Independent case reportsPartial splenectomy for littoral cell angioma
Section snippets
Case report
An 18-year-old girl was briefly evaluated after a motor vehicle collision, discharged, but returned 2 days later with vague abdominal pain and low-grade fever. Physical examination revealed mild left upper quadrant abdominal tenderness. The hemoglobin level had decreased for the 2 days from 10 to 8 g/dL, which prompted a computed tomographic (CT) scan of the abdomen. A splenic mass was found and initially interpreted as a splenic hematoma. The patient's medical history was extensive and
Discussion
Littoral cell angioma is a rare vascular tumor of the spleen that was first described in 1991 [1]. It arises from cells in the red-pulp sinuses and usually presents with anemia, pyrexia, or thrombocytopenia in either sex but typically in middle-aged adults with splenomegaly. Occasionally, children are affected [1], [2], [3]. Other diagnostic considerations are metastasis, hamartoma, hemangioma, lymphoma, and abscess. The tumor is benign, but malignant littoral cell angiosarcoma can occur [4].
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Cited by (20)
Littoral cell angioma of the spleen in a child with Cornelia De Lange syndrome
2021, Journal of Pediatric Surgery Case ReportsCitation Excerpt :There would seem to be no known genetic predisposition to either of these conditions. Another interesting finding in the 12 cases reported was the high prevalence [3] of a history of trauma [3,10,11]. An additional case was a sportsman who might well have sustained some trauma [9].
Partial splenectomy: Who, when and how. A systematic review of the 2130 published cases
2019, Journal of Pediatric SurgeryCitation Excerpt :Starting in the late ‘70s, with a hemostatic purpose, some authors reported the use of various collagen products [24,40,42,149] and omentoplasty [41,49,64,67,101,102,147]. In the ‘80s and later on, parenchymal section/hemostasis was reportedly performed by various types of electrocoagulation [17,27,31,35,38–40,42,43,49,58,62,66,72,78,80,82,85,87,94,95,108,117–123], ultrasonic dissectors [23,26,40,49,53,59,67,93,99,124–126], and mechanical staplers [7,25,29,34,35,37,41,42,51,65,74,76,78,90,96,108,114,119,127–133], at times reinforcing the raw surface with interrupted [38,49] or mattress suture [30,57,103,113,145,146]. Since the 90’s, authors reported the use of then new generation hemostatic agents, including Surgicel® [41,48,49], Spongostan® [16], and various other cellulose products [116,151], as well as of Argon beam [7,42,48,73,117] and Microwave coagulation [11].
Littoral cell angioma of the spleen
2009, Asian Journal of SurgeryLittoral cell angioma of the spleen: A study of 10 cases case series and literature review
2024, Medicine (United States)The first case of a littoral spleen-preserving resection: a case report
2023, Journal of Surgical Case ReportsLittoral cell angiomas: Benign lesion with a penchant for visceral malignancies
2023, Annals of Hepato-Biliary-Pancreatic Surgery