CAVERNOUS HEMANGIOMA SPLEEN PRESENTING AS A CYSTIC MASS: A CASE REPORT

Cavernous hemangioma is a rare disorder of spleen with fewer than 100 cases reported. We describe a case of cavernous hemangioma spleen in a 40 years old woman putting emphasis on its presentation. She presented with pain left upper quadrant and fever. Her spleen was palpable on abdominal examination. The lesion was picked on ultrasound abdomen which reported multiple cysts of variable sizes, more in the periphery, the largest measuring 2.4 x 1.4 cm. CT abdomen with contrast showed a normal sized spleen having multiple hypodense lesions more at the periphery. Splenectomy was carried out. Histopathological examination revealed diffuse involvement of the spleen by cystically dilated vascular channels most of which contained RBCs in their lumina. Therefore, a diagnosis of cavernous hemangioma spleen was made which was confirmed by a positive CD-34 immunohistochemical stain.