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November 1961

The Clinical Course of Splenic Hemangioma: With Emphasis on Spontaneous Rupture

Author Affiliations

From the Walter Reed Army Institute of Research, Walter Reed Army Medical Center.

Arch Surg. 1961;83(5):681-688. doi:10.1001/archsurg.1961.01300170037008

Since Hodge25 reported in 1895 the first case of splenic hemangioma successfully treated by surgical extirpation, only about 50 authentic cases have appeared in the medical literature (Table 1). Notwithstanding the rarity of this pathologic entity, hemangioma of the spleen has so consistently baffled the clinician (over 95% of the reported cases) that an attempt at clarifying its clinical course is warranted. It is the purpose of this communication to analyze the literature on this subject in an effort to formulate a recognizable clinical entity. Not only is it of academic value to diagnose the splenic hemangioma, but its recognition becomes of utmost importance in the face of the serious complications that attend this disease.

Incidence  Rare as it is, hemangioma is considered the commonest benign tumor to involve the spleen.59,80 Based upon autopsy findings, the incidence of this tumor varied between 0.03% and 14%.34,35,39,62 Splenic hemangioma