Laparoscopic Treatment of Splenic Lymphangioma: A Rare Case in Adults
Journal of Surgery
Volume 2, Issue 2, April 2014, Pages: 32-34
Received: Mar. 20, 2014;
Accepted: Apr. 9, 2014;
Published: Apr. 20, 2014
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Mutlu Ünver, T.C.S.B. Tepecik Teaching and Research Hospital, Department of General Surgery, Izmir, Turkey
Şafak Özturk, T.C.S.B. Tepecik Teaching and Research Hospital, Department of General Surgery, Izmir, Turkey
Varlık Erol, T.C.S.B. Tepecik Teaching and Research Hospital, Department of General Surgery, Izmir, Turkey
Eyüp Kebabcı, T.C.S.B. Tepecik Teaching and Research Hospital, Department of General Surgery, Izmir, Turkey
Kamil Pehlivanoğlu, T.C.S.B. Tepecik Teaching and Research Hospital, Department of General Surgery, Izmir, Turkey
Nihat Zalluhoğlu, T.C.S.B. Tepecik Teaching and Research Hospital, Department of General Surgery, Izmir, Turkey
Mustafa Ölmez, T.C.S.B. Tepecik Teaching and Research Hospital, Department of General Surgery, Izmir, Turkey
Follow on us
Primary benign tumors of the spleen are extremely rare and account for less than 0.007% of all tumors identified upon surgery and autopsy. The differential diagnosis is extensive and includes lymphoma, infarction, septic embolism, metastases (melanoma, breast, ovarian and lung cancer), and splenic cysts.Splenic lymphangiomas are usually benign tumors that predominantly affect children, whereas only a few cases have been reported in adults. Splenic lymphangiomas are mostly asymptomatic; therefore, the final diagnosis should be based on a combination of clinical, radiological, and histopathological findings. Their prognosis is good but there is a remarkable high risk of splenic rupture. Aspiration, drainage and sclerosis are some of the conservative managements that are accompanied with a high risk of recurrence.Surgery is always the preferable definitive treatment. We report a case of splenic lymphangioma, and discuss both diagnostic and therapeutic aspect of laparoscopic splenectomy which is the more effective procedure in these kind of cases
Splenic Lymphangioma, Laparoscopy, Cystic Mass
To cite this article
Laparoscopic Treatment of Splenic Lymphangioma: A Rare Case in Adults, Journal of Surgery.
Vol. 2, No. 2,
2014, pp. 32-34.
Chen LW, Chien RN, Yen CL, Chang LC. Splenic tumour: a clinicopathological study. Int J Clin Pract 2004;58(10):924-7.
Abbott RM, Levy AD, Aguilera NS, Gorospe L, Thompson WM. From the archives of the AFIP: primary vascular neoplasms of the spleen: radiologic-pathologic correlation. Radiographics 2004; 24: 1137-1163.
Yang F, Chen WX. Splenic lymphangioma that manifested as a solid-cystic mass: A case report. World J Gastroenterol 2013; 19(5): 781-783.
Vezzoli M, Ottini E, Montagna M, La Fianza A, Paulli M, Rosso R, Mazzone A. Lymphangioma of the spleen in an elderly patient. Haematologica 2000; 85: 314-317
Chang WC, Liou CH, Kao HW, Hsu CC, Chen CY, Yu CY. Solitary lymphangioma of the spleen: dynamic MR findings with pathological correlation. Br J Radiol 2007; 80: e4-e6
Morgenstern L, Bello JM, Fisher BL, Verham RP. The clinical spectrum of lymphangiomas and lymphangiomatosis of the spleen. Am Surg 1992;58:599-604.
Barbaros U, Deveci U, Ozlük Y, Tiriyaki B, Erbil Y, Din??a? A, Mercan S, Vecchio R. Laparoscopic treatment of splenic lymphangiomas: report of three cases. G Chir. 2007 Oct;28(10):403-6.
DePerrot M, Rostan O, Morel P, Le coultre C. Abdominal lymphangioma in adults and children. Br J Surg 1998; 85: 395–397.
Mohammadi A, Ghasemi-rad M, Abassi F. Asymptomatic lymphangioma involving the spleen and mediastinum in adults. Med Ultrason 2013, Vol. 15(2): 154-156.
Tessier DJ, Pierce RA, Brunt LM, Halpin VJ, Eagon JC, Frisella MM, et al. Laparoscopic splenectomy for splenic masses. Surg Endosc 2008;22(9):2062-6.
Polat P, Kantarci M, Alper F, Suma S, Koruyucu MB, Okur A. Hydatid disease from head to toe. Radiographics 2003; 23: 475-494.
Crema E, Etchebehere RM, Gonzaga MN, Lima RS, Bertulucci PA, da Silva AA. Splenic lymphangioma: a rare benign tumor of the spleen treated by laparoscopic surgery. Arq Bras Cir Dig. 2012 ;25(3):178-9.