Splenic lymphangiomatosis in an adult patient Case report

• Autores: Jiménez-Canizales, Carlos Eduardo, Bolaños, Fernando, Benavides-López, Ernesto Federico, Mondragón-Cardona, Álvaro Eduardo, Rojas-Gómez, Oscar Fabián
• Formato: artículo
• Fecha de Publicación: 2022
• Institución: Colegio Médico del Perú
• Repositorio: Acta Médica Peruana
• Lenguaje: español
• OAI Identifier: oai:ojs.pkp.sfu.ca:article/2451
• Enlace del recurso: https://amp.cmp.org.pe/index.php/AMP/article/view/2451
• Nivel de acceso: acceso abierto
• Materia: Anomalies; Benign Neoplasm; Lymphangioma; Splenic Neoplasms

Lymphangiomas are benign malformations of the lymphatic system. They most often affect children and rarely adults. We present the case of a 36-year-old woman with a 6-month clinical picture of diffuse abdominal pain without peritoneal irritation associated with adynamia. As part of the studies, a computerized axial tomography with abdominal contrast was requested, which revealed multiple hypovascular hypodense splenic lesions with suspected diagnosis of lymphoproliferative lesions. For this reason, a diagnostic splenectomy was requested, which showed macroscopic, microscopic and immunohistochemical findings (positivity of cystic lesions for CD31 and D2-40) compatible with diffuse splenic lymphagiomatosis.