PMC5742008_01
CT SCAN: splenomegaly (24 cm of maximum diameter) and abundant ascites.
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Imaging evaluation including abdominal computerized tomography (CT) scan showed significant splenomegaly (diameters: 24 x 15 x 11 cm) and widespread and abundant ascites (Fig. 1).
INTRAOPERATIVE VIEW: omental nodulations.
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Abdominal exploration found 2500cc of ascites and whitish widespread peritoneal and omental nodulations of less than one centimeter of size (Fig. 2).
INTRAOPERATIVE VIEW: Section of the splenic pedicle with a vascular stapler.
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After complete mobilization of the spleen with the aid of a radiofrequency device, the hilar vessels were divided with a vascular stapler, according to a technique elsewhere described (Fig. 3).