Lymphangioma of the Spleen—A Rare Tumor Rarely seen
in an Adult: A Case Report and a Comprehensive
Literature Review
Basil George Verghese, Sanjana Kalvehalli Kashinath, R Ravi Kanth
Citation Information :
George Verghese B, Kalvehalli Kashinath S, Kanth RR. Lymphangioma of the Spleen—A Rare Tumor Rarely seen in an Adult: A Case Report and a Comprehensive Literature Review. Euroasian J Hepatogastroenterol 2013; 3 (1):64-69.
Lymphangioma of the spleen, a cystic, benign and slow growing
tumor, is rarely seen in children and in adults and usually found
only incidentally. We would like to report a case of a splenic
lymphangioma in a 33-year-old female that presented to our
hospital. To our knowledge this is the first case of its kind being
reported from the Indian subcontinent in over 35 years. The
previous case was reported in 1974 by Devi et al. In addition to
this, our case is also unique because of the age of the patient
and the size of the lymphangioma being one of the largest
reported so far. This case report will be followed with a detailed
literature review of splenic lymphangioma and its management.
Abbreviations: Hb: Hemoglobin; ESR: Erythrocyte sedimentation
rate; APTT: Activated partial thromboplastin time; GI:
Gastrointestinal; CT: Computerized tomography; MRI: Magnetic
resonance imaging.
Splenic cystic lymphangiomatosis: An unusual cause of massive splenomegaly: Report of a case. J Med Assoc Thai 1994;77:165-68. Basil George Verghese et al 68 14. Barrier A, Lacaine F, Callard P, Huguier M. Lymphangiomatosis of the spleen and 2 accessory spleens. Surgery 2002;131:114-16
Case report: CT appearance of capillary and cavernous lymphangiomatosis of the spleen in an adult. Clin Radiol 1998; 53:379-81
Nonsystemic diffuse lymphangiomatosis of spleen and liver. Histopathology 1991;18: 478-80
Primary splenic neoplasms. Am J Clin Pathol 1939;10:700-09
Distinctive, multiple lymphangiomas of spleen. J Pathol 1980;131:75-81
Malignant lymphangioma of the spleen. Israel J Med Sci 1983;19:202-04
Multiple lymphangioendothelioma of the spleen in a 13-year-old girl. Arch Pathol 1975;99:605-06
Intraabdominal and retroperitoneal lymphangiomas in pediatric and adult patients. World J Surg 2005;29:837-40
Abdominal lymphangiomas in adults. J Gastrointest Surg 2006;10:746-51
Cysts of the spleen. Ann Surg 1942;116:98-102
Collective review: Nonparasitic benign cystic tumors of the spleen. Int Abstr Surg 1953;96:209-27
Clinical manifestations of splenic cysts: Study of 75 cases. Am Surg 1965;31:605-08
Congenital splenic cysts. Am J Surg 1958;96: 302-08
Cystic lymphangioma of the spleen. South Med J 1979;72:667-69
Cysts and nonlymphomatous tumor of the spleen. Pathol Annu 1981;16:61-80
Tumours of the spleen. Cancer Imaging 2005;July 25;5(1):73-77
Vascular and lymphatic tumors in infancy, childhood and adulthood: Challenge of diagnosis and treatment. Curr Probl Cancer 1978;2:1-44
Splenic lymphangioma with papillary endothelial proliferation: A case report and review of the literature. Pathol Int 2003;53:483-88
Abdominal lymphangioma in adults and children. Br J Surg 1998;85:395-97
Paediatric abdominal lymphangiomas; a plea for early recognition. J Pediatr Surg 1991;26:1309-13
A case of lymphangioma of the spleen. J Med Sci 2004;24:109-12
Lymphangioma of the retroperitoneum: CT and sonographic characteristics. Radiology 1990;175:507-10
Laparoscopic splenectomy: Outcome and efcacy in 103 consecutive patients. Ann Surg 1998;228:568-78
Laparoscopic gastric devascularization and splenectomy for sclerotherapy-resistant esophagogastric varice with hypersplenism. J Am Coll Surg 1998;187:263-70
Splenomegaly should not be considered a contraindication for laparoscopic splenectomy. Ann Surg 1998;228:35-39
Hemangioma of the spleen: Radiologic-pathologic correlation in ten cases. Radiology 1987;162:73-77
Epithelioid and spindle-cell hemangioendothelioma of the spleen. Am J Surg Pathol 1992;16:785-92
Benign and malignant splenic lesions. In: Gore RM, Levine MS, Laufer I (Eds). Textbook of gastrointestinal radiology. Philadelphia: Saunders 1994:2251-87
Splenic lymphangioma: US and CT diagnosis and clinical manifestations. Abdom Imag 1999;24:414-17
Retroperitoneal cystic masses: CT, clinical, and pathologic findings and literature review. Radiographics 2004;24: 1353-65.63. Kaza RK, Azar S, Francis IR, et al. Primary and secondary neoplasms of the spleen. Cancer Imag 2010;10:173-82
From the archives of the AFIP: Primary vascular neoplasms of the spleen: Radiologic-pathologic correlation. Radiographics 2004;24:1137-63
The spleen: An integrated imaging approach. Crit Rev Diagn Imag 1990;30:41-83
Asymptomatic adult cystic lymphangioma of the spleen: Case report and review of the literature. Magn Reson Imaging 2003;21:81-84
Cystic masses of the spleen: Radiologic-pathologic correlation. Radiographics 1996;16:107-29