Mei Y, Peng CJ, Chen L, Li XX, Li WN, Shu DJ, Xie WT. Hemolymphangioma of the spleen: A report of a rare case. World J Gastroenterol 2015; 21(17): 5442-5444 [PMID: 25954120 DOI: 10.3748/wjg.v21.i17.5442]
Corresponding Author of This Article
Ci-Jun Peng, PhD, MD, Professor, Department of Hepatopancreatobiliary Surgery, Affiliated Hospital of Zunyi Medical University, 149 Dalian Road, Zunyi 563003, Guizhou Province, China. doctorpengcijun@163.com
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Yong Mei, Ci-Jun Peng, Xiong-Xiong Li, Wei-Nan Li, De-Jun Shu, Wan-Tao Xie, Department of Hepatopancreatobiliary Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi 563003, Guizhou Province, China
Li Chen, Department of Nephropathy, Affiliated Hospital of Zunyi Medical University, Zunyi 563003, Guizhou Province, China
Author contributions: Mei Y and Peng CJ contributed equally to this work; Mei Y and Peng CJ designed research; Mei Y acquired and analyzed the data; Chen L, Li XX, Li WN, Shu DJ and Xie WT analyzed the clinical, imaging and pathological data; Mei Y, Peng CJ, Chen L, Li XX, Li WN, Shu DJ and Xie WT performed research and wrote the paper.
Ethics approval: The study was reviewed and approved by the Affiliated Hospital of Zunyi Medical University Institutional Review Board.
Informed consent: All study participants provided informed written consent prior to study enrollment.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Ci-Jun Peng, PhD, MD, Professor, Department of Hepatopancreatobiliary Surgery, Affiliated Hospital of Zunyi Medical University, 149 Dalian Road, Zunyi 563003, Guizhou Province, China. doctorpengcijun@163.com
Telephone: +86-851-28068244 Fax: +86-851-28068244
Received: December 10, 2014 Peer-review started: December 10, 2014 First decision: December 26, 2014 Revised: January 17, 2015 Accepted: February 11, 2015 Article in press: February 11, 2015 Published online: May 7, 2015 Processing time: 153 Days and 11.8 Hours
Abstract
Hemolymphangioma is a malformation of both lymphatic vessels and blood vessels. Splenic hemolymphangioma is extremely rare. Herein, we present a case of 62-year-old woman with ambiguous upper quadrant abdominal pain for two months who was found to have an occupying lesion in the spleen on computed tomography. She was eventually diagnosed with hemolymphangioma of the spleen. The patient underwent total splenectomy. Neither symptoms nor recurrence was found during the one-year follow-up period.
Core tip: We report an extremely rare case of splenic hemolymphangioma. Computed tomography findings of splenic hemolymphangioma include single or multiple hypodense cysts occupying the spleen, without enhancement, which are correlated with pathologic configuration. However, it is difficult to establish an accurate preoperative diagnosis according to radiological features. Pathologic examination is essential for diagnosis. The most effective treatment for splenic hemolymphangioma is complete resection of the tumor.
