Angiosarcoma of the spleen is a very rare but highly malignant vascula
r neoplasm. So far only 140 cases have been reported. A 42-year-old pa
tient is presented in which the radiologic imaging misled to the diagn
osis of infiltrating echinococcosis, After splenectomy histological an
d immunohistochemical staining gave proof of metastatic angiosarcoma.
The patient died three months later as a consequence of multiple organ
dysfunction syndrome, The literature is reviewed in regard to clinica
l features, diagnosis and therapy.