Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 9/26/2025

Management of Small Splenic Hemangiomas

Intervention Options

  • Total splenectomy is reserved for cases where spleen preservation is not feasible, and carries a risk of overwhelming post-splenectomy infection (OPSI) requiring lifelong vaccination protocols and antibiotic prophylaxis, as recommended by the World Journal of Emergency Surgery 1
  • Total splenectomy requires lifelong vaccination protocols and antibiotic prophylaxis to prevent overwhelming post-splenectomy infection (OPSI), with protocols including pneumococcal, meningococcal, and Haemophilus influenzae type B vaccination 2
  • The World Journal of Emergency Surgery recommends ensuring appropriate vaccination and antibiotic prophylaxis protocols if total splenectomy is required 3