Splenic lymphangioma in an adult

Symptomatic diffuse cystic lymphangioma of the spleen in an adult: A case report

INTRODUCTION

Cystic lymphangioma of the spleen is a rare, benign tumor originating from lymphatic malformations, typically discovered incidentally during imaging. Its etiology is believed to stem from congenital lymphatic anomalies. Although often asymptomatic, larger splenic lymphangiomas can cause abdominal pain and complications.

CASE PRESENTATION

We present the case of a 54-year-old woman with a history of hypertension who experienced chronic left upper quadrant pain for five months. Physical examination was unremarkable, with no detectable abdominal masses. An initial abdominal ultrasound revealed a 3.9 cm non-vascular mass in the spleen. Subsequent contrast-enhanced CT and MRI identified multiple cystic lesions consistent with cystic lymphangioma. Due to the patient's persistent symptoms and diffuse splenic involvement, a laparoscopic total splenectomy was performed. Histopathological analysis confirmed the diagnosis, showing cysts lined by CD31-positive endothelial cells. The patient had an uneventful postoperative recovery.

DISCUSSION

Splenic cystic lymphangiomas are exceptionally rare, particularly in adults. While benign, these lesions can lead to significant complications, necessitating surgical intervention in symptomatic cases. Imaging techniques such as ultrasound, CT, and MRI play a crucial role in diagnosis and differentiation from other splenic pathologies. Laparoscopic splenectomy is the treatment of choice for symptomatic or large cystic lymphangiomas due to its minimal invasiveness and low recurrence rates.

CONCLUSION

This case highlights the importance of considering cystic lymphangioma in the differential diagnosis of splenic cystic lesions. It also emphasizes the effectiveness and safety of laparoscopic splenectomy as a definitive treatment option for symptomatic cases.

Laparoscopic anatomical partial splenectomy for extremely rare isolated splenic lymphangioma in an adult: a case report and literature review

Background

Benign tumors of the spleen are rare compared to those of other parenchymal organs, accounting for less than 0.007% of all tumors, and are often found incidentally. Splenolymphangiomas are much rarer, commonly occur in children, and tend to have multiple foci. Splenic lymphangiomas are rare in adults, and fewer than 20 adult patients with isolated splenic lymphangiomas have been reported. In this article, we report the case of a middle-aged female patient with isolated splenic lymphangioma who underwent laparoscopic anatomical hypophysectomy of the lower pole of the spleen. We also summarize the existing literature on splenic lymphangioma diagnosis and available treatment options.

Case presentation

A 58-year-old middle-aged woman was found to have a mass approximately 60 mm in diameter at the lower pole of the spleen during a health checkup that was not accompanied by other symptoms or examination abnormalities. After completing a preoperative examination with no contraindications to surgery, the patient underwent laparoscopic anatomical splenectomy of the lower extremity of the spleen. The patient recovered well without complications and was discharged from the hospital on the 7th postoperative day. Histopathological and immunohistochemical results confirmed the diagnosis of splenic lymphangioma. Prompt surgical intervention is safe and necessary when splenic lymphangiomas are large or associated with a risk of bleeding.

Conclusion

Splenic lymphangiomas are rare and require early surgical intervention in patients with large tumor diameters or those at risk of rupture and bleeding. After rigorous preoperative evaluation and preparation, laparoscopic anatomical partial splenectomy is safe and feasible for surgeons with experience in laparoscopic surgery.

Review of diagnosis, differential diagnosis, and management of retroperitoneal lymphangioma

Lymphatic malformation (LM) is the currently preferred term for what was previously known as lymphangioma. Retroperitoneal LMs are extremely rare, benign, cystic masses that arise from lymphatic vessels. They can be challenging to diagnose because they resemble other retroperitoneal cystic tumors. The development of treatment strategies for rare diseases, including retroperitoneal LM, requires the acquisition of new knowledge to enhance our understanding of the disease progression. Therefore, we present an update regarding fundamental and advanced issues associated with retroperitoneal LM. This review describes the epidemiology, histopathology, biomedicine, clinical manifestations, radiological features, differential diagnosis, and management of this lesion.

Splenic lymphangioma in adult patient treated with laparoscopic splenectomy: A rare case report

Splenic lymphangioma is a benign cystic tumor that develops as a result of lymphatic vessels' congenital abnormalities. It is a rare condition that mostly occurs in children and young adults. Due to the lack of typical symptoms and signs, splenic lymphangioma is difficult to diagnose and often incidentally revealed during radiological examinations. We report a case of a 55-year-old Asian female, who presented with left upper quadrant abdominal pain in the past 3 days. She had mild upper abdominal tenderness, with no other specific findings. Abdominal contrast material-enhanced computed tomography revealed three hypodense lesions arising from a normal-sized spleen. The histologic findings after laparoscopic splenectomy demonstrated a 3-cm-diameter yellowish-white tumor made up of multiple cystic structures. Primary benign splenic tumors are exceedingly rare, especially in adults over 20. While small lesions are mostly asymptomatic, bigger lesions can cause organ compression or even rupture. Therefore, even in adults with pain in the left upper quadrant abdomen or enlarged spleen, splenic lymphangioma should be taken into account in the differential diagnosis. The case serves as an example of a rare congenital splenic tumor. Treatment of this benign splenic abnormality with laparoscopic splenectomy is a good, safe approach.

Splenic cystic lymphangioma in adults: A rare case report from Syria

Introduction and importance

Splenic lymphangiomas are an extremely rare entity that is mainly diagnosed in children. They are often found in the neck and axilla region. Cystic lymphangioma in the abdomen is unusual and the spleen is an exceptional location for lymphangiomas.

Case presentation

We report a case of a 73 - year - old woman who presented with abdominal pain in the left upper quadrant for a month. Abdominal imaging studies show multiple splenic cysts. Splenectomy was performed and the specimen was sent for histopathologic examination. Microscopic inspection revealed splenic lymphangioma.

Clinical discussion

Splenic lymphangiomas are uncommon lesions. Most cases have been reported in children. The head, neck, and axillary regions are the most common sites, whereas lymphangioma in the spleen is exceptional.

Conclusion

Splenic lymphangiomas are uncommon benign tumors that are rarely seen during adulthood. Splenectomy is the preferred treatment.

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Lymphangiomas are rare benign tumors of the lymphatic vessels, mainly found in children but rarely in adults.

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We report a case of a 73-years old woman with splenic cystic lymphangioma.

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Lymphangioma in the spleen is extremely rare. Clinically, it is usually asymptomatic.

Differential Diagnosis of Cystic Lesions of the Spleen: A Review of Clinical, Imaging and Pathological Findings

Cystic lesions of the spleen are being noticed with increased frequency as "incidentalomas" during imaging work-up for unrelated causes. As a group, these lesions encompass pure cystic and mixed cystic and solid, benign and malignant processes that in general require a tissue sample for definitive diagnosis. In this review, we will describe the differential diagnosis of cystic lesions of the spleen, highlighting key imaging, clinical and pathologic findings.

Computed Tomography Image Characteristics before and after Interventional Treatment of Children's Lymphangioma under Artificial Intelligence Algorithm

The artificial intelligence algorithm was used to analyze the characteristics of computed tomography (CT) images before and after interventional treatment of children's lymphangioma. Retrospective analysis was performed, and 30 children with lymphangioma from the hospital were recruited as the study subjects. The ultrasound-guided bleomycin interventional therapy was adopted and applied to CT scanning through convolutional neural network (CNN). The CT imaging-related indicators before and after interventional therapy were detected, and feature analysis was performed. In addition, the CNN algorithm was adopted to segment the image of the tumor was clearer and more accurate. At the same time, the Dice similarity coefficient (DSC) of the CNN algorithm was 0.9, which had a higher degree of agreement. In terms of clinical symptoms, the cured children's lesions disappeared, the skin surface returned to normal color, and the treatment was smooth. In the two cases with effective treatment, the cystic mass at the lesion site was significantly smaller, and the nodules disappeared. CT images before interventional therapy showed that lymphangiomas in children were more common in the neck. The cystic masses at all lesion sites varied in diameter and size, and most of them were similar to round and irregular, with uniform density distribution. The boundary was clear, the cyst was solid, and there were different degrees of compression and spread to the surrounding structure. Most of them were polycystic, and a few of them were single cystic. After interventional treatment, CT images showed that 27 cases of cured children's lymphangioma completely disappeared. Lymphangioma was significantly reduced in two children with effective treatment. Edema around the tumor also decreased significantly. Patients who did not respond to the treatment received interventional treatment again, and the tumors disappeared completely on CT imaging. No recurrence or new occurrence was found in three-month follow-up. The total effective rate of interventional therapy for lymphangioma in children was 96.67%. The CNN algorithm can effectively compare the CT image features before and after interventional treatment for children's lymphangioma. It was suggested that the artificial intelligence algorithm-aided CT imaging examination was helpful to guide physicians in the accurate treatment of children's lymphangioma.

Laparoscopic partial splenectomy for splenic lymphangioma: a case report

BACKGROUND

Lymphangioma is a benign malformation of the lymphatic system and is often found in the neck and axilla, the orbit, the mediastinum, etc. However, isolated splenic lymphangioma is a rare disease in young women, and its treatment is controversial. We report a case of laparoscopic partial splenectomy for isolated splenic lymphangioma in a young woman.

CASE PRESENTATION

An 18-year-old woman with mild epigastralgia was admitted to a nearby hospital. Abdominal ultrasound detected a 6-cm mass confined to the upper pole of the spleen; thereafter, she was referred to our department for surgical treatment. Although a benign tumor, we decided to resect it because of her symptoms. To preserve part of the normal spleen, laparoscopic partial splenectomy was performed with a co-axial approach using four ports and a liver retractor in the lithotomy position. After dissection around the spleen hilum, we identified that the tumor was being fed from the splenic vessels of the upper pole and severed the branch. Postoperatively, the patient showed no complications and was discharged on postoperative day 8 without symptoms. Pathological examination revealed splenic lymphangioma, which is rare in young women. No recurrence was seen 1 year after surgery, and a computed tomography scan showed no problems with the remaining spleen.

CONCLUSIONS

In our experience of laparoscopic partial splenectomy for a young woman with an isolated splenic lymphangioma, we determined that laparoscopic partial splenectomy is a safe, effective, and valuable option for the treatment of benign splenic tumors.

Splenic lymphangioma in adulthood: A case report

INTRODUCTION

Splenic disease are uncommon and primary tumors of the spleen are very rare. These are classified as splenic cyst, benign and malignant tumors. Splenic lymphangioma is a rare, slow-growing benign tumor of the spleen. More often seen in children, it is a congenital malformation of the lymphatic system and is rarely seen in adulthood. When present in adults, it is usually asymptomatic and would be incidentally detected through imaging studies. Infrequently, some patients would present with abdominal pain, distension, nausea, and may have palpable abdominal mass. It may be solitary or may have multiple splenic lesions.

PRESENTATION OF CASE

We present of a case of splenic mass in a 56-year old female, which remained undetected until incidentally discovered on work-up for chronic back pain. Laparoscopic splenectomy was eventually performed with eventual resolution of the chronic back pain. Histopathologic examination revealed splenic lymphangioma.

DISCUSSION

Splenic tumors are uncommon. Splenic lymphangiomas presenting in adulthood are extremely rare, and preoperative diagnosis may be difficult in asymptomatic patients.

CONCLUSION

Surgical removal of splenic lymphangiomas may be necessary to relieve symptoms, prevent complications and confirm diagnosis.