Introduction: Splenic tumours are relatively rare and include malignancies such as lymphomas, angiosarcomas,

plasmacytomas, primary malignant fibrous histiocytomas, and splenic metastases. Benign tumours of the spleen

such as hemangiomas, cysts, and inflammatory pseudotumours are very rare (Kaza et al., 2010, PisaniCeretti

et al., 2012) [1,2]. There are fewer than 160 cases of splenic hamartoma or splenomas having been reported in

the literature (Basso et al., 2012) [3]. Only 20% of the cases were detected in children (Abramowsky et al., 2004)

[4]. Although multi-modality imaging findings were described preoperatively, the final diagnosis was splenic

hamartoma based on histology and immunohistochemistry.

Case report: Here, we report a case of a14 year old child left upper quadrant abdominal pain and worsening

sickness. Multi-modality imaging detected a solid lesion of the spleen, who required splenectomy and was

pathologically diagnosed as a splenic hamartoma. The postoperative course was uneventful.

Discussion: Splenic hamartoma is very rare. Only 20% of hamartomas occur in children. They are commonly

found incidentally on imaging with no symptoms.

Conclusion: Splenic hamartoma is a benign vascular proliferative lesion that requires a multi-modality imaging

studies for diagnosis and confirmed by histopathology. It must be included in the differential diagnosis of splenic

mass forming lesions.