Littoral Cell Angioma of Spleen: A rare case report. (July 2022)

• Record Type: Journal Article
• Authors: Bouzayan, Laila; Rachid, Jabi; Mabrouk, Mohamed Yassine; Madani, Ayoub; Guellil, Abdelali; Haloui, Anas; Abbou, Widad; Skiker, Imane; Benani, Amal; Bouziane, Mohammed
• Is Part Of: Annals of medicine and surgery. Volume 79(2022)
• Publication Date: 2022-07
• Subjects: Splenomegaly -- Splenectomy -- Littoral cell -- Angioma -- Case report; Surgery -- Periodicals; Medicine -- Periodicals; General Surgery -- Periodicals; Education, Medical -- Periodicals; Periodicals; 617
• DOI: 10.1016/j.amsu.2022.103904
• Languages: English
• ISSNs: 2049-0801

Abstract

Abstract: Introduction: Spleen's Littoral Cell Angioma is a rare benign vascular tumor. The main clinical presentation is isolated splenomegaly. Case presentation: we present the case of a 37 years old male patient who suffers from chronic pain in the left hypochondrium.The abdominal examination finds a painful splenomegaly related to a biological bicytopenia. The CT Scan shows a 32 cm splenomegaly.An exploratory laparotomy with splenectomy was performed. The histological and immunohistochemical study confirmed The final diagnosis of Littoral Cell Angioma. Clinical discussion: Isolated splenomegaly of unknown etiology is the main clinical sign. Splenectomy is required for a diagnostic purpose and substratum for histological study. Conclusion: Littoral Cell Angioma of the Spleen is a rare benign vascular tumor, however it should be highlighted by clinical and radiological features, the definitive diagnosis is made upon histological study. Highlights: Littoral cell angioma of the spleen is a rare clinical entity mimicking a splenic lymphoma. The final diagnosis is made upon pathological study. Splenectomy is reserved for symptomatic littoral cell angioma.