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Updated: Aug 7, 2025

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[Littoral cell angioma].

Balázs Tolvaj1, Tímea Hevér2, Bernadette Kálmán3

  • 11 Vas Vármegyei Markusovszky Egyetemi Oktatókórház, Patológiai Osztály Szombathely, Markusovszky u. 5., 9700 Magyarország.

Orvosi Hetilap
|March 12, 2023
PubMed
Summary

A rare benign splenic tumor, littoral cell angioma, caused spontaneous splenic rupture in a 78-year-old woman. This case highlights an unusual cause of non-traumatic splenic rupture.

Keywords:
dongasejtes angiomalife-threatening conditionlittoral cell angiomaléprupturarare neoplasmritka daganatspleen ruptureéletveszélyes állapot

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Area of Science:

  • Pathology
  • Vascular Tumors
  • Abdominal Surgery

Background:

  • Spontaneous splenic rupture is uncommon but life-threatening.
  • Rupture caused by primary splenic tumors is rare.
  • Littoral cell angioma is a rare, benign vascular tumor of the spleen.

Observation:

  • A 78-year-old female presented with shoulder pain and chest discomfort.
  • Diagnostic imaging suggested splenic rupture.
  • Emergency splenectomy revealed multifocal cystic lesions in the spleen.

Findings:

  • Histopathological analysis identified the cause as littoral cell angioma.
  • This benign vascular tumor originated from the spleen's red pulp sinuses.
  • The tumor's cystic lesions led to the spontaneous splenic rupture.

Implications:

  • This case presents an unusual cause of non-traumatic splenic rupture.
  • Highlights the importance of considering rare splenic tumors in spontaneous rupture cases.
  • Contributes to the literature on littoral cell angioma, particularly in Hungary.