Splenic Lymphangioma in a 35 Year Old Lady: A Rare Case Report

Abstract

Lymphangioma is a benign cystic neoplasm that results from congenital malformation of the lymphatic system. Among them, splenic lymphangioma is a rare entity accounting for only <0.007% of all tumors. This case highlights the importance of considering splenic lymphangioma in the differential diagnosis of cystic splenic lesions. Most of the patients are symptomless and detected incidentally. A 35-year-old lady presented to a tertiary care hospital of Dhaka, Bangladesh with abdominal pain and fatty food intolerance. On abdominal examination, splenomegaly was noted incidentally. Ultrasonography of whole abdomen showed features of chronic calculus cholecystitis with multiple hypoechoic area in spleen indicating multiple cystic lesion of spleen. Her echinococcal antibody tests were negative. Contrast CT scan of abdomen showed enlarged spleen with multiple cystic lesions indicating polycystic splenic disease associated with gall stones. After proper counseling, she underwent laparoscopic cholecystectomy with open splenectomy. Though she was planned for laparoscopic splenectomy, open conversion was required for huge size of spleen. Her post-operative period was uneventful. She was advised for post splenectomy vaccination and prophylactic antibiotics. Follow up after 1 and 3 months showed no abnormality.