Abstract
BackgroundLymphangiomas are uncommon benign lesions of lymphatic vessels very rarely affecting the spleen. Isolated involvement of the spleen in adult patients is rarely reported.Case presentationWe report a case of a 40-year-old Arabic woman who presented with a 25-cm abdominal mass, fatigue, and anemia evolving for 6 months. Her physical examination revealed anemic syndrome and an enormous splenomegaly extending beyond the umbilical area. An abdominal computed tomographic scan showed a 25-cm splenic mass with multiple hypodense nodules without enhancement after contrast injection. A surgical total splenectomy was performed. Histopathological analysis led to the diagnosis of cystic splenic lymphangioma. The patient’s postoperative course was uneventful, and she was discharged from the hospital.ConclusionsIsolated splenic lymphangioma in adult patients is very rare. The preoperative diagnosis is challenging because imaging techniques are not specific. Pathological analysis of the resected specimen is the only effective way to render the definitive diagnosis. Splenic lymphangiomas have a benign course after complete surgical resection.
Highlights
Lymphangiomas are uncommon benign lesions of lymphatic vessels very rarely affecting the spleen
Lymphangiomas are benign tumors of lymphatic vessels often located at the neck (75%) and axilla (20%); they are uncommonly found elsewhere [1]
We describe a case of an isolated splenic lymphangioma in a 40-year-old woman presenting with abdominal distension, anemia, and dyspnea
Summary
Lymphangiomas are benign tumors of lymphatic vessels often located at the neck (75%) and axilla (20%); they are uncommonly found elsewhere [1]. Case presentation A 40-year-old Arabic woman was referred to our hospital for evaluation of a huge splenomegaly causing abdominal pain and shortness of breath She reported progressive abdominal distension evolving for 6 months, with a recent onset of dyspnea and asthenia. Histological examination of hematoxylin-eosin-saffron (HES) stained sections of the tumor showed cystic structures replacing the normal splenic parenchyma and containing amorphous eosinophilic proteinaceous material (Fig. 2, black stars). These cystic cavities had fibrous walls lined by regular flattened
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