Splenic Cystic Lymphangioma, A Rare Cause Of Massive Splenomegaly In Adults: A Case Report and review of Literature.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 4
Abstract
Introduction: Lymphangioma of the spleen is a very rare entity in adults, we therefore deemed it necessary to share this finding with colleagues and highlight the diagnostic challenges inherent in arriving at a preoperative diagnosis. Case presentation: A 26 year old female presented to the surgical outpatient department of the hospital with a history of left upper abdominal swelling of 14 years duration. The spleen was markedly enlarged on abdominal examination extending from the left hypochondrium to the right iliac fossa. An abdominal ultrasound also revealed a massively enlarged and echogenic spleen with multiple lobulations and multicystic areas, extending from the left hypochondrium, to just above the uterus with no calcification. In view of the long standing duration of the symptoms, the persistent complain of a nagging abdominal pain,and financial constraints in carrying out further investigations, a Splenectomy was done and histology confirmed it to be a splenic lymphangioma. Conclusion: In spite of the rarity of splenic lymphangioma as a cause of massive splenomegaly in adults, it should be considered as a possible differential especially in resource poor settings.
Authors and Affiliations
Dr Promise N Wichendu, Dr Emmanuel O Afolabi
Keywords
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- EP ID EP594083
- DOI 10.9790/0853-160404125129.
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