The incidence of splenic hemangioma and its rupture risk

dc.contributor.authorGündoğan, Ersin
dc.contributor.authorŞansal, Müfit
dc.contributor.authorGunes, Orgun
dc.contributor.authorAkinci, Eray Can
dc.contributor.authorErkenekli, Tarik Emre
dc.contributor.authorSümer, Fatih
dc.contributor.authorKutlu, Ramazan
dc.contributor.authorKayaalp, Cüneyt
dc.date.accessioned2021-08-23T07:19:25Z
dc.date.available2021-08-23T07:19:25Z
dc.date.issued2018
dc.departmentİnönü Üniversitesien_US
dc.description.abstractAbstract: Aim: The incidence of splenic hemangioma was reported in a wide range (0.03-14%) based on the autopsy data between the years of 1895-1965. The suggested treatment in an early systematic review was routine splenectomy due to the fear of splenic rupture. We aimed to determine the incidence of splenic hemangiomas in the modern imaging era, to evaluate the rupture risk and the necessity of splenectomy for every splenic hemangioma. Material Method: Between January and December 2016, the reports of all patients who had any abdominal imaging modalities in our hospital were electronically scanned for splenic hemangiomas. Repeated examinations were excluded. Age, gender, reason of radiological examination, imaging modality, number and the size of the splenic hemangiomas, hematological test and the follow-up results were evaluated. Results: Total 31 of 30,021 (0.1%) patients with abdominal imaging examinations were diagnosed as splenic hemangioma. Fiftyeight percent were female and the mean age was 50.1±15.4 (median and range, 52 and 12-75). Only two referred with abdominal pain but the pain localizations were incompatible with hemangiomas. Mean hemoglobin values were found to be 13.2±2.2 gr/dl and platelet counts were found to be 249.300±115.800. The dimensions of the detected lesions were mean 13.1± 8.1mm (median 1, range 0.5-4.5 cm) and only one patient had multiple involvement. Splenic rupture was detected in a patient with chronic renal failure and splenectomy was performed. Conclusion: Routine splenectomy for <4.5 cm splenic hemangiomas is not essential but longer follow-up is required. More studies for 4.5 cm< splenic hemangiomas are necessary.en_US
dc.identifier.doi10.5455/annalsmedres.2018.04.058en_US
dc.identifier.endpage370en_US
dc.identifier.issn2636-7688
dc.identifier.issue3en_US
dc.identifier.startpage368en_US
dc.identifier.trdizinid285632en_US
dc.identifier.urihttps://doi.org/10.5455/annalsmedres.2018.04.058
dc.identifier.urihttps://hdl.handle.net/11616/42234
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/285632
dc.identifier.volume25en_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.relation.ispartofAnnals of Medical Researchen_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.titleThe incidence of splenic hemangioma and its rupture risken_US
dc.typeArticleen_US

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