PMC4643477_01
Preoperative abdominal computed tomography findings. Preoperative computed tomography shows a massively enlarged spleen (massive splenomegaly).
gr1.jpg
PMC4643477_01_gr1.jpg
fig0001
Preoperative computed tomography showed a massively enlarged spleen (massive splenomegaly), with a maximum diameter of 24 cm (Fig. 1).
Operative finding no. 1 the spleen has a slightly dark red color after splenic artery embolization (after 35 min).
gr2.jpg
PMC4643477_01_gr2.jpg
fig0002
The spleen was slightly dark red after embolization of the splenic artery (Fig. 2).
Operative finding no. 2 The gastrosplenic ligament is opened from the caudal to the cranial side using an ultrasonically activated scalpel. The splenic artery and vein are dissected at the splenic hilum.
gr3.jpg
PMC4643477_01_gr3.jpg
fig0003
In the laparoscopic view, splenic vessels at the splenic hilum were divided with an endoscopic auto suture device (Echelon 45-mm Gray, Ethicon Endo-Surgery) after checking the balloon transcatheter (Fig. 3, Fig. 4).
Macroscopic findings of the resected specimen The resected spleen weighs 1020 g, and the maximum tumor diameter is 23.5 cm (the spleen measures 23.5 x 15 x 5 cm3 after embolization).
gr5.jpg
PMC4643477_01_gr5.jpg
fig0005
The resected spleen (Fig. 5) weighed 1020 g, and the maximum tumor diameter was 23.5 cm after embolization.