Images in clinical medicine | Volume 39, Article 204, 16 Jul 2021 | 10.11604/pamj.2021.39.204.30360

A rare case of primary splenic lymphoma

Issam Loukil, Amine Zouari

Corresponding author: Issam Loukil, Service de Chirurgie Générale Tataouine, Tataouine, Tunisie

Received: 14 Jun 2021 - Accepted: 29 Jun 2021 - Published: 16 Jul 2021

Domain: General surgery

Keywords: spleen, lymphoma, primitive

©Issam Loukil et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article: Issam Loukil et al. A rare case of primary splenic lymphoma. Pan African Medical Journal. 2021;39:204. [doi: 10.11604/pamj.2021.39.204.30360]

Available online at: https://www.panafrican-med-journal.com/content/article/39/204/full

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Images in clinical medicine

A rare case of primary splenic lymphoma

A rare case of primary splenic lymphoma

Issam Loukil1,&, Amine Zouari2

 

1Service de Chirurgie Générale Tataouine, Tataouine, Tunisie, 2Service de Chirurgie Générale Sfax, Sfax, Tunisie

 

 

&Corresponding author
Issam Loukil, Service de Chirurgie Générale Tataouine, Tataouine, Tunisie

 

 

Image in medicine

A 64-year-old man, with no medical history, presented with an inflammatory syndrome without bacteriological or serological anomaly. Abdominal ultrasound finds a mediosplenic mass of 5cm, hypoechoic heterogeneous without Doppler signals. Computed tomography (CT) scan describes hypodense mass slightly enhanced at the periphery, measuring 57x60x65mm and deforming the splenic hilum, without splenomegaly nor lymphnode (A). Magnetic resonance imaging found a polylobed lesion in T1-T2 isosignal, diffusion hypersignal, crossed by fibrous spans and delimited by a thin wall in T2 hypointense taking the contrast (B, C). The fine needle biopsy was not performed and the treatment decision was to perform a splenectomy. Macroscopic examination described intra splenic tumor polycyclic whitish, crossed by fibrous septa in accordance with imaging (D). Anatomic-pathologic section concluded to a large B cell primary splenic lymphoma. The one-year CT scan did not show any recurrence.

 

Figure 1: A) computed tomography (CT) scan injected during portal phase: hypodense mass slightly enhanced at the periphery, measuring 57x60x65mm and deforming the splenic hilum, without splenomegaly nor lymph node; B, C) magnetic resonance imaging found a polylobed lesion in T1-T2 isosignal, diffusion hypersignal, crossed by fibrous spans and delimited by a thin wall in T2 hypointense taking the contrast; D) intra-splenic tumor mass with a whitish macroscopic appearance, with polycyclic contours and crossed by fibrous partitions

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Images in clinical medicine

A rare case of primary splenic lymphoma

Images in clinical medicine

A rare case of primary splenic lymphoma

Images in clinical medicine

A rare case of primary splenic lymphoma