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Splenic Cyst


Presentation

  • […] a high risk for complications such as rupture, hemorrhaging, compression of the neighboring organs), when they are symptomatic or present complications.[ncbi.nlm.nih.gov]
  • We present a case of a young adult woman who presented with a left-sided abdominal mass. A large splenic cyst was diagnosed by abdominal ultrasound and computed tomography.[ncbi.nlm.nih.gov]
  • The case is presented as the investigation in the beginning which induced confusion among experienced clinicians but subsequently diagnosis of splenic hydatid cyst with peritoneal dissemination was confirmed by laparoscopy and histopathological examination[ncbi.nlm.nih.gov]
  • We present the laparoscopic spleen-preserving treatment of a post-traumatic spleen cyst. A 28-year-old female presented a mass in the left hypochondrium immediately after an uneventful pregnancy. CT revealed a splenic cyst of 10 x 8 cm.[ncbi.nlm.nih.gov]
  • The aim of the present study is to present the case of an asymptomatic epidermoid splenic cyst associated with a continuous increase of CA 19-9 and to describe the applied clinical workup and surgical management by laparoscopic total splenectomy.[ncbi.nlm.nih.gov]
Asymptomatic
  • Splenic cysts are relatively uncommon, and are usually asymptomatic. They are benign, typically treated conservatively and followed up with ultrasound examination, with few reported complications.[ncbi.nlm.nih.gov]
  • They can be either symptomatic, causing mainly abdominal pain, or asymptomatic, thus being diagnosed as in incidental finding during radiological examination for other clinical reasons: among these a raised serum level of CA 19-9 can be a case.[ncbi.nlm.nih.gov]
  • Splenic cysts are rare, many of which are asymptomatic and incidental finding. We report an interesting case of a large incidental splenic cyst in a young diabetic patient who presented with diabetic ketoacidosis and mimicking gastroparesis.[ncbi.nlm.nih.gov]
  • The finding of asymptomatic but potentially serious fetal lesions allows optimum management of the newborn infant and adds to the benefits of antenatal sonography.[ncbi.nlm.nih.gov]
  • Abstract Seven cases of small, asymptomatic splenic cyst-like lesions (CLL) diagnosed in foetuses and neonates are reported. None of these CLL was operated on; three completely disappeared. Such a complete regression has never been described before.[ncbi.nlm.nih.gov]
Collapse
  • Chemical agents, such as alcohol or tetracycline, have been percutaneously injected into the cyst cavity after aspiration in an attempt to collapse the cyst wall, promote fibrosis, and prevent re-accumulation; however, recurrences were reported [ 7 ,[casesjournal.biomedcentral.com]
  • Visible portion of the collapsed cyst wall was excised and then the entire cyst wall was “peeled” from the splenic parenchyma to exclude the risk of recurrence ( fig. 4 ), with careful preservation of the remaining spleen tissue.[jpss.eu]
  • […] aspiration of the cyst has been described as a definitive treatment, but this option often leads to recurrence. 4,8,9 Chemical agents, such as alcohol or tetracycline, have been percutaneously injected into the cyst cavity after aspiration in an attempt to collapse[mdmag.com]
Splenomegaly
  • A computed tomographic scan of the abdomen revealed splenomegaly with a large calcified cystic lesion. The spleen was removed and the pathological examination disclosed that the cyst was monolocular and the wall was of mesothelial origin.[ncbi.nlm.nih.gov]
  • He also presents very interesting tips and tricks in case of splenomegaly.[websurg.com]
  • Other causes of splenomegaly may be ruled out based on history and clinical examination. Based on this, appropriate investigations may be ordered.[epainassist.com]
  • The clinical presentation can vary ranging from being incidentally discovered on routine imaging to having nausea, vomiting, vague abdominal pain or rarely painful splenomegaly, particularly when the cysts are large. They are congenital in origin.[radiopaedia.org]
  • Hegde Hospital, Mangalore, Karnataka Kishan Prasad HL Chandrika Rao Jayaprakash Shetty Keywords: Splenic Cyst, Splenomegaly, Epithelial Cyst, Marsupialization Abstract Cysts in the spleen are rare, however the true incidence is not documented.[pacificejournals.com]
Abdominal Pain
  • They presented with abdominal pain, fever, and non-bilious vomiting. In both cases the cyst was diagnosed by means of computer tomography and ultrasonography. One of the patients was successfully treated with partial splenectomy.[ncbi.nlm.nih.gov]
  • The child presented with features of intermittent abdominal pain, constipation and clinical examination revealed a mass apparently rising out of the pelvis. Ultrasound confirmed the mass as spleen with a 15 cm cyst in the lower pole.[ncbi.nlm.nih.gov]
  • We report a case of 20 years old male who presented with 1 year history of mild abdominal pain and left upper quadrant fullness. Ultrasound and computed tomography (CT) both were suggestive of splenic cyst.[ncbi.nlm.nih.gov]
  • A 17-year-old girl with a chief complaint of left-sided abdominal pain was admitted to our department for investigation of a splenic tumor.[ncbi.nlm.nih.gov]
  • After seven years, the patient was admitted with abdominal pain and a pelvic mass. The spleen was located within the pelvis, which was felt to be due to the weight of the cyst which caused the spleen to migrate out of its normal position.[ncbi.nlm.nih.gov]
Abdominal Mass
  • Focus is placed on the diagnostic evaluation of large cystic abdominal masses.[ncbi.nlm.nih.gov]
  • We present a case of a young adult woman who presented with a left-sided abdominal mass. A large splenic cyst was diagnosed by abdominal ultrasound and computed tomography.[ncbi.nlm.nih.gov]
  • A 14-year-old girl presented a mobile 10-cm-long abdominal mass in the left lower quadrant associated with mild abdominal pain.[ncbi.nlm.nih.gov]
  • We report the case of a 7-year-old female with abdominal pain and hemi-abdominal mass in the upper left abdomen. With the use of ultrasound and tomography, a splenic cyst was detected.[ncbi.nlm.nih.gov]
  • Abstract A 29-year-old female was admitted because of thrombocytopenia and an abdominal mass which was palpated 5 finger breadths below the left costal margin.[ncbi.nlm.nih.gov]
Abdominal Fullness
  • An 18-year-old woman was admitted with abdominal fullness. CT scans and MRI images of the upper abdomen revealed a cystic mass having a diameter of 19 cm.[ncbi.nlm.nih.gov]
  • We present here a 23-year-old female who came to the clinic with symptoms of abdominal fullness, early satiety and left flank pain which was diagnosed as a large splenic cyst after radiology confirmation.[academic.oup.com]
  • Splenic cysts are generally uncommon findings which tend to present with a variety of nonspecific symptoms such as abdominal fullness, generalized pain, shortness of breath and back pain. [1] [2] [3] Incidence in Europe recently went up to 1% due to the[ijcasereportsandimages.com]
  • Case report A 27-year-old African American man came to our hospital because of mild abdominal discomfort and progressive abdominal fullness, which had started 3 weeks earlier.[mdmag.com]
Acute Abdomen
  • No complications such as cyst expansion, subcapsular bleeding or acute abdomen have developed, and all 3 cystic lesions have regressed spontaneously after birth.[ncbi.nlm.nih.gov]
  • Case report 2 An Egyptian female student 18-years-old presented to emergency department with acute abdomen of few hours duration. Examination revealed a vitally stable patient with generalized abdominal tenderness.[casesjournal.biomedcentral.com]
  • Patients with acute abdomen due to cyst rupture and/or infection have been described. In 80% of cases, lesions are solitary and unilocular. Occasionally internal septations are seen.[ijri.org]
Constipation
  • The child presented with features of intermittent abdominal pain, constipation and clinical examination revealed a mass apparently rising out of the pelvis. Ultrasound confirmed the mass as spleen with a 15 cm cyst in the lower pole.[ncbi.nlm.nih.gov]
  • A 25-year-old African-American man presented with a 9-month history of early satiety, constipation, and left upper quadrant pain. Additionally, he reported blunt trauma to the abdomen 2 years earlier.[ncbi.nlm.nih.gov]
Fear
  • CONCLUSION: The most feared complication of a splenic cyst in pregnancy is spontaneous rupture, which in the third trimester is associated with a perinatal mortality rate as high as 70%.[ncbi.nlm.nih.gov]

Workup

  • The aim of the present study is to present the case of an asymptomatic epidermoid splenic cyst associated with a continuous increase of CA 19-9 and to describe the applied clinical workup and surgical management by laparoscopic total splenectomy.[ncbi.nlm.nih.gov]
Entamoeba Histolytica
  • Echinococcus and Entamoeba histolytica serologies were negative. Laparoscopic exploration was performed. Four liters of brown fluid were aspirated and intraoperative cytology confirmed a nonparasitic cyst.[ncbi.nlm.nih.gov]
  • Serologic testing for Echinococcus and Entamoeba histolytica were negative. Surgery was recommended because of the patient’s symptoms and the size and recurrent nature of the cyst.[mdmag.com]

Treatment

  • Percutaneous treatment of splenic cyst can obviate the need for partial or total splenectomy and may be an alternative to surgical treatment.[ncbi.nlm.nih.gov]
  • One year after treatment the cyst has practically disappeared. We believe that treatment of splenic cyst with percutaneous puncture, ethanolization, and drainage is a valid option and it does not rule out surgery if the conservative treatment fails.[ncbi.nlm.nih.gov]
  • Laparoscopy has recently been demonstrated to be a useful alternative to open surgery for the surgical treatment of spleen disorders, and it can also facilitate a conservative approach for treatment of selected spleen lesions.[ncbi.nlm.nih.gov]
  • Eight weeks after this treatment, fluid discharge ceased. After 1 year, there was no findings of enlargement of the cyst.[ncbi.nlm.nih.gov]
  • Treatment using splenectomy has the advantage of not presenting recurrence but carries the risk of immunological complications. Treatment through aspiration of the cyst or decapsulation preserves the spleen but with a high rate of recurrence.[ncbi.nlm.nih.gov]

Prognosis

  • MRI Well-defined cystic lesions with internal homogeneous fluid signal intensity: T1: low signal intensity T2: very high signal intensity Treatment and prognosis Small and asymptomatic cysts do not require treatment or followup.[radiopaedia.org]
  • Article / Publication Details First-Page Preview Abstract Surgical Therapy of Monstrous Splenic Cysts in Childhood The diagnostics, therapy, and prognosis of monstrous splenic cysts in childhood are presented with the help of four detailed case reports[karger.com]

Etiology

  • Splenic cysts represent a pathology seldom encountered in practice, the most often etiology being, parasitic, congenital and pseudo-cysts, which usually appear post-traumatically or after a splenic infarction.Splenic cysts indicate a surgical treatment[ncbi.nlm.nih.gov]
  • The etiology of splenic cysts and treatment alternatives are discussed. A cyst-peritoneum window was performed successfully using minimally invasive techniques, with a short hospital stay and preservation of the spleen.[ncbi.nlm.nih.gov]
  • We also discuss the etiology, classification, diagnosis, and management options for this uncommon disorder of the spleen.[mdmag.com]
  • In practice, both primary and secondary cysts are often described simply as "splenic cyst" for the sake of simplicity, as often the specific etiology is not evident.[radiopaedia.org]
  • Partial decapsulation of splenic epithelial cysts: studies on etiology and outcome. J Pediatr Surg 1997; 32: 272-4. 18. McColl RJ, Hochman DJ, Sample C.[jpss.eu]

Epidemiology

  • In this report, we discuss the epidemiology and management of a splenic cyst, a rarely encountered diagnosis in adolescents, and emphasize the life-saving potential of the abdominal examination in sports medicine.[ncbi.nlm.nih.gov]
Sex distribution
Age distribution

Prevention

  • A more conservative app approach to such lesions is suggested in order to prevent the possible complications of inappropriate interventional therapy.[ncbi.nlm.nih.gov]
  • Partial surgical splenectomy with resection of the entire cyst prevents recurrence and preserves splenic function.[ncbi.nlm.nih.gov]
  • In the child, treatment of wandering spleen associated with a cyst should aim at the prevention of vascular accidents and at conservation of the spleen. We achieved these goals with unroofing and splenopexy through laparoscopic surgery.[ncbi.nlm.nih.gov]
  • The epidermoid cysts have an epidermal lining, and prevention of recurrence is dependent on complete resection of the cyst wall preserving, whenever possible, the splenic tissue.[moh-it.pure.elsevier.com]

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