Professional paper

https://doi.org/10.57140/mj.52.3.6

A rare case of giant cavernous splenic haemangioma

Fatima Juković-Bihorac orcid.org/0000-0002-4151-2235 ; Cantonal Hospital Zenica, Department of Pathology
Anhel Koluh ; Cantonal Hospital Zenica, Department of Surgery
Hakija Bečulić ; Cantonal Hospital Zenica, Department of Neurosurgery

Abstract

Introduction: Tumors of spleen are generally rare disorders. The most common primary splenic
neoplasm is haemangioma, although very rare. Giant, cavernous splenic haemangioma is extremely rare,
less than 100 cases have been reported in the literature.
Case report: We present a case of giant haemangioma in a 65 years-old patient. Radiological diagnostic
methods were not conclusive. Magnetic resonance imaging showed en expansive, heterogenous lesion with
signs of necrosis and haemorrhage in the central part. Those characteristics raised suspicion in malignant
neoplasm, especially haemangiosarcoma and metastatic neoplasm. The surgical team performed total
splenectomy, with special attention to possible bleeding as a severe complication. Pathohistological finding
was undoubted. There were certain signs of benign, cavernous splenic haemangioma with areas of
coagulative necrosis.
Conclusion: We need to be aware of such rare entity. MRI is the most reliable diagnostic method, but the
pathohistological analysis is definitive. Surgery is a treatment of choice.

Keywords

splenic neoplasm; cavernous haemangioma; splenomegaly; giant haemangioma

Hrčak ID:

287906

URI

https://hrcak.srce.hr/287906

Publication date:

21.12.2022.

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