ISPUB.COM The Internet Journal of Gastroenterology Volume 11 Number 2 1 of 4 Solitary Lymphangioma Of The Spleen: A Case Report S Bhoriwal, P Garg, S Singla, V Rathee, S Verma, S Mittal, S Aggarwal, A Narang Citation S Bhoriwal, P Garg, S Singla, V Rathee, S Verma, S Mittal, S Aggarwal, A Narang. Solitary Lymphangioma Of The Spleen: A Case Report. The Internet Journal of Gastroenterology. 2012 Volume 11 Number 2. Abstract Solitary Lymphangioma of spleen are rare benign tumors and found in pediatric or young population. They are commonly seen in neck and axillary region. Abdominal Lymphangioma are found in less than 5% of cases and less than 100 cases of lymphangioma spleen are reported. It is rare to found these tumors in elderly. Here in a case of Lymphangioma of spleen in 60 years old female is reported with a review of literature. INTRODUCTION Lymphangioma are congenital malformations of vascular origin. 1 They are commonly seen in pediatric age group and 95% of lymphangioma occur in cervical and axillary region. Splenic lymphangioma are rare and can be found as isolated splenic lymphangioma or associated with lymphangiomatosis with multi organ involvement, this condition was first described by Redenber in 1828 1 .These are benign lesions and formed by either blocking or agenesis of lymphatic channels. Treatment remains surgical in form of complete excision by total splenectomy. CASE REPORT A 60 years old female presented to surgical clinic of Pt. B.D.Sharma P.G.I.M.S. Rohtak with complaints of progressively enlarging swelling in the abdomen for past 10 years along with on and off pain in the abdomen for the past 6 years. On examining the abdomen was distended with an intra-peritoneal lump of size 17 x 18 centimeters. It was firm in consistency and the lump could be moved in all directions. Her routine investigations were within normal limits and ultrasound scan showed a large cystic lesion of size 16x15 centimeters in the lower abdomen and pelvis with necrotic component in it. CECT abdomen revealed a well- defined soft tissue density lesion with large soft tissue component measuring 12x14.8x17.3 centimeters with heterogeneous enhancement. As the mass was moving in all directions and considering the age of the patient a diagnosis of ovarian cyst was made and the patient was planned for elective laparotomy. Intraoperative bilateral ovaries were found to be normal and a huge mass arising from the spleen was noted. Splenectomy was done and histopathology revealed a rare diagnosis of Lymphangioma of the spleen. Figure 1 Figure 1 Huge splenic cyst found during laparotomy