A RARE CASE OF SPLENIC LYMPHANGIOMA IN ADULT PRESENTING WITH ANEMIA

Dr. Sudhir. S; Dr. Kirthiga Thiagarajan

Volume : VIII, Issue : V, May - 2019

A RARE CASE OF SPLENIC LYMPHANGIOMA IN ADULT PRESENTING WITH ANEMIA

Dr. Sudhir. S, Dr. Kirthiga Thiagarajan

Abstract :

BACKGROUND– Lymphangiomas are uncommon benign lesions of the lymphatic vessels, very rarely affecting the spleen. Isolated involvement of the spleen is rare. Fewer than 100 cases of splenic lymphangiomas have been reported in literature. CASE REPORT– 68 year old female, with generalised weakness. Physical examination revealed anemia. Abdominal CECT scan showed two well defined cystic lesions of the spleen. Splenectomy was done and histopathological analysis led to the diagnosis of splenic lymphangioma. Postoperative period was uneventful and she recovered well. DISCUSSION– This pathology is very rare, diagnosed incidentally before the age of 2, with presentation in adults being extremely rare. They are generally asymptomatic, or can cause splenomegaly. CONCLUSION– Isolated splenic lymphangioma in adult patients is very rare. The preoperative diagnosis is challenging because imaging techniques are not specific. Pathological analysis is the only effective way to render the definitive diagnosis. It has a benign course after complete surgical resection