Splenic lymphangioma

Case contributed by Dr Ammar Haouimi

Presentation

Left hypochondrial pain. No fever. Laboratory investigations were normal.

Patient Data

Age: 10 years
Gender: Female
Ultrasound

Enlarged spleen with a large well-defined multiseptated cystic lesion with posterior acoustic enhancement.

CT

The CT images show homogeneous hypodense fluid content of the splenic lesion with small peripheral calcification. The postcontrast images show a slight enhancement of the lesion's septations with no solid component seen.

Case Discussion

Ultrasound and CT features are suggestive of a splenic lymphangioma. Large lymphangioma may be symptomatic as in this case due to the enlarged spleen with a mass effect 1. The main differential diagnosis in this case, is a hydatid cyst.

 

Additional contributor: A. Ramdani, MD

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Case information

rID: 72219
Published: 16th Nov 2019
Last edited: 13th Feb 2020
Inclusion in quiz mode: Included
Institution: Aurès Medical Imaging Center - Batna Algeria

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