PDF(Pubmed)
Abstract：
Isolated splenic lymphangiomas are rare benign lesions mostly seen in children are exceptionally rare in adults, often discovered incidentally due to their typically asymptomatic nature. This case report elaborates on the surgical excision of a rare splenic cystic lymphangioma in a 33-year-old woman, underscoring the diagnostic and therapeutic challenges these tumors pose. The patient\'s symptoms, abdominal pain and a palpable mass led to imaging through ultrasound and CT, which revealed a cystic splenic lesion. Total splenectomy was performed, revealing a large cystic mass, with pathological examination confirming a cystic lymphangioma. This case emphasizes the necessity of considering splenic lymphangiomas in adult patients presenting with splenic lesions. It also highlights the critical role of surgical interventions for definitive diagnosis and to prevent complications such as rupture and hemorrhage, thereby emphasizing on the complexity of managing rare splenic tumors.
摘要：
孤立的脾淋巴管瘤是罕见的良性病变，主要见于儿童，在成人中极为罕见。通常由于其典型的无症状性质而偶然发现。该病例报告详细介绍了一名33岁女性罕见的脾脏囊性淋巴管瘤的手术切除，强调这些肿瘤带来的诊断和治疗挑战。病人的症状,腹痛和明显的肿块导致超声和CT成像，显示了一个囊性脾脏病变。行全脾切除术,显示出一个巨大的囊性肿块，病理检查证实为囊性淋巴管瘤。该病例强调了在出现脾病变的成年患者中考虑脾淋巴管瘤的必要性。它还强调了手术干预对于明确诊断和预防破裂和出血等并发症的关键作用，从而强调了罕见脾肿瘤治疗的复杂性。
