2018 Volume 51 Issue 3 Pages 222-227
Littoral cell angioma (LCA) is a rare benign splenic tumor with typical histomorphologic features, which is difficult to be distinguished preoperatively from other splenic tumors. A 68-year-old female patient was admitted to our hospital with an abdominal pain and remarkable anemia. An enhanced CT scan showed splenomegaly and ascites with multiple low density lesions in liver. We diagnosed as rupture of spleen and the patient underwent a splenectomy that revealed LCA by pathological evaluation. LCA can have risk of splenic rupture and malignant potential. It was suggested that early surgical resection is important for LCA.