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Splenic lymphangioma.

Ioannis Ioannidis1, Andrea G Kahn

  • 1From the Department of Pathology, University of South Alabama, Mobile.

Archives of Pathology & Laboratory Medicine
|January 23, 2015
PubMed
Summary
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Splenic lymphangioma, a rare lymphatic malformation, presents as cysts in the spleen, often affecting multiple organs. Early splenectomy is crucial to prevent severe complications from this condition.

Area of Science:

  • Vascular Malformations
  • Pediatric Surgery
  • Gastroenterology

Background:

  • Splenic lymphangioma is a rare congenital malformation of splenic lymphatic channels.
  • It involves abnormal, dilated lymphatic vessels forming cysts, potentially leading to systemic lymphangiomatosis.
  • Clinical presentation varies from incidental findings to symptomatic organ compression or rupture.

Purpose of the Study:

  • To highlight the diagnostic considerations for splenic lymphangioma.
  • To emphasize the importance of timely therapeutic intervention.
  • To discuss potential complications associated with delayed treatment.

Main Methods:

  • Literature review of splenic lymphangioma cases.
  • Analysis of clinical presentations and imaging findings.

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  • Review of treatment outcomes and complications.

    • Main Results:

    • Splenic lymphangiomas can cause splenomegaly and left upper quadrant pain.
    • Larger lesions pose risks of organ compression and rupture, even after minor trauma.
    • Systemic involvement (lymphangiomatosis) is common.

    Conclusions:

    • Splenic lymphangioma requires consideration in adult differential diagnoses for splenomegaly and abdominal pain.
    • Prompt splenectomy is recommended to avoid life-threatening complications.
    • Delayed treatment increases the risk of severe morbidity and mortality.