Abstract
A 56-year-old woman was referred to our hospital because of abdominal distention and anemia. The abdomen was markedly distended. Abdominal computed tomography revealed massive splenomegaly occupying half of her abdominal cavity, and she was pathologically diagnosed with splenic marginal zone lymphoma by cervical lymph node biopsy. Early splenectomy was recommended for imminent splenic rupture. She underwent conventional splenectomy following selective embolization of the splenic artery to avoid the risk of intraoperative hemorrhage. The postoperative course was uneventful, and the patient was discharged from the hospital 11 days postoperatively.
In order to reduce intraoperative bleeding from the spleen and splenic vessels, preoperative arterial embolization might be useful for patients with massive splenomegaly.
