Intravascular papillary endothelial hyperplasia of the spleen in a child: a case report

Abstract Background Intravascular papillary endothelial hyperplasia (IPEH) is a vascular tumor characterized by the proliferation of endothelial cells with papillary formation. It is a rare benign condition affecting the head and neck. Currently, no cases of IPEH of the spleen have been reported. He...

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Main Authors: Wen-peng Huang, Li-ming Li, Li-na Zhu, Jian-bo Gao
Format: Article
Language:English
Published: BMC 2022-11-01
Series:BMC Medical Imaging
Subjects:
Online Access:https://doi.org/10.1186/s12880-022-00936-w
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author Wen-peng Huang
Li-ming Li
Li-na Zhu
Jian-bo Gao
author_facet Wen-peng Huang
Li-ming Li
Li-na Zhu
Jian-bo Gao
author_sort Wen-peng Huang
collection DOAJ
description Abstract Background Intravascular papillary endothelial hyperplasia (IPEH) is a vascular tumor characterized by the proliferation of endothelial cells with papillary formation. It is a rare benign condition affecting the head and neck. Currently, no cases of IPEH of the spleen have been reported. Here, we report a case of IPEH of the spleen in a child and discuss its clinical manifestations, imaging features, and surgical treatment. Case presentation A 5-year-old female presented with a 4-month-old tumor in the left upper abdomen, abdominal pain, and constipation. She underwent radiography, barium enema, US, and MRI. A solid space-occupying mass was found in the left abdominal cavity on preoperative imaging, and it was diagnosed as angiosarcoma. The lesion was surgically resected. Histopathological analysis was consistent with IPEH. Conclusion Clinicians should consider the possibility of IPEH in patients presenting with tumors in the spleen, which is curable by surgical resection. Malignant vascular tumors must be excluded in the differential diagnosis of IPEH to prevent misdiagnosis and inappropriate overtreatment.
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spelling doaj.art-49c59ddc1bff4f669f1336fedb0df7352022-12-22T04:20:27ZengBMCBMC Medical Imaging1471-23422022-11-012211710.1186/s12880-022-00936-wIntravascular papillary endothelial hyperplasia of the spleen in a child: a case reportWen-peng Huang0Li-ming Li1Li-na Zhu2Jian-bo Gao3Department of Radiology, The First Affiliated Hospital of Zhengzhou UniversityDepartment of Radiology, The First Affiliated Hospital of Zhengzhou UniversityDepartment of Radiology, The First Affiliated Hospital of Zhengzhou UniversityDepartment of Radiology, The First Affiliated Hospital of Zhengzhou UniversityAbstract Background Intravascular papillary endothelial hyperplasia (IPEH) is a vascular tumor characterized by the proliferation of endothelial cells with papillary formation. It is a rare benign condition affecting the head and neck. Currently, no cases of IPEH of the spleen have been reported. Here, we report a case of IPEH of the spleen in a child and discuss its clinical manifestations, imaging features, and surgical treatment. Case presentation A 5-year-old female presented with a 4-month-old tumor in the left upper abdomen, abdominal pain, and constipation. She underwent radiography, barium enema, US, and MRI. A solid space-occupying mass was found in the left abdominal cavity on preoperative imaging, and it was diagnosed as angiosarcoma. The lesion was surgically resected. Histopathological analysis was consistent with IPEH. Conclusion Clinicians should consider the possibility of IPEH in patients presenting with tumors in the spleen, which is curable by surgical resection. Malignant vascular tumors must be excluded in the differential diagnosis of IPEH to prevent misdiagnosis and inappropriate overtreatment.https://doi.org/10.1186/s12880-022-00936-wIntravascular papillary endothelial hyperplasiaSpleenChildrenUltrasoundMagnetic resonance imagingCase report
spellingShingle Wen-peng Huang
Li-ming Li
Li-na Zhu
Jian-bo Gao
Intravascular papillary endothelial hyperplasia of the spleen in a child: a case report
BMC Medical Imaging
Intravascular papillary endothelial hyperplasia
Spleen
Children
Ultrasound
Magnetic resonance imaging
Case report
title Intravascular papillary endothelial hyperplasia of the spleen in a child: a case report
title_full Intravascular papillary endothelial hyperplasia of the spleen in a child: a case report
title_fullStr Intravascular papillary endothelial hyperplasia of the spleen in a child: a case report
title_full_unstemmed Intravascular papillary endothelial hyperplasia of the spleen in a child: a case report
title_short Intravascular papillary endothelial hyperplasia of the spleen in a child: a case report
title_sort intravascular papillary endothelial hyperplasia of the spleen in a child a case report
topic Intravascular papillary endothelial hyperplasia
Spleen
Children
Ultrasound
Magnetic resonance imaging
Case report
url https://doi.org/10.1186/s12880-022-00936-w
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AT jianbogao intravascularpapillaryendothelialhyperplasiaofthespleeninachildacasereport