ArticleJournal of surgical case reports2026
Splenic cystic lymphangioma mimicking hydatid cyst in an adult: a rare diagnostic challenge.
Article in Journal of surgical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Splenic cystic lymphangioma is a rare, benign disease affecting the splenic lymphatic system; it is uncommon in adults and primarily seen in children. Symptoms are usually nonspecific. The diagnosis is confirmed by histopathological analysis. We report a 58-year-old female patient with left upper abdominal pain and a history of abdominal trauma with mild tenderness over the left upper quadrant. Abdominal ultrasound revealed a well-defined multilocular cystic lesion in the spleen, measuring ~7.9 × 6.9 cm. Then, abdominal and pelvic computed tomography revealed a large, non-enhancing hypodense cystic lesion in the spleen with internal septations, calcifications, and multiple smaller daughter cysts arranged peripherally; hydatid cyst was the primary differential diagnosis. After that, she underwent an open splenectomy under general anesthesia. Final pathology results confirming a benign splenic cystic lymphangioma. Splenic cystic lymphangiomas are rare, non-malignant tumors that are infrequently diagnosed in adults. Surgical removal via splenectomy is the treatment of choice.
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