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Splenic lymphangioma that manifested as a solid-cystic mass: a case report
1Department of Radiology, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China.
World Journal of Gastroenterology
|February 23, 2013
Summary
Splenic lymphangioma, a rare lymphatic malformation, can be incidentally found. This case highlights unusual CT findings that initially mimicked neoplastic diseases, emphasizing the need for careful diagnosis.
Area of Science:
- Medicine
- Radiology
- Pathology
Background:
- Lymphangioma is a congenital malformation of the lymphatic system, typically affecting children and commonly found in the neck or mediastinum.
- Splenic lymphangioma is a rare occurrence, with limited reported cases.
- Clinical presentation can range from symptomatic (abdominal pain, distention) to asymptomatic, often detected incidentally via imaging.
Observation:
- A 30-year-old woman presented with an incidentally detected splenic mass.
- The splenic lymphangioma exhibited unique contrast-enhanced CT findings.
- Initial imaging interpretation considered other neoplastic splenic diseases due to the atypical presentation.
Findings:
- Histopathology confirmed the diagnosis of splenic lymphangioma.
- The case demonstrated unusual imaging characteristics not previously reported for splenic lymphangioma.
- The contrast enhancement pattern on CT was particularly distinctive.
Implications:
- This case underscores the importance of considering rare diagnoses even with atypical imaging findings.
- Accurate diagnosis of splenic lymphangioma relies on integrating imaging with histopathological confirmation.
- Understanding rare presentations of splenic lymphangioma can improve diagnostic accuracy and patient management.
