Littoral cell angioma in main and accessory intrapancreatic spleen presenting as splenic rupture

Abstract Splenic rupture in pregnancy is a rare event. It is generally due to trauma or an underlying splenic pathology. Timely diagnosis and intervention of splenic rupture is essential given the high rates of associated maternal and fetal morbidity and mortality. This case illustrates a 38 year old lady in the third trimester of pregnancy who presented with maternal collapse and a non-reassuring foetal heart rate tracing following a fall at home one week previously. A massive hemoperitoneum was identified at caesarean section and a splenectomy was performed. Histological examination revealed a littoral cell angioma of the spleen. This vascular tumour arising in the splenic red pulp sinuses is a rare entity and specific immunophenotypic features help distinguish it from other vascular tumours of the spleen. Both trauma and an underlying splenic pathology led to splenic rupture in this unique case.

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Littoral cell angioma: A case and review of the literature

Radiology Case Reports ◽

10.2484/rcr.v6i3.324 ◽

2011 ◽

Vol 6 (3) ◽

Cited By ~ 3

Author(s):

Tarek Hanna ◽

Deborah A. Baumgarten ◽

Theodore M Friedman

Keyword(s):

Review Of The Literature ◽

Littoral Cell ◽

Littoral Cell Angioma

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LITTORAL CELL ANGIOMA

Diagnostic Pathology: Vascular ◽

10.1016/b978-0-323-37674-7.50086-6 ◽

2016 ◽

pp. 11-2-11-3

Keyword(s):

Littoral Cell ◽

Littoral Cell Angioma

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A Case of Littoral Cell Angioma with Multiple Liver Metastasis

The Japanese Journal of Gastroenterological Surgery ◽

10.5833/jjgs.2017.0012 ◽

2018 ◽

Vol 51 (3) ◽

pp. 222-227

Author(s):

Yoshihiro Takahara ◽

Yasuhiro Otsuka ◽

Takeshi Ogasawara ◽

Satoru Nomura ◽

Hidehiko Uno ◽

...

Keyword(s):

Liver Metastasis ◽

Littoral Cell ◽

Littoral Cell Angioma ◽

Multiple Liver Metastasis

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Littoral cell angioma of the spleen: A case report

SAGE Open Medical Case Reports ◽

10.1177/2050313x20959874 ◽

2020 ◽

Vol 8 ◽

pp. 2050313X2095987

Author(s):

Vaclav Opatrny ◽

Vladislav Treska ◽

Tomas Waloschek ◽

Jiri Molacek

Keyword(s):

Case Report ◽

Metastatic Lesion ◽

Vascular Tumors ◽

Rare Tumor ◽

Littoral Cell ◽

Littoral Cell Angioma ◽

Uncommon Disease ◽

Visceral Malignancy ◽

Red Pulp

Spleen tumors are an uncommon disease. Littoral cell angioma belongs to the group of vascular tumors. It is believed that this tumor originates from the tissue of the red pulp sinuses, specifically from the cells that are lining the sinuses. If this rare tumor is diagnosed, it is necessary to search for synchronous or metachronous visceral neoplasia. Littoral cell angioma can also mimic metastatic lesion of the spleen. This case report wants to draw attention on this rare tumor of the spleen which is very often associated with other visceral malignancy.

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