Littoral cell angioma (LCA) is a rare benign vascular tumor of the spl
een. LCA most commonly presents with constitutional symptoms (low grad
e fever and fatigue) and signs of hypersplenism (anemia and thrombocyt
openia), Radiographically and at gross pathology an enlarged spleen co
ntaining multiple nodules is most commonly seen. Currently the radiolo
gical findings are nonspecific and correlation with clinical findings
is necessary to narrow the differential while tissue is required for a
definitive diagnosis.