The case was operated laparoscopically and the surgeon extended the incision to deliver the enlarged spleen. It is proved to be a bleeding splenic hemangioma. Splenic hemangioma is regarded as the commonest benign splenic tumor and the second commonest focal lesion involving the spleen.

Thanks to Dr. Mehat Al Sayed, Prof of pediatric surgery for the intra-operative and gross pathology photo.

The case is courtesy of Dr. Mehat Al sayed, Prof. of pedia surgery and Dr. Sikander Ali, Radiology consultant RCMC.