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Case Reports
. 2016 Feb 9:9:76.
doi: 10.1186/s13104-016-1860-6.

Coexistence of splenic hemangioma and vascular malformation of the vertebrae

Hasan Jalaeikhoo  1 , Mehdi Ariana  2 , Seyed Mohammad Hossein Kashfi  3 , Pedram Azimzadeh  4 , Ahmad Narimani  5 , Masoomeh Dadpay  6 , Manouchehr Keyhani  7
Affiliations
Case Reports

Coexistence of splenic hemangioma and vascular malformation of the vertebrae

Hasan Jalaeikhoo et al. BMC Res Notes. .

Abstract

Background: Cavernous hemangioma is an encapsulated mass of dilated, endothelial lined vascular channels filled with slowly flowing blood. Cavernous hemangioma of the spleen is a rare condition with less than 100 reports so far. Hemangioma of the vertebral is a benign vascular legion around one or two vertebrae. These are usually asymptomatic and discovered incidentally. In this study we reported an extreme rare case of splenic hemangioma coexistence with vascular malformation of the vertebrae. To our knowledge this is the first report of coexistence of splenic hemangioma and hemangioma of the vertebra.

Case presentation: A 20-year-old iranian male with splenomegaly, abdominal pain, diarrhea and pancytopenia who was first highly suspicious for malignancy referred to our center for evaluation of the diagnostic workup. After full examination we detected a very rare case with a giant, solitary cavernous hemangioma of the spleen and multiple hemangiomas in his vertebrae. Histopathology of the spleen showed a large cavernous hemangioma occupying almost the entire spleen with large areas of infarction necrosis with multiple hemangiomas of the vertebrae.

Conclusion: It is extremely rare to have a splenic hemangioma concurrent with vertebra hemangioma and this is clinically very important to consider splenic hemangioma in differential diagnosis of splenomegaly for a better therapeutic management in related patients.

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Figures

Fig. 1
Fig. 1
Without contrast magnetic resonance (MR) imaging of lumbosacral spine with multiple abnormal bone marrow signal
Fig. 2
Fig. 2
The huge cavernous hemangioma of the spleen with multiple hemangiomas in the vertebrae. The surface of the spleen was multicystic. Splenectomy was performed. The resected specimen and imprint cytology was sent for pathology evaluation
Fig. 3
Fig. 3
Histopathology of the spleen showed a large cavernous hemangioma occupying almost the entire spleen with large areas of infarction necrosis. a Blood-filled cystic spaces (cavernous hemangioma). b Cystic spaces lined by endothelial-like cells. c, d Dilated capillaries in the spleen containing red blood cells with endothelial lining
See this image and copyright information in PMC

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