DOI: https://doi.org/10.36347/sjmcr.2025.v13i07.002

Pages: 1535-1539

Lymphangiomas are benign tumours that are considered to be congenital malformations of the lymphatic system and most commonly affect children, with only a few cases seen in adults. These lesions are typically found in the neck and axillary region, but are rarely found in the spleen. Here we report two unique cases of splenic cystic lymphangioma. The first case was a 46-year-old man with epigastric pain and discomfort in the left hypochondrium associated with a weight loss of 10 kg, and the second was a 22-year-old woman with non-specific, low intensity but persistent pain and a multilocular cystic lesion identified on imaging. These cases highlight the importance of considering splenic lymphangioma in the differential diagnosis of cystic splenic lesions and the importance of accurate diagnosis by imaging and histology, and demonstrate the effectiveness of surgical intervention.