Presentation
Abdominal pain.
Patient Data
Age: 50 years
Gender: Female
From the case:
Splenic lymphangiomas
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Unremarkable. In close inspection a tiny calcific focus can be seen projecting over the spleen shadow.
From the case:
Splenic lymphangiomas
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Spleen is replaced by multiple cystic structures of varying size.
From the case:
Splenic lymphangiomas
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portal venous phase"}],"caption":{"us":null,"gb":null},"findings":{"us":"","gb":""},"contributor_login":"hanisalam","case_id":27962,"case_key_image_id":6066355,"case_featured_at":null},"current_user":null,"access":{"can_edit":false,"can_download":true,"can_feature":false,"can_pin":true}}
Spleen is replaced by multiple cystic lesion of varying size. Some showed septa and mural calcifications.
From the case:
Splenic lymphangiomas
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Splenectomy macroscopic and microscopic tissue examination reveals multiple cyst in different size , some of which showed fibrosis of the wall with focal calcification. Those cyst are filled with lymphatic fluids with some lymphocytes an RBCs and lined by single layer of endothelium which stained positive for CD 31 and CD 34.
The rest of the spleen shows multiple discrete noncaseating granulomas with giant cells. No malignancy.
Diagnosis: Splenic lymphangiomas with granulomatus inflammation.