Lada Paul E, Gorordo Carolino, Santos Mariana, Di Sisto Carla, Caballero Fabian, Moreno Walter, Massa Martin, Caldelari Gustavo, Flores Francisco
Servicio de Cirugía General de la Clínica Privada Caraffa, Córdoba, Argentina.
Rev Fac Cien Med Univ Nac Cordoba. 2010;67(3):112-7.
Splenic cystic lymphangioma is a very rare benign neoplasia characterized by cystic dilation of the lymphatic vessels of the splenic parenchyima. It may occur in the spleen only or in multiple organs. We describe the case of a 46 year-old female, with he diagnosis of splenic cystic lymphangioma. Its clinical manifestations include abdominal pain, especially in left upper quadrant pain, abdominal distension, loss of appetite. Physical examination showed no specific findings. Ultrasonography and CT scann imaging showed multiple cysts replacing the normal parenchyma of the spleen. We report herein the surgical significance of lymphangioma of the spleen from both diagnostic and also therapeutic aspects, and we discuss laparoscopic splenectomy as an effective procedure for an excision of a splenic tumor suspected to be benign. .Histologic study after splenectomy confirmed the diagnosis of cystic lymphangioma of the spleen.
脾囊性淋巴管瘤是一种非常罕见的良性肿瘤，其特征为脾实质内淋巴管的囊性扩张。它可仅发生于脾脏，也可发生于多个器官。我们描述了一例46岁女性，诊断为脾囊性淋巴管瘤。其临床表现包括腹痛，尤其是左上腹疼痛、腹胀、食欲不振。体格检查未发现特异性体征。超声和CT扫描成像显示多个囊肿取代了脾脏的正常实质。我们在此报告脾淋巴管瘤在诊断和治疗方面的手术意义，并讨论腹腔镜脾切除术作为切除疑似良性脾肿瘤的有效方法。脾切除术后的组织学研究证实了脾囊性淋巴管瘤的诊断。
