Presentation
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 clinical presentation of these cysts is non-specific in uncomplicated cases. [academic.oup.com]
Entire Body System
- Intravenous Drugs
Predisposing risk factors include immunodeficiency, endocarditis, and intravenous drug abuse. The classic triad includes fever, left upper quadrant pain, and tender mass, although many patients present with nonspecific signs and symptoms. [healio.com]
Immune System
- Splenomegaly
He also presents very interesting tips and tricks in case of splenomegaly. [websurg.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]
There is no consensus on contraindications for laparoscopic splenectomy with respect to the degree of splenomegaly. [ipeg.org]
Other causes of splenomegaly may be ruled out based on history and clinical examination. Based on this, appropriate investigations may be ordered. [epainassist.com]
Differential diagnosis of left upper quadrant lump includes splenomegaly, infectious mononucleosis, hydatid cyst, lymphangioma, hemangioma, splenic abscess, chronic leukemias [12]. [casereports.in]
Respiratoric
- Persistent Cough
Other symptoms that may progressively appear are those that present as a result of pressure on the neighboring organs and may include distension, early satiety, vomiting, flatulence, persistent cough due to irritation of the diaphragm, pleuritic pain [academic.oup.com]
Moreover, effects on the cardiorespiratory system may lead to pleuritic pain, dyspnea and persistent cough [6]. Life-threating complications such as infection and hemorrhage have been rarely reported [7]. [file.scirp.org]
Gastrointestinal
- Abdominal Pain
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]
- Abdominal Mass
Large cystic abdominal masses can represent a diagnostic dilemma despite advanced diagnostic and imaging techniques. [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]
CASE REPORT A 23-year-old female presented to the outpatient clinic of our hospital with complaints of abdominal fullness, early satiety, intermittent left upper quadrant abdominal pain and left flank pain for the last 3 months. [academic.oup.com]
Case Report A seven year old male child presented with several month history of abdominal pain and upper abdominal fullness. There was no associated history of fever, vomiting, hematemesis, malena, jaundice or animal contact. [casereports.in]
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]
- Bilious Vomiting
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]
- Abdominal Mass in the Left Lower Quadrant
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]
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]
Left lower rib fracture is present in 44% of patients with splenic rupture and necessitates further workup by abdominal CT. [emedicine.medscape.com]
X-Ray
- Mediastinal Shift
Radiological examination X-ray chest: normal lung fields, no pleural effusion, no hemopnemothorax, no fracture ribs, no mediastinal shift. Ultrasonography of abdomen: revealed a cystic collection juxtaposed to the spleen. [medcraveonline.com]
Microbiology
- 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
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]
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]
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]
Traumatic Etiology Secondary splenic cysts from trauma are rare, although their true incidence is unknown. [healio.com]
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]
1, Sarr Ibrahima Sitor 1, Cissé Mamadou 1, Konaté Ibrahima 1, Kâ Ousmane 1, Dieng Madieng 1, Dia Abdarahmane 1, Touré Cheikh Tidiane 1 Publication date (Electronic): 09 March 2013 Journal: The Pan African Medical Journal Publisher: The African Field Epidemiology [scienceopen.com]
The changing epidemiology of salmonella: trends in serotypes from humans in the United States, 1987-1997. J Infect Dis. 2001;183:753-761. 10. Jain S, Bidol SA, Austin JL, et al. [consultant360.com]
Pathophysiology
Splenic cysts are classified as primary (true cyst ), which include parasitic and non parasitic cysts, and as secondary (pseudo cyst) according to their etiology and pathophysiology. 1, 2 True cysts have an epithelial or mesothelial lining, on the other [medcraveonline.com]
Prevention
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]
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 primary goal of treatment is to resolve symptoms and prevent complications. The secondary goal is to preserve splenic parenchyma. [mdmag.com]
Irrigation and suction was further carried out before placing a 16 Fr penrose drain and omentum was packed in the splenic bed to prevent recurrence. [academic.oup.com]