PMC3485498_01
Computed tomography showing a hypodense mass of the spleen with contrast enhancement during arterial phase.
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fig1
After injection of intravenous contrast, it showed a mild contrast enhancement during the arterial phase, followed by a complete washout during the late venous phase, without relevant vascular components inside (Figure 1).
Disposition of trocars for laparoscopic splenectomy.
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fig2
A second 10-12 mm disposable trocar was positioned in left hypochondrium, at the intersection between midclavicular line and infracostal line and two more 5 mm accesses, the first in left flank, along anterior axillary line and the second in right hypochondrium, along midclavicular line (Figure 2).
The removed specimen: spleen with a round capsulated nodule of increased stiffness.
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fig3
The anatomopathological analysis of the spleen showed a 14 x 7 x 8 cm organ, weighting 430 gr, containing a 7,5 cm reddish brown nodule of slightly augmented stiffness, compared to the surrounding splenic tissue (Figure 3).