Splenic cystic lymphangioma

Authors

  • Paúl E. Lada Cirujano del Staff del Servicio de Cirugía General de la Clínica Privada Caraffa. Córdoba.
  • Carolino Gorordo Residente de Clínica Médica de la Clínica Privada Caraffa. Córdoba.
  • Mariana Santos Residente de Cirugía General de la Clínica Privada Caraffa. Córdoba.
  • Carla Di Sisto Residente de Clínica Médica de la Clínica Privada Caraffa. Córdoba.
  • Fabián Caballero Cirujano del Staff del Servicio de Cirugía General de la Clínica Privada Caraffa. Córdoba.
  • Walter Moreno Cirujano del Staff del Servicio de Cirugía General de la Clínica Privada Caraffa. Córdoba.
  • Martín Massa Cirujano del Staff del Servicio de Cirugía General de la Clínica Privada Caraffa. Córdoba.
  • Gustavo Caldelari Residente de Cirugía General de la Clínica Privada Caraffa. Córdoba.
  • Francisco Florez Jefe del Servicio de Cirugía General de la Clínica Privada Caraffa.

DOI:

https://doi.org/10.31053/1853.0605.v67.n3.22632

Keywords:

splenic cystic lymphangioma, surgical treatment, splenectomy

Abstract

Splenic cystic lymphangioma is a very rare benign neoplasia characterized by cystic dilation of the lymphatic vessels of the splenic parenchyima. It may occur in the spleen only or in multiple organs. We describe the case of a 46 year-old female, with he diagnosis of splenic cystic lymphangioma. Its clinical manifestations include abdominal pain, especially in left upper quadrant pain, abdominal distension, loss of appetite. Physical examination showed no specific findings. Ultrasonography and CT scann imaging showed multiple cysts replacing the normal parenchyma of the spleen. We report herein the surgical significance of lymphangioma of the spleen from both diagnostic and also therapeutic aspects, and we discuss laparoscopic splenectomy as an effective procedure for an excision of a splenic tumor suspected to be benign. Histologic study after splenectomy confirmed the diagnosis of cystic lymphangioma of the spleen.

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References

Vezzoli M, Ottini E, Montagna M, La Fianza A, Paulli M, Rosso R. Lymphangioma of the spleen in an elderly patient. Haematologica. 2000. 85: 314-317.

Goh BKP, Tan YM, Ong HS.: Intraabdominal and retroperitoneal lymphangiomas in pediatric

and adult patients. World. J. Surg. 2005. 29: 837-840.

Kosir MA, Somnino RE, Gauderer MWL.: Pediatric abdominal lymphangiomas: a plea for early

recognotion. J. Pediatr. Surg. 1991. 26:1309-1313.

Fowler RH.: Cystic tumors of the splenn. International Abstratcs of Surgery. 1940. 70: 213-223.

de Perrot M, Rostan O, Morel Pl.: Abdominal lymphangioma in adults and children. Br. J. Surg.

85: 395-397.

Kim DH, Byun JN, Jang JY.: Cystic lymphangioma involving the mesentery and the retroperitoneum: A case report. J. Korean. Radiol. Soc. 2005; 52: 347-350.

Kwon AH, Inui H, Tsuji K. : Laparoscopic splenectomy for a lymphangioma of the spleen:

report of a case. Surg. Today. 2001. 31: 258-261.

Chung SH, Park YS, Jo YJ.: Asymptomatic lymphangioma involving the spleen and retroperitoneum in adults. World. J. Gastroenterol. 2009. 15 (44): 5620-5623.

Abbott, RM, Levy AD, Aguilera NS.: Primary Vascular Neoplasms of the Spleen: Radiologic,

Pathologic Correlation. RadioGraphics 2004. 24:1137-1163 (Published online)

Avigad S, Jaffe R, Frand M, Izhak Y.: Lymphangiomatosis with splenic involvement. JAMA 1976. 236: 2315-2317.

Chan KW, Saw D. Distinctive, multiple lymphangiomas of spleen. J Pathol 1980. 131:.75-81.

Asch MJ, Cohen AH, Moore TC.: Hepatic and splenic lymphangiomatosis with skeletal involvement: report of a case and review of the literature. Surgery. 1974. 76:.334-339.

Tuttle R, Minielly J.: Splenic cystic lymphangiomatosis: an unusual cause of massive splenomegaly. Radiology 1978. 126:.47-48.

Rao B, AuBuchon J, Lieberman L. : Cystic lymphangiomatosis of the spleen: a radiologicpathologic correlation. Radiology 1981; 141:781-782.

Morgenstern L, Bello JM, Fisher BL.: The clinical spectrum of lymphangiomas and lymphangiomatosis of the spleen. Am. Surg. 1992. 58: 599-604.

Enghardt MH, Allegra SR.: An immunohistologic study of a splenic cyst. Mil. Med. 1987. 152:

-323.

Chan IYF, Khoo J.: Retroperitoneal lymphangioma in an adult. J. HK. Coll. Radiol. 2003. 6: 94-

Beltrán MA, Barría C, Pujado B.: Linfangioma esplénico gigante: Caso clínico. Rev. Méd. Chile.

137: 1597-1601.

Maari C, Frieden IJ.: Klippel-Trénaunay syndrome: The importance of “geographic stains” in

identifying lymphatic disease and risk of complications. J. Am. Acad. Dermatol. 2004. 51: 391-398.

Nusser CA, Tuggle DW, McLanahan KB. : Splenic lymphangioma. An unusual manifestation of the Klippel-Trenaunay-Weber syndrome. Clin. Nucl. Med. 1995. 20: 844-845.

Urrutia M, Mergo PJ, Ros LH.: Cystic masses of the spleen: radiologic-pathologic correlation.

RadioGraphics. 1996 16:.107-129. (Published online)

Komatsuda T, Ishida H, Konno K.: Splenic lymphangioma: US and CT diagnosis and clinical

manifestations. Abdom. Imaging. 1999. 24: 414-417.

Allen JG, Riall TS, Cameron JL.: Abdominal lymphangiomas in adults. J. Gastrointest. Surg.

10: 746-751.

Yang DM, Jung DH, Kim H.: Retroperitoneal cystic masses: CT, clinical, and pathologic findings

and literature review. Radiographics. 2004. 24: 1353-1365. (Published online)

Pistoia F, Markowitz SK.: Splenic lymphangiomatosis: CT diagnosis. Am. J. Roentgenol.

150: 121-122.

Ito K, Murata T, Nakanishi T.: Cystic lymphangioma of the spleen: MR findings with pathologic

correlation. Abdom. Imaging. 1995. 20: 82-84.

Chang CH, Hsieh CB, Yu JC. : A case of lymphangioma of the spleen. J. Med. Sci. 2004 24:

-112.

Morgenstern L, Rosenberg J, Geller SA.: Tumors of the spleen. World. J. Surg. 1985. 9: 468-

Fahel E, Amaral PCG, Filho.: Videolaparoscopic approach of the splenic cyst: A case report.

J. Soc. Laparoendosc. Surg. 2000. 4: 23-26.

Comitalo JB.: Laparoscopic treatment of splenic cysts. J. Soc. Laparoendosc. Surg. 2001. 5: 313-316.

Maluenda FG, Burdiles PP, Braghetto IM.: Esplenectomía laparoscópica en enfermedades hematológicas. Rev. Méd. Chile. 2004. 132: 189-194.

Sakurai Y, Taniguchi K, Uyama I.: Laparoscopic excision of the cystic lymphangioma occurred in the lesser omentum: report of a case and review of literature. Surg. Laparosc. Endosc.

Percutan. Tech. 2009. 19 (1): 11-14.

Sellers GJ, Starker PM.: Laparoscopic treatment of a benign splenic cyst. Surg. Endosc. 1997. 11: 766-768.

Wu SC, Wang CC, Yong CC.: Partial Splenectomy for Benign Splenic Cysts with the Aid of a Lin Clamp: Technical Note. World. J. Surg. 2007. 31: 2144–2147.

Szczepanik AB, Meissner AJ.: Partial Splenectomy in the Management of Nonparasitic Splenic Cysts.World. J. Surg. 2009. 33: 852-856.

McClure RD, Alteimer WA.: Cysts of the spleen. Ann. Surg. 1942. 116: 98-102.

Published

2010-09-10

How to Cite

1.
Lada PE, Gorordo C, Santos M, Di Sisto C, Caballero F, Moreno W, Massa M, Caldelari G, Florez F. Splenic cystic lymphangioma. Rev Fac Cien Med Univ Nac Cordoba [Internet]. 2010 Sep. 10 [cited 2024 Jul. 8];67(3):112-7. Available from: https://revistas.unc.edu.ar/index.php/med/article/view/22632

Issue

Section

Case Report