title: Hand-assisted laparoscopic splenectomy for a huge splenic vascular lesion with aneurysms in a patient with impending Kasabach-Merritt syndrome-like phenomenon.
abstract: Splenic vascular lesions are relatively rare and are usually found incidentally. However, the vascular lesions associated with Kasabach-Merritt syndrome, such as hemangioma, can be life-threatening. We herein describe the case of a young adult female patient with a huge splenic vascular lesion, aneurysms of the splenic artery, and increased plasma levels of fibrin/fibrinogen degradation products and D-dimers. Hand-assisted laparoscopic splenectomy was performed, after which the coagulopathy was drastically improved. Minimally invasive surgical intervention such as hand-assisted laparoscopic splenectomy should be considered as the first treatment choice in such a case.
authors.affiliation: Department of Surgery, Institute of Health Biosciences, the University of Tokushima.
authors.forename: Koji
authors.initials: K
authors.lastname: Sugimoto
authors.forename: Tohru
authors.initials: T
authors.lastname: Utsunomiya
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Ikemoto
authors.forename: Yuji
authors.initials: Y
authors.lastname: Morine
authors.forename: Satoru
authors.initials: S
authors.lastname: Imura
authors.forename: Chie
authors.initials: C
authors.lastname: Takasu
authors.forename: Mitsuo
authors.initials: M
authors.lastname: Shimada
mesh_terms: D000328:Adult; D000783:Aneurysm / Q000150:complications / Q000601:surgery*; D005260:Female; D005338:Fibrin Fibrinogen Degradation Products / Q000378:metabolism; D058733:Hand-Assisted Laparoscopy / Q000379:methods; D006801:Humans; D059885:Kasabach-Merritt Syndrome / Q000097:blood / Q000150:complications / Q000601:surgery*; D013156:Splenectomy / Q000379:methods; D013157:Splenic Artery / Q000601:surgery*; D013160:Splenic Neoplasms / Q000150:complications / Q000601:surgery*
chemical_list: D005338:Fibrin Fibrinogen Degradation Products