scholarly journals Spontaneous rupture of a non-parasitic splenic cyst

2019 ◽  
Vol 12 (10) ◽  
pp. e231473
Author(s):  
Lodewijk CS Res ◽  
Mireille T T Knook ◽  
Hans M Hazelbag ◽  
Onno R Guicherit
Keyword(s):  
Abdominal Pain ◽  
Histological Examination ◽  
Clinical Condition ◽  
Spontaneous Rupture ◽  
Laparoscopic Splenectomy ◽  
Acute Abdominal Pain ◽  
Treatment Options ◽  
Splenic Cyst ◽  
Epithelial Lining ◽  
Splenic Cysts

Rupture of a non-parasitic splenic cyst is a rare but possibly dangerous complication with 21 cases described so far. We present a 46-year-old woman who presented with acute abdominal pain and was diagnosed with a spontaneous ruptured splenic cyst that was successfully treated by laparoscopic splenectomy. Histological examination showed characteristics corresponding with a non-parasitic congenital cyst that had lost its epithelial lining. Several treatment options can be considered for splenic cysts, depending on size and location. In case of rupture, the clinical condition of the patient should be taken into account.

scholarly journals Aeromonas Salmonicida Infection in A Massive Splenic Cyst: A Rare Cause of an Acute Abdomen

2020 ◽  
Vol 18 (2) ◽  
Author(s):  
Norfaidhi Akram ◽  
Abdul Rahman MNA ◽  
Faidzal O
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Cyst Wall ◽  
Acute Abdominal Pain ◽  
Abdominal Mass ◽  
Aeromonas Salmonicida ◽  
Splenic Cyst ◽  
Epithelial Lining ◽  
Common Cause ◽  
Post Traumatic

Introduction: Cysts of the spleen are most frequently primary or secondary. If it contained an epithelial lining it is referred to as epithelial or epidermoid cysts  Other common cause is post-traumatic pseudocysts. Non parasitic cause of infective splenic cyst are rare especially those caused by bacterial infection. They may present as symptoms related to their size with gastric compression or pain, an abdominal mass, rupture, or infection with abscess. Case report: We present a case of massive splenic cyst in a 13 year old boy presenting with acute abdominal pain, this was successfully treated with deroofing of the cyst wall while preserving the function of the spleen. Cultures subsequently grew  Aeromonas Salmonicida.  The patient was discharged home well. Issues of diagnosis and dilemma in treatment while preserving the spleen in an adolescent will be discussed.

scholarly journals Epidermoid Cysts in a Wandering Spleen: An Unusual Enigma

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Sarah E. Algino ◽  
Siena Sorrentino ◽  
David T. Luyimbazi ◽  
Douglas J. Grider
Keyword(s):  
Computed Tomography ◽  
Epidermoid Cyst ◽  
Mesothelial Cell ◽  
Splenic Cyst ◽  
Wandering Spleen ◽  
Epithelial Lining ◽  
Transabdominal Ultrasound ◽  
Unique Case ◽  
Splenic Parenchyma ◽  
Splenic Cysts

Epidermoid splenic cysts are rare lesions in the spleen. These cysts are characterized by a stratified squamous epithelial lining, internal septations, and calcification. Congenital in origin, epidermoid splenic cysts are postulated to arise from misfolding and mesothelial cell incorporation into the splenic parenchyma. This report presents a unique case of an 18-year-old woman with an epidermoid splenic cyst in a congenital wandering spleen. Computed tomography and transabdominal ultrasound imaging along with immunochemistry staining confirmed the diagnosis. To the authors’ knowledge, this is the first reported case of an epidermoid cyst in a wandering spleen.

scholarly journals Patent Foramen Ovale Closure for Splenic Infarction: An Unusual Presentation and an Unusual Indication

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Edgar Stroppa Lamas ◽  
Alan Vinicius Gamero Osti
Keyword(s):  
Abdominal Pain ◽  
Clinical Condition ◽  
Patent Foramen Ovale ◽  
Rare Case ◽  
Acute Abdominal Pain ◽  
Paradoxical Embolism ◽  
Splenic Infarction ◽  
Foramen Ovale ◽  
Case Presentation ◽  
Work Up

Background. Splenic infarction is a rare clinical condition. It is generally attributed to hematologic, vascular, cardioembolic, and infectious diseases or trauma. Case Presentation. We describe a rare case in an otherwise asymptomatic 41-year-old overweight woman with acute abdominal pain. Imaging work-up revealed splenic infarction. Common etiologies were excluded. A transesophageal echocardiography (TEE) revealed a patent foramen ovale (PFO). The patient was sent to closure with good outcome. Conclusion. Paradoxical embolism due to PFO can be a cause of splenic infarction, and its investigation and subsequent closure may be considered when there are no other causative disorders.

Acute abdominal pain due to spontaneous rupture of the right gastric artery

2014 ◽  
Vol 32 (5) ◽  
pp. 491.e3-491.e4 ◽  
Author(s):  
Seungwoon Choi ◽  
Seokyong Ryu ◽  
Taekyung Kang ◽  
Hyejin Kim ◽  
Sungchan Oh ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Spontaneous Rupture ◽  
Acute Abdominal Pain ◽  
Gastric Artery ◽  
Right Gastric Artery ◽  
The Right

Endovascular treatment of isolated spontaneous celiac artery dissection

Vascular ◽  
2012 ◽  
Vol 20 (2) ◽  
pp. 118-120 ◽  
Author(s):  
Tao Zhang ◽  
Xiaoming Zhang ◽  
Xuemin Zhang ◽  
Jingjun Jiang ◽  
Bingying Zhou
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Acute Abdominal Pain ◽  
Treatment Options ◽  
Celiac Artery ◽  
Artery Dissection ◽  
Selective Angiography ◽  
Entry Site ◽  
Diagnostic Modalities

This report presents the case of a patient with isolated spontaneous celiac artery dissection. The patient developed acute abdominal pain that was induced by eating. Computed tomography and selective angiography revealed an intimal flap that separated the true and false lumens located 3 cm from the origin of the celiac artery. We treated the patient with a stent that was deployed endovascularly into the celiac artery to seal the entry site. Postoperative angiography revealed that the graft was patent and the follow-up period was uneventful. The etiology, clinical features, diagnostic modalities and treatment options of isolated spontaneous celiac artery dissection are reported.

Spontaneous rupture of ureter: an unusual cause of acute abdominal pain

2012 ◽  
Vol 30 (2) ◽  
pp. 390.e1-390.e2 ◽  
Author(s):  
Didem Ay ◽  
Esin Yencilek ◽  
Mustafa Ferudun Celikmen ◽  
Meltem Akkas ◽  
Baki Ekci
Keyword(s):  
Abdominal Pain ◽  
Spontaneous Rupture ◽  
Acute Abdominal Pain

scholarly journals Total Splenectomy due to an Unexpected “Complication” after Successful Extended Laparoscopic Partial Decapsulation of a Giant Epidermoid Splenic Cyst: A Case Report

2011 ◽  
Vol 2011 ◽  
pp. 1-7 ◽  
Author(s):  
Michail Pitiakoudis ◽  
Petros Zezos ◽  
Anastasia Oikonomou ◽  
Prodromos Laftsidis ◽  
Georgios Kouklakis ◽  
...  
Keyword(s):  
Young Female ◽  
Splenic Cyst ◽  
Epithelial Lining ◽  
Abdominal Ct ◽  
Spleen Preserving ◽  
Splenic Cysts ◽  
Surgical Options ◽  
Total Splenectomy ◽  
Splenic Vessels ◽  
Laparoscopic Techniques

Splenic cysts are rare entities and are classified as true cysts or pseudocysts based on the presence of an epithelial lining. Congenital nonparasitic true cysts can be epidermoid, dermoid, or endodermoid, present at a young age, and are commonly located in the upper pole of the spleen. Surgical treatment is recommended for symptomatic, large (more than 5 cm), or complicated cysts. Depending on cyst number, location, relation to hilus, and the major splenic vessels, the surgical options include aspiration, marsupialization, cystectomy, partial cystectomy (decapsulation), and partial or complete splenectomy. Laparoscopic techniques have now become the standard approach for many conditions, including the splenic cysts, with emphasis on the spleen-preserving minimally invasive operations. We present the successful extended partial laparoscopic decapsulation of a giant epidermoid splenic cyst in a young female patient that, although asymptomatic, was unfortunately followed by complete splenectomy five days later due to a misinterpreted abdominal CT suggesting splenic postoperative ischemia.

scholarly journals Spontaneous Splenic Rupture in Melanoma

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Hadi Mirfazaelian ◽  
Ahmad Oryan ◽  
Aida Davari ◽  
Khosrow Daneshbod ◽  
Yahya Daneshbod
Keyword(s):  
Abdominal Pain ◽  
Malignant Melanoma ◽  
Spontaneous Rupture ◽  
Splenic Rupture ◽  
Acute Abdominal Pain ◽  
Past History ◽  
Case Reports ◽  
Metastatic Malignant Melanoma ◽  
Free Fluid ◽  
Diffuse Infiltration

Spontaneous rupture of spleen due to malignant melanoma is a rare situation, with only a few case reports in the literature. This study reports a previously healthy, 30-year-old man who came with chief complaint of acute abdominal pain to emergency room. On physical examination, abdominal tenderness and guarding were detected to be coincident with hypotension. Ultrasonography revealed mild splenomegaly with moderate free fluid in abdominopelvic cavity. Considering acute abdominal pain and hemodynamic instability, he underwent splenectomy with splenic rupture as the source of bleeding. Histologic examination showed diffuse infiltration by tumor. Immunohistochemical study (positive for S100, HMB45, and vimentin and negative for CK, CD10, CK20, CK7, CD30, LCA, EMA, and chromogranin) confirmed metastatic malignant melanoma. On further questioning, there was a past history of a nasal dark skin lesion which was removed two years ago with no pathologic examination. Spontaneous (nontraumatic) rupture of spleen is an uncommon situation and it happens very rarely due to neoplastic metastasis. Metastasis of malignant melanoma is one of the rare causes of the spontaneous rupture of spleen.

scholarly journals Spontaneous Rupture of the Spleen in Postpartum

2020 ◽  
Vol 5 (3) ◽  
Keyword(s):  
Abdominal Pain ◽  
Spontaneous Rupture ◽  
Surgical Intervention ◽  
Splenic Rupture ◽  
Acute Abdominal Pain ◽  
Rare Condition ◽  
Risk Of Mortality ◽  
The Us ◽  
Speed Up ◽  
Rupture Of The Spleen

Introduction: Spontaneous rupture of the spleen in postpartum or in pregnancy is a rare condition with severe complications and a high risk of mortality that must be suspected on clinical examination and confirmed immediately by ultrasound and CT scan. Case Report: We report the case of a 28 years woman who was admitted for abdominal pain and hemorrhagic shock on her second postpartum day. The splenic rupture was found in the US and CT scans. Given the patient improvement and the favorable control of lesions after drainage, surgical intervention was not required. Conclusion: Spontaneous splenic rupture is an important diagnosis to call to mind in women presenting in postpartum an acute abdominal pain with signs of hemorrhage. Imaging has a fundamental role in the immediate diagnosis of the attack to speed up its management and avoid its complications.

scholarly journals Quiste epidermoide de bazo

2019 ◽  
Vol 111 (3) ◽  
pp. 171-174
Author(s):  
Patricio Vanerio ◽  
◽  
Gonzalo San Martín ◽  
Alejandro Ettlin ◽  
Martín Abelleira ◽  
...  
Keyword(s):  
Diagnostic Imaging ◽  
Surgical Approach ◽  
Potential Risk ◽  
Laparoscopic Splenectomy ◽  
Clinical Case ◽  
Splenic Cyst ◽  
Risk Of Infection ◽  
Pathological Analysis ◽  
Splenic Cysts ◽  
Splenic Hydatid Cyst

Splenic cysts, including epidermoid cysts, are rare disease; its incidence has increased in recent years as a result of the development of diagnostic imaging. The indications and surgical approach are con- troversial. Surgery is usually indicated on the basis of the size, due to the potential risk of infection, rupture due to trauma, intracystic bleeding, or possible diagnosis of splenic hydatid cyst. We report the clinical case of a female patient treated in our Service, who underwent laparoscopic splenectomy to remove a splenic cyst suspected to be hydatid. However, the pathological analysis revealed an epidermoid cyst

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