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CT scan showing several splenic nodules in left upper quadrant and on the mesentery of the bowels (red arrows).
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A decision for exploratory laparotomy was made Fig. 1, Fig. 2.
a) and b: Intra-operative images of splenic nodules and bridges on the bowels and their mesentery.
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The bridges between these splenic fragments were causing an external compression and obstruction of the small bowel and colon Fig. 3.
Image of the three splenic nodules and their vascular bridges after resection.
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These three splenic tissues were resected with their blood supply and sent for pathologic studies Fig. 4, while the others in the left sub-diaphragmatic area were left intact.