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    Go to the top of the page   ID: 20040414134304 Original case in english  More links about this topic on Pubmed (PubMed Reader)
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    Splenic Lymphangioma
    Dirk Schaper, P Göbel. Splenic Lymphangioma. PedRad [serial online] vol 4, no. 4.
    URL: www.PedRad.info/?search=20040414134304


     
     Pediatric Radiology CasesImages to this case: There are Ultrasound-images available for this case. [ Ultrasound ] There are OP-Situs-images available for this case. [ OP-Situs ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    Dirk Schaper, P. Göbel (Kinderchirurgie St. Barbara-Krankenhaus Halle/S.)  

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    14 Years  

     
     Pediatric Radiology CasesGender:

    Female  

     
     Pediatric Radiology CasesRegion-Organ:

    Abdomen-Spleen  

     
     Pediatric Radiology CasesMost likely etiology:

    congenital  

     
     Pediatric Radiology CasesHistory:

    The first presentation of the then 9 year-old girl was based upon unspecific lower abdominal pain. Chance findings in the routine sonographic examination. Initially, the findings were just watched, with follow-ups every quarter year. As the findings were found to increase in size at the age of 13, ultrasound aspiration was done and a short-term drainage was performed. An instillation of a locally acting substance was performed. In the follow-up examination, the structures decreased in size. After 6 months, however, a renewed increase in size was noted and a renewed aspiration was performed. Since the pathological findings remained, a surgical treatment was performed.  

     
     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease :

    N/A  

     
     Pediatric Radiology CasesRadiological findings:


    Ultrasound 1 <- view Ultrasound 1

    Ultrasound 1: Presentation of the pathological findings in the left upper abdominal quadrant. Multicystic structure, which moves well with breathing.




    Ultrasound 2 <- view Ultrasound 2

    Ultrasound 2: Presentation of the spleen as a neighboring organ.




    Ultrasound 3 <- view Ultrasound 3

    Ultrasound 3: Doppler sonographic vascularization




    OP-Situs 1 <- view OP-Situs 1

    OP-Situs 1: Surgical findings




    OP-Situs 2 <- view OP-Situs 2

    OP-Situs 2: Surgical findings




    OP-Situs 3 <- view OP-Situs 3

    OP-Situs 3: Surgical findings

     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    Surgery / Histo  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    Posttraumatic splenic cyst, dermoid cyst, cystic hemangioma, parasitic cyst  

     
     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other :

    After the initially performed aspiration without success, the surgical treatment and resection of the splenic lymphangioma was opted. A sufficiently large splenic rest could be saved.
    All in all, a splenic lymphangioma is a very seldom illness. Aside from the casuistics in children, isolated splenic lymphangiomas are described mostly in adults. A lymphangiomatosis, which is described often in literature, could not be found in our patient.  

     
     Pediatric Radiology CasesComments of the author about the case:

    In the experience we gathered in this case, the multicystic changes of the spleen could no longer be treated with aspiration-instillation. This is usually shown to be helpful in solitary splenic cysts.
    In childhood, we feel that the resection with saving the spleen was the method of choice.  

     
     Pediatric Radiology CasesFirst description / History:

    N/A  

     
     Pediatric Radiology CasesLiterature:

    1. Medline: Medline
    Morgenstern L, Bello JM, Fisher BL, Verham RP
    The clinical spectrum of lymphangiomas and lymphangiomatosis of the spleen.
    Am Surg. 1992 Oct;58(10):599-604

    2. Medline: Medline
    Wolters U, Keller HW, Lorenz R, Pichlmaier H.
    Splenic cysts: indications for surgery and surgical procedures
    Langenbecks Arch Chir. 1990;375(4):231-4.  

     
     Pediatric Radiology CasesKeywords:

    Splenic, lymphangioma, spleen, treatment, splenic lymphangioma, child, childhood, pediatric radiology  

     
     Pediatric Radiology Cases Cite this article:

    Dirk Schaper, P Göbel. Splenic Lymphangioma. PedRad [serial online] vol 4, no. 4.
    URL: www.PedRad.info/?search=20040414134304  

     
     Pediatric Radiology Cases Read similar articles: with corresponding keywords
    in the same field: Abdomen-Spleen
    or in the region: Abdomen
    or in the tissue/organ: Spleen
    or with the etiology: congenital
     
     Pediatric Radiology CasesImages to this case: There are Ultrasound-images available for this case. [ Ultrasound ] There are OP-Situs-images available for this case. [ OP-Situs ] View all modalities [ All ]   
     
    Splenic Lymphangioma
    Dirk Schaper, P Göbel. Splenic Lymphangioma. PedRad [serial online] vol 4, no. 4.
    URL: www.PedRad.info/?search=20040414134304


     

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    Splenic Lymphangioma
    Other cases by these authors:

    Search Dirk Schaper in Medline Dirk Schaper (43)   
    Search P. Göbel in Medline P. Göbel (6)   

    Splenic Lymphangioma  
     
    Splenic Lymphangioma
    Dirk Schaper, P Göbel. Splenic Lymphangioma. PedRad [serial online] vol 4, no. 4.
    URL: www.PedRad.info/?search=20040414134304


     

    Which diagnosis have other collegues guessed?


    • Splenic lymphangioma
      Votes: 6 (46 %)


    • Splenic hemangioma
      Votes: 0 (0 %)


    • Multicystic splenic degeneration
      Votes: 5 (38 %)


    • Echinococcus cyst
      Votes: 2 (15 %)



        Total answers: 13

     
    Splenic Lymphangioma
    Dirk Schaper, P Göbel. Splenic Lymphangioma. PedRad [serial online] vol 4, no. 4.
    URL: www.PedRad.info/?search=20040414134304


     

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    Splenic Lymphangioma
    Dirk Schaper, P Göbel. Splenic Lymphangioma. PedRad [serial online] vol 4, no. 4.
    URL: www.PedRad.info/?search=20040414134304


     




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