Littoral Cell Angioma of the Spleen: A Case Report and Literature Review

Littoral cell angioma (LCA) is a rare pathology of the spleen often found incidentally or with vague symptoms of abdominal pain, fatigue, or anemia. We present a case of a 45-year-old male with an incidental finding of littoral cell angioma during an emergent exploratory laparotomy for concern of perforated viscus. LCA is a generally benign lesion with minimal risk of malignancy; therefore management of these lesions are dependent on lesion size, potential for rupture, and patient comorbidities. If suspicious imaging features are present, splenectomy should be performed to rule out transformation to angiosarcoma. In this paper, we emphasize the importance of a multidisciplinary approach in managing complex surgical cases and highlight the need for further studies to better understand the natural history and optimal management strategies for LCA.