An Incidental Diagnosis of Splenic Haemangioma

Clinical History

A 75-year old lady was referred to have an ultrasound of the urinary tract due to some evidence of frank haematuria.

Case Description

Although ultrasound did not reveal any renal or bladder lesion, while examining the left kidney, a 16 mm hypoechoic lesion was discovered within the spleen. The lesion had a uniformly roundish outline with some evidence of internal vascularity. Ultrasound features were suggestive of a splenic haemangioma.

Diagnosis/ Discussion/ Treatment/ Follow up

The ultrasound findings were confirmed on a subsequent CT.

Splenic haemangiomas are some of the most commonly encountered splenic lesions on ultrasound. They are benign slow-growing tumours of the spleen. Due to their nature, they contain evidence of vascular enhancement on imaging.