oa Central African Journal of Medicine - Diffuse cystic lymphangiomatosis of the spleen: clinical and pathological features

Volume 29, Issue 6
  • ISSN : 0008-9176



Symptomless huge spleens are rare particularly when accompanied with a normal blood picture. Clinically, when the more frequent causes of enlargement of the spleen are ruled out, the term 'massive surgical splenomegaly has often been used despite its inherent vagueness and lack of functional, structural and prognostic implications. Splenectomy becomes, thereby, indicated in order to establish the correct histological diagnosis, to avoid the risk of spontaneous or impending splenic rupture, and of course to alleviate the patient's discomfort. This report concerns one such unusual case, the clinical features, and the morphological characteristics. Splenic angiography has been advocated as the most informative procedure in massively enlarged spleens of obscure aetiology. We suggest that a simple percutaneous splenogram is sufficiently characteristic to allow correct preoperative diagnosis.

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