Presentation
Left hypochondrial pain. No fever. Laboratory investigations were normal.
Patient Data
Age: 10 years
Gender: Female
From the case:
Splenic lymphangioma
Longitudinal
Enlarged spleen with a large well-defined multiseptated cystic lesion with posterior acoustic enhancement.
From the case:
Splenic lymphangioma
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Axial non-contrast
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