Persistent Abdominal Pain Associated with Splenic Lymphangioma in An Adult Patient: A Case Presentation  

作　　者：David Fernando Ortiz Pérez Janne Jorgeth Fabregas Ramirez Mario Enrique Montoya Jaramillo Juan José Iles Bravo John Sebastián Osorio Muñoz Manuel Fernando Chavarro Muñoz Daniel de Jesús González Villarreal Manuel Esteban Ortiz Pérez David Fernando Ortiz Pérez;Janne Jorgeth Fabregas Ramirez;Mario Enrique Montoya Jaramillo;Juan José Iles Bravo;John Sebastián Osorio Muñoz;Manuel Fernando Chavarro Muñoz;Daniel de Jesús González Villarreal;Manuel Esteban Ortiz Pérez(Department of Internal Medicine, Cartagena del Mar Clinical Center, Cartagena, Colombia)

机构地区：[1]Department of Internal Medicine, Cartagena del Mar Clinical Center, Cartagena, Colombia

出　　处：《Journal of Biosciences and Medicines》2024年第9期82-88,共7页生物科学与医学（英文）

摘　　要：Splenic lymphangioma is a rare benign lesion, predominantly seen in the pediatric population and exceptionally in adults. It is usually associated with lymphatic system malformations caused by secondary lymphangiectasia due to abnormal communication between lymphatic ducts. It often coexists with complex clinical syndromes, such as Klippel-Trenaunay syndrome, congenital epithelial cysts, or, in less frequent conditions, infectious or post-traumatic triggering events. It typically presents in the neck or axillae, with intra-abdominal cases accounting for less than 5% of all cases. We present the clinical case of a 44-year-old male patient who presented with a clinical course of approximately one month, characterized by progressive abdominal pain associated with nausea, multiple episodes of emesis, anorexia, and involuntary weight loss. A diagnostic laparoscopy was performed, revealing a poorly differentiated lesion in the splenic topography, for which a biopsy was performed, leading to the definitive diagnosis. In this scenario, splenic lymphangioma should be considered among the differential diagnoses of persistent abdominal pain, and definitive interventions should be determined based on clinical characteristics.Splenic lymphangioma is a rare benign lesion, predominantly seen in the pediatric population and exceptionally in adults. It is usually associated with lymphatic system malformations caused by secondary lymphangiectasia due to abnormal communication between lymphatic ducts. It often coexists with complex clinical syndromes, such as Klippel-Trenaunay syndrome, congenital epithelial cysts, or, in less frequent conditions, infectious or post-traumatic triggering events. It typically presents in the neck or axillae, with intra-abdominal cases accounting for less than 5% of all cases. We present the clinical case of a 44-year-old male patient who presented with a clinical course of approximately one month, characterized by progressive abdominal pain associated with nausea, multiple episodes of emesis, anorexia, and involuntary weight loss. A diagnostic laparoscopy was performed, revealing a poorly differentiated lesion in the splenic topography, for which a biopsy was performed, leading to the definitive diagnosis. In this scenario, splenic lymphangioma should be considered among the differential diagnoses of persistent abdominal pain, and definitive interventions should be determined based on clinical characteristics.

关 键 词：LYMPHANGIOMA NEOPLASMS Splenic Neoplasms LAPAROSCOPY ADULTHOOD 

分 类 号：R73[医药卫生—肿瘤]