic hamartoma. This is the first reported case of a splenic hamartoma associated with renal, cutaneous, and hematological abnormalities and only the second reported case of a symptomatic splenic hamartoma treated by partial splenectomy.
Kassarjian
A
A
Department of Medical Imaging, The Montreal Children's Hospital, Montreal, Quebec, Canada.
Patenaude
Y G
YG
Bernard
C
C
Bell
L
L
D000293:Adolescent; D003937:Diagnosis, Differential; D003952:Diagnostic Imaging; D006222:Hamartoma / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008297:Male; D013158:Splenic Diseases / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery