World’s Heaviest Spleen Removed

2016-11-05T05-14-52Z
Source: The Southeast Asian Journal of Case Report and Review
Arjun Goel, Brahm Dutt Pathak, Vikrant Singh Chauhan, Laxmi Goel.
A 33 yr old man with hepatosplenomegaly, presented with abdominal pain and distension. After establishing the diagnosis of type I Gauchers disease, splenectomy was done which weighed a massive 14.96 kilograms. The heaviest spleen reported till date. A case report of splenectomy for massive splenomegaly with comparison of other reports is presented. Splenectomy in gaucherss disease have been reported in the past for hypersplenism and splenomegaly. Splenomegaly and hypersplenism causes poor quality of life with abdominal distension and discomfort, recurrent blood transfusions, increased risk of bleeding, pancytopenia. The main indication in our case was massive splenomegaly extending well below the umbilicus and reaching upto the opposite iliac fossa (Hacketts grade V). Such massive sized spleens have never been reported in the past as patients present before reaching this level. Performing splenectomy in this case was in itself an arduous task. Our patient was operated by conventional midline laparotomy and recovered well after surgery.


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