Solitary lymphangioma of the spleen: dynamic MR findings with pathological correlation

Chang, Wen Han; Liou, Chang Hsien; Kao, Hung Wen; Hsu, Chia-Chen; Chen, C. Y.; Yu, Chun Yen

doi:10.1259/bjr/93530580

Cited by 29 publications

(15 citation statements)

References 7 publications

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“…2015;139:278-282; doi: 10.5858/ arpa.2013-0656-RS) L ymphangiomas are benign malformations of the lymphatic system, usually found in the neck (75%) and axilla (20%) 1 and less commonly encountered in the orbit, mediastinum, adrenal gland, kidney, bone, omentum, gastrointestinal tract, retroperitoneum, liver, and pancreas. 2,3 They were first described by Rodender in 1828; however, the first case involving the spleen was reported in 1885 by Frink. 4,5 Between 1939 and 2010, only 189 cases of splenic lymphangiomas were reported in the literature.…”

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confidence: 99%

Splenic Lymphangioma

Ioannidis

Kahn

2015

Archives of Pathology &Amp; Laboratory Medicine

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Splenic lymphangioma is a rare malformation of the splenic lymphatic channels, mostly seen in children. It is characterized by the presence of cysts, resulting from increases in the size and number of thin-walled lymphatic vessels that are abnormally interconnected and dilated. The condition may be restricted to the spleen, but in most cases it involves multiple organs (systemic lymphangiomatosis). The clinical picture is variable; small lesions are often incidentally detected through imaging studies, while larger lesions can result in compression of organs, causing pain or rupture even after minor trauma. Therefore, splenic lymphangiomas should be considered in the differential diagnosis of splenomegaly or left upper quadrant pain even among adults and should be immediately treated with splenectomy; delay in the therapeutic intervention can lead to life-threatening complications.

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confidence: 99%

Splenic Lymphangioma

Ioannidis

Kahn

2015

Archives of Pathology &Amp; Laboratory Medicine

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“…Areas of high signal intensity may be shown on T1-weighted images if internal hemorrhage is present or if the lesions contain a large amount of proteinaceous fluid [1]. The intervening hypointense septa always reflect the presence of fibrous connective tissue [11]. At microscopic examination, lymphangiomas are composed of multiple vascular channels that are lined with a single layer of endothelium and filled with proteinaceous fluid.…”

Section: Discussionmentioning

confidence: 99%

Multiple cystic lymphangiomas of the spleen: radiologic and histopathologic findings

et al. 2015

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Splenic cyst(s) may be noted as an incidental finding on conventional imaging techniques, or as a result of evaluation of a patient with left upper quadrant pain, left shoulder pain, abdominal enlargement, or splenomegaly. Lymphangioma of the spleen is an extremely rare and benign neoplasm in adults, which is characterized by cystic dilatation of the lymphatic vessels in splenic parenchyma. This report describes a case of multiple splenic lymphangiomas in a 41-year-old female. She underwent abdominal ultrasonography for a health check-up. She had no symptoms, and physical examination did not reveal any abnormalities apart from splenomegaly. Ultrasonography and computed tomography showed multiple variable-sized cysts replacing the normal parenchyma of the spleen. There were wall calcifications in several cysts. The patient underwent laparoscopic splenectomy, and the final diagnosis was multiple lymphangiomas of the spleen.

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“…Imaging characteristics are hypo-or anechoic lesions detected by ultrasound, low attenuation and non-enhancing masses detected by CT, and high T2 and low T1 signal intensity on MRI [5] . Different imaging characteristics of splenic lymphangiomas, such as a solid-cystic mass, mildly increased echogenicity on ultrasound, and fill-in contrast enhancement on delayed CT images and MRI, are also described in some cases [6][7][8] . Nevertheless, a solitary splenic lymphangioma is difficult to differentiate from a splenic cyst/angioma or a metastatic tumor.…”

Section: Discussionmentioning

confidence: 99%

Partial splenectomy using a laparoscopic bipolar radiofrequency device: A case report

Wang

Lin

et al. 2015

WJG

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We report a 51-year-old female patient with a solitary lymphangioma located in the upper splenic pole which was managed successfully with laparoscopic partial splenectomy. Surgery lasted 170 min and did not require blood transfusions. The patient recovered well post-operatively and was asymptomatic at the 3-mo follow-up. She had a normal platelet count and no recurrence on ultrasonography or computed tomography. Laparoscopic partial splenectomy is a safe, minimally invasive technique for the treatment of solitary splenic lymphangiomas in the splenic pole. We performed the procedure using the Habib TM 4X device. This laparoscopic bipolar radiofrequency device ensured a "bloodless" splenic parenchymal resection. Core tip:We report the first case of a solitary splenic lymphangioma managed successfully by laparoscopic partial splenectomy using Habib TM 4X, a laparoscopic bipolar radiofrequency device, which allowed for a "bloodless" splenic parenchymal resection.Wang WD, Lin J, Wu ZQ, Liu QB, Ma J, Chen XW. Partial splenectomy using a laparoscopic bipolar radiofrequency device: A case report.

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Solitary lymphangioma of the spleen: dynamic MR findings with pathological correlation

Cited by 29 publications

References 7 publications

Splenic Lymphangioma

Splenic Lymphangioma

Multiple cystic lymphangiomas of the spleen: radiologic and histopathologic findings

Partial splenectomy using a laparoscopic bipolar radiofrequency device: A case report

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