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| Splenic Lymphangioma Dirk Schaper, P Göbel. Splenic Lymphangioma. PedRad [serial online] vol 4, no. 4. URL: www.PedRad.info/?search=20040414134304
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 | Images to this case: | [ Ultrasound ] [ OP-Situs ] [ All ] | |
 | Author/s: | Dirk Schaper, P. Göbel (Kinderchirurgie St. Barbara-Krankenhaus Halle/S.) | |
 | Email Address: | Viewable for logged on visitors (Log on) | |
 | Age: | 14 Years | |
 | Gender: | Female | |
 | Region-Organ: | Abdomen-Spleen | |
 | Most likely etiology: | congenital | |
 | History: | The first presentation of the then 9 year-old girl was based upon unspecific lower abdominal pain. Chance findings in the routine sonographic examination. Initially, the findings were just watched, with follow-ups every quarter year. As the findings were found to increase in size at the age of 13, ultrasound aspiration was done and a short-term drainage was performed. An instillation of a locally acting substance was performed. In the follow-up examination, the structures decreased in size. After 6 months, however, a renewed increase in size was noted and a renewed aspiration was performed. Since the pathological findings remained, a surgical treatment was performed. | |
 | Pathomorphology or Pathophysiology of this disease : | N/A | |
 | Radiological findings: |
<- view Ultrasound 1
Ultrasound 1: Presentation of the pathological findings in the left upper abdominal quadrant. Multicystic structure, which moves well with breathing.
<- view Ultrasound 2
Ultrasound 2: Presentation of the spleen as a neighboring organ.
<- view Ultrasound 3
Ultrasound 3: Doppler sonographic vascularization
<- view OP-Situs 1
OP-Situs 1: Surgical findings
<- view OP-Situs 2
OP-Situs 2: Surgical findings
<- view OP-Situs 3
OP-Situs 3: Surgical findings
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 | Diagnosis confirmation: | Surgery / Histo | |
 | Which DD would be also possible with the radiological findings: | Posttraumatic splenic cyst, dermoid cyst, cystic hemangioma, parasitic cyst | |
 | Course / Prognosis / Frequency / Other : | After the initially performed aspiration without success, the surgical treatment and resection of the splenic lymphangioma was opted. A sufficiently large splenic rest could be saved. All in all, a splenic lymphangioma is a very seldom illness. Aside from the casuistics in children, isolated splenic lymphangiomas are described mostly in adults. A lymphangiomatosis, which is described often in literature, could not be found in our patient. | |
 | Comments of the author about the case: | In the experience we gathered in this case, the multicystic changes of the spleen could no longer be treated with aspiration-instillation. This is usually shown to be helpful in solitary splenic cysts. In childhood, we feel that the resection with saving the spleen was the method of choice. | |
 | First description / History: | N/A | |
 | Literature: | 1. Medline:  Morgenstern L, Bello JM, Fisher BL, Verham RP The clinical spectrum of lymphangiomas and lymphangiomatosis of the spleen. Am Surg. 1992 Oct;58(10):599-604
2. Medline:  Wolters U, Keller HW, Lorenz R, Pichlmaier H. Splenic cysts: indications for surgery and surgical procedures Langenbecks Arch Chir. 1990;375(4):231-4. | |
 | Keywords: | Splenic, lymphangioma, spleen, treatment, splenic lymphangioma, child, childhood, pediatric radiology | |
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Cite this article: |
Dirk Schaper, P Göbel. Splenic Lymphangioma. PedRad [serial online] vol 4, no. 4. URL: www.PedRad.info/?search=20040414134304 |
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Read similar articles: |
with corresponding keywords
in the same field: Abdomen-Spleen
or in the region: Abdomen
or in the tissue/organ: Spleen
or with the etiology: congenital
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 | Images to this case: | [ Ultrasound ] [ OP-Situs ] [ All ] | |
| Splenic Lymphangioma Dirk Schaper, P Göbel. Splenic Lymphangioma. PedRad [serial online] vol 4, no. 4. URL: www.PedRad.info/?search=20040414134304
| |
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Splenic Lymphangioma Other cases by these authors:
Dirk Schaper (43) P. Göbel (6) Splenic Lymphangioma |
| Splenic Lymphangioma Dirk Schaper, P Göbel. Splenic Lymphangioma. PedRad [serial online] vol 4, no. 4. URL: www.PedRad.info/?search=20040414134304
| |
Which diagnosis have other collegues guessed?
- Splenic lymphangioma
Votes: 6 (46 %)

- Splenic hemangioma
Votes: 0 (0 %)

- Multicystic splenic degeneration
Votes: 5 (38 %)

- Echinococcus cyst
Votes: 2 (15 %)

Total answers: 13
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| Splenic Lymphangioma Dirk Schaper, P Göbel. Splenic Lymphangioma. PedRad [serial online] vol 4, no. 4. URL: www.PedRad.info/?search=20040414134304
| |
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| Splenic Lymphangioma Dirk Schaper, P Göbel. Splenic Lymphangioma. PedRad [serial online] vol 4, no. 4. URL: www.PedRad.info/?search=20040414134304
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