A case of a surgically confirmed cystic lymphangioma of the spleen is prese
nted, Preoperative imaging consisted of US, contrast-enhanced CT and MRI, a
ll showing a multiloculated lesion with small cystic cavities divided by th
in septa, corresponding to dilated lymphatic spaces. Preoperative studies c
orrelated well with the pathologic findings. Cystic lymphangioma of the spl
een is a very rare condition and is usually solitary and asymptomatic. Larg
e lymphangiomas may be an indication for splenectomy, since the risk of rup
ture is high even from minor abdominal trauma, Preoperative diagnosis may b
e achieved with correlated noninvasive imaging.