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Laparoscopic Treatment of Splenic Lymphangioma: A Rare Case in Adults

Received: 20 March 2014     Accepted: 9 April 2014     Published: 20 April 2014
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Abstract

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

Published in Journal of Surgery (Volume 2, Issue 2)
DOI 10.11648/j.js.20140202.14
Page(s) 32-34
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2014. Published by Science Publishing Group

Keywords

Splenic Lymphangioma, Laparoscopy, Cystic Mass

References
[1] Chen LW, Chien RN, Yen CL, Chang LC. Splenic tumour: a clinicopathological study. Int J Clin Pract 2004;58(10):924-7.
[2] 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.
[3] Yang F, Chen WX. Splenic lymphangioma that manifested as a solid-cystic mass: A case report. World J Gastroenterol 2013; 19(5): 781-783.
[4] 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
[5] 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
[6] Morgenstern L, Bello JM, Fisher BL, Verham RP. The clinical spectrum of lymphangiomas and lymphangiomatosis of the spleen. Am Surg 1992;58:599-604.
[7] 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.
[8] DePerrot M, Rostan O, Morel P, Le coultre C. Abdominal lymphangioma in adults and children. Br J Surg 1998; 85: 395–397.
[9] Mohammadi A, Ghasemi-rad M, Abassi F. Asymptomatic lymphangioma involving the spleen and mediastinum in adults. Med Ultrason 2013, Vol. 15(2): 154-156.
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  • APA Style

    Mutlu Ünver, Şafak Özturk, Varlık Erol, Eyüp Kebabcı, Kamil Pehlivanoğlu, et al. (2014). Laparoscopic Treatment of Splenic Lymphangioma: A Rare Case in Adults. Journal of Surgery, 2(2), 32-34. https://doi.org/10.11648/j.js.20140202.14

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    ACS Style

    Mutlu Ünver; Şafak Özturk; Varlık Erol; Eyüp Kebabcı; Kamil Pehlivanoğlu, et al. Laparoscopic Treatment of Splenic Lymphangioma: A Rare Case in Adults. J. Surg. 2014, 2(2), 32-34. doi: 10.11648/j.js.20140202.14

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    AMA Style

    Mutlu Ünver, Şafak Özturk, Varlık Erol, Eyüp Kebabcı, Kamil Pehlivanoğlu, et al. Laparoscopic Treatment of Splenic Lymphangioma: A Rare Case in Adults. J Surg. 2014;2(2):32-34. doi: 10.11648/j.js.20140202.14

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  • @article{10.11648/j.js.20140202.14,
      author = {Mutlu Ünver and Şafak Özturk and Varlık Erol and Eyüp Kebabcı and Kamil Pehlivanoğlu and Nihat Zalluhoğlu and Mustafa Ölmez},
      title = {Laparoscopic Treatment of Splenic Lymphangioma: A Rare Case in Adults},
      journal = {Journal of Surgery},
      volume = {2},
      number = {2},
      pages = {32-34},
      doi = {10.11648/j.js.20140202.14},
      url = {https://doi.org/10.11648/j.js.20140202.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20140202.14},
      abstract = {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},
     year = {2014}
    }
    

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  • TY  - JOUR
    T1  - Laparoscopic Treatment of Splenic Lymphangioma: A Rare Case in Adults
    AU  - Mutlu Ünver
    AU  - Şafak Özturk
    AU  - Varlık Erol
    AU  - Eyüp Kebabcı
    AU  - Kamil Pehlivanoğlu
    AU  - Nihat Zalluhoğlu
    AU  - Mustafa Ölmez
    Y1  - 2014/04/20
    PY  - 2014
    N1  - https://doi.org/10.11648/j.js.20140202.14
    DO  - 10.11648/j.js.20140202.14
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 32
    EP  - 34
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20140202.14
    AB  - 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
    VL  - 2
    IS  - 2
    ER  - 

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