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“…Th us, we could assume that pregnancy should not be considered a risk factor for splenic hamartoma enlargement. As splenic hamartomas are oft en correlated with coagulation defects and anaemia (Wirbel et al 1996), occurrence in pregnancy could hamper haematological function; this was not so in our case, as neither blood counts nor coagulation defects were observed. Th e lack of published evidence about such cases led us to choose caesarean section for delivery to avoid any possible risk of lesion rupture and massive bleeding.…”
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“…Th us, we could assume that pregnancy should not be considered a risk factor for splenic hamartoma enlargement. As splenic hamartomas are oft en correlated with coagulation defects and anaemia (Wirbel et al 1996), occurrence in pregnancy could hamper haematological function; this was not so in our case, as neither blood counts nor coagulation defects were observed. Th e lack of published evidence about such cases led us to choose caesarean section for delivery to avoid any possible risk of lesion rupture and massive bleeding.…”
contrasting
“…We report a rare case of the incidental finding of a splenic hamartoma with extramedullary erythropoiesis without any clinical or haematological symptoms in a 70-yearold man. Only a few cases of hamartoma with [2][3][4][5][6][7][8]. A potential correlation between splenic hamartoma with extramedullary haematopoiesis and thalassaemia, polycythemia vera and myelofibrosis is mentioned [9,10].…”
Section: Discussionmentioning
“…Hamartomas of the spleen with extramedullary erythropoiesis are extremely rare. These lesions can show an association with haemolytic processes like thrombocytopenia and myeloproliferative diseases in some cases, but usually they are asymptomatic and are found incidentally [2][3][4][5][6][7].…”
Section: Introductionmentioning
“…Many cases were documented as case reports or in small series. To date, in excess of 130 splenic hamartomas have been documented in the English literature 1 –63 . Overall, hamartomas were detected over a wide age range (11 months to 86 years) and with a mean age of 47 years at presentation.…”
Section: Discussionmentioning