JOCS
Journal of Comprehensive Surgery

The aim of the Comprehensive Surgery is to publish original research articles of the highest scientific and clinical value at the international level in all surgical fields.

eISSN: 2980-0862
Creative Commons CC BY-NC-ND 4.0 International License.
EndNote Style

Online Manuscript System

Index
Case Report
Splenic hamartoma: a case report
Abstract
Splenic hamartomas are benign vascular tumors initially described by Rokitansky in 1861. They are mostly asymptomatic and encountered incidentally. Large hamartomas may be palpable and can result in splenomegaly or rupture. A 55-year-old female presents to our medical facility for routine screening. Medical history reveals no prior operation or morbidity. Routine abdominal ultrasound revealed a 6x5 cm hypoechoic splenic mass containing cystic changes. A computed tomography was performed to establish a differential diagnosis, which revealed a mass in the anterior part of the spleen with a similar density to normal parenchyma and containing patchy hypodense areas. Based on these findings, an ultrasound guided tru-cut biopsy was performed to confirm the diagnosis. Histopathological evaluation confirmed the diagnosis of splenic hamartoma. In conclusion, splenic hamartomas should be considered in the differential diagnosis of well-circumscribed, hypervascular, solid and hypoechoic or isodense lesions when encountered on abdominal ultrasonography or computed tomography.

Keywords : Ultrasonography, computed tomography, hamartoma, spleen

Download Article


1. Sim J, Ahn HI, Han H, et al. Splenic hamartoma: a case report and review of the literature. World J Clin Cases. 2013;1(7):217-219. doi:10.12998/wjcc.v1.i7.217
2. Lee H, Maeda K. Hamartoma of the spleen. Arch Pathol Lab Med. 2009;133(1):147-151. doi:10.5858/133.1.147
3. Yazici P, Aydin U, Ersin S, Kaplan H. Hamartoma-a rare benign tumor of the spleen: a report of four cases. Eurasian J Med. 2008;40(1):48-51.
4. Lee HJ, Kim JW, Hong JH, et al. Cross-sectional imaging of splenic lesions: RadioGraphics fundamentals | online presentation. Radiographics. 2018;38(2):435-436. doi:10.1148/rg.2018170119
5. Sim J, Ahn HI, Han H, et al. Splenic hamartoma: a case report and review of the literature. World J Clin Cases. 2013;1(7):217-219. doi:10.12998/wjcc.v1.i7.217
6. Vlachou P, Fagkrezos D, Tzivelopoulou A, et al. A rare case of a splenic hamartoma in a patient with a huge palpable abdominal mass: a case report. J Med Case Rep. 2015;9:4. doi:10.1186/1752-1947-9-4
7. Lee H, Maeda K. Hamartoma of the spleen. Arch Pathol Lab Med. 2009; 133(1):147-151. doi:10.5858/133.1.147
8. Conlon S, Royston D, Murphy P. Splenic hamartoma. Cytopathology. 2007;18(3):200-202. doi:10.1111/j.1365-2303.2006.00371.x
9. Eker T, Kocaay AF, Sevim Y, Çakmak A. Splenic hamartoma is a rare cause of abdominal pain: case report and literature review. Turk J Surg. 2015;33(4):294-295. doi:10.5152/UCD.2015.3048
10. Sankar S, Thanka J, Jagdishchandrabose S, Rajendran S. Splenic hamartoma: a rare vascular space occupying lesion of the spleen. Indian J Pathol Microbiol. 2011;54(1):223-225. doi:10.4103/0377-4929.77416
11. Wang RT, Xu XS, Hou HL, et al. Symptomatic multinodular splenic hamartoma preoperatively suspected as metastatic tumor: a case report. World J Gastroenterol. 2014;20(30):10637-10641. doi:10.3748/wjg.v20.i30.10637
Article available in :
Volume 3, Issue 3, 2025
Page : 59-61
https://doi.org/10.51271/JOCS-0060
Article Information
Received : 20 Şub 2025
Accepted : 24 Nis 2025
Published : 29 Ağu 2025
Corresponding Author :

Reşat Umut Sefa: Department of Radiology, Faculty of Medicine, Kırıkkale University, Kırıkkale, Turkiye

[email protected]
Citation : Sefa RU, Kiriş ES, Soylu SE, Özdemir A, Bekin Sarıkaya PZ. Splenic hamartoma: a case report. J Compr Surg. 2025;3(3):59-61.

Read: 402
Download : 163
Cited: 0
_Footer