Rapidly growing sclerosing angiomatoid nodular transformation of the spleen

Amir Humza Sohail; Anthony Eze; Sachal Sohail; Yousaf Bashir Hadi; Zishan Haider; James Maurer

doi:10.1093/jscr/rjab323

Rapidly growing sclerosing angiomatoid nodular transformation of the spleen

J Surg Case Rep. 2021 Sep 15;2021(9):rjab323. doi: 10.1093/jscr/rjab323. eCollection 2021 Sep.

Authors

Amir Humza Sohail¹, Anthony Eze², Sachal Sohail³, Yousaf Bashir Hadi⁴, Zishan Haider⁵, James Maurer¹

Affiliations

¹ Department of Surgery, NYU Langone Health Long Island, New York, USA.
² Harvard T. H. Chan School of Public Health, Harvard University, Cambridge, Massachusetts, USA.
³ King Edward Medical University, Lahore, Pakistan.
⁴ Section of Gastroenterology and Hepatology, Department of Medicine, West Virginia University, Morgantown, West Virginia, USA.
⁵ National Guard Hospital, King Abdulaziz Medical City, Riyadh, Saudi Arabia.

Abstract

Sclerosing angiomatoid nodular transformation (SANT) of the spleen is a rare benign vascular lesion with unknown pathogenesis and no definitive pathognomonic radiological features. The majority of patients with SANT are asymptomatic, and the lesion is an incidental finding on cross-sectional imaging performed for unrelated reasons or during intra-abdominal surgery. However, in the symptomatic minority, abdominal pain is the most commonly reported symptom. SANT generally remains stable or has very slow growth, making it amenable to surveillance using serial cross-sectional imaging. Herein, we report the unusual case of SANT in a 30-year-old female with rapid growth from 6.0 × 5.6 × 4.4 cm to 8.0 × 6.6 × 7.2 cm over 21 months. Given the rapid growth, it was imperative to rule out malignancy. Thus, the patient underwent a laparoscopic total splenectomy. For SANT, splenectomy serves the dual purpose of diagnosis and definitive therapy.

Keywords: SANT; benign splenic tumor; rapidly expanding splenic tumor; sclerosing angiomtaoid nodular transformation; spleen.

Publication types

Case Reports