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Littoral cell angioma in a patient with Crohn's disease.
Linköping University, Department of Clinical and Experimental Medicine, Division of Neuro and Inflammation Science. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Heart and Medicine Center, Department of Gastroentorology.
Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center for Surgery, Orthopaedics and Cancer Treatment, Department of Surgery in Linköping.
Linköping University, Department of Clinical and Experimental Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center for Diagnostics, Department of Clinical Pathology and Clinical Genetics.
Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center for Surgery, Orthopaedics and Cancer Treatment, Department of Surgery in Linköping.
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2015 (English)In: Case Reports in Gastrointestinal Medicine, ISSN 2090-6528, E-ISSN 2090-6536, Vol. 2015, 1-4 p., 474969Article in journal (Refereed) Published
Abstract [en]

Littoral cell angioma is a rare vascular tumor of the spleen. The pathogenesis is unknown but the lesion is associated with several malignancies and immunological disorders. The diagnosis requires histopathological examination. The malignant potential of this lesion is unknown, which is why splenectomy is recommend for all cases. Symptomatic cases generally suffer from hypersplenism and pyrexia. A previously healthy 20-year-old female was diagnosed with colonic Crohn's disease; as part of the work-up a magnetic resonance enterography was performed which showed multiple signal changes of the spleen. The patient reported chronic abdominal pain in the left upper quadrant, malaise, and fever. The unknown splenic lesions prompted a laparoscopic splenectomy; pathology revealed a littoral cell angioma. The abdominal pain and malaise remitted but the fever persisted one year despite adequate treatment of the patient's Crohn's disease. Littoral cell angioma is associated with immune-dysregulation including Crohn's disease with several reported cases. Signs and symptoms of hypersplenism and splenic lesions on imaging should raise suspicion of littoral cell angioma in patients with Crohn's disease. Magnetic resonance enterography to assess disease severity in Crohn's disease may provide an opportunity to study the prevalence and natural history of this rare splenic tumor.

Place, publisher, year, edition, pages
2015. Vol. 2015, 1-4 p., 474969
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Cancer and Oncology
Identifiers
URN: urn:nbn:se:liu:diva-115929DOI: 10.1155/2015/474969PubMedID: 25705528OAI: oai:DiVA.org:liu-115929DiVA: diva2:797525
Available from: 2015-03-24 Created: 2015-03-24 Last updated: 2017-12-04

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Björnsson, BergthorIgnatova, SimoneSandström, PerEkstedt, Mattias

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Björnsson, BergthorIgnatova, SimoneSandström, PerEkstedt, Mattias
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Division of Neuro and Inflammation ScienceFaculty of Medicine and Health SciencesDepartment of GastroentorologyDivision of Clinical SciencesDepartment of Surgery in LinköpingDepartment of Clinical and Experimental MedicineDepartment of Clinical Pathology and Clinical Genetics
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Case Reports in Gastrointestinal Medicine
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