Littoral cell angioma of the spleen: Appearance on sonography and CT

Moshe Goldfeld, Isaac Cohen, Norman Loberant, Ahmed Mugrabi, Igor Katz, Sorin Papura, Ivan Noi

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24 Scopus citations


Littoral cell angioma (LCA) is a rare benign vascular tumor of the spleen with characteristic histomorphologic features. Only a few descriptions of the radiologic appearance of this tumor have been published, and those descriptions are variable. We report a case of LCA in a 37-year-old man with psoriasis and nonspecific symptoms of weakness, pain and fatigue, normocytic anemia, and thrombocytopenia. The results of abdominal sonography and contrast-enhanced CT correlated: the 2 modalities revealed hepatosplenomegaly and multiple round splenic lesions of similar appearance and size (on sonograms, ill-defined echogenic lesions up to 3.2 cm without acoustic enhancement; on CT scans, hypodense, nonenhancing lesions up to 3.5 cm). Because making a differential diagnosis was difficult and our presumptive diagnosis was hemangioma or lymphoma, splenectomy was performed. Postoperative pathologic examinations confirmed a final diagnosis of LCA. The patient's recovery was uneventful. LCA should be considered when making a differential diagnosis of splenic lesions, and sonography may be more helpful than CT in reaching a diagnosis of LCA.

Original languageEnglish
Pages (from-to)510-513
Number of pages4
JournalJournal of Clinical Ultrasound
Issue number8
StatePublished - Oct 2002
Externally publishedYes


  • Angioma
  • Computed tomography
  • Littoral cell
  • Spleen
  • Tumor
  • Ultrasonography


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