Massive splenic epidermoid cyst in a child treated with laparoscopic partial splenectomy – case report and review of literature

Splenic cysts are extremely rare. We present the case of a young female child who presented with a massive splenic cyst arising from the lower pole of the spleen. We offered surgical intervention in view of persistent abdominal pain and the large size of the cyst, which was predisposing it to traumatic rupture and restricting the child’s normal activities. Cyst excision with splenic preservation was successfully achieved via a laparoscopic lower pole splenectomy. Histology confirmed a benign epidermoid cyst. The case presentation is followed by a brief review of literature.

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Giant splenic cyst and solid pseudopapillary tumour of the pancreas managed with distal pancreatectomy and splenectomy

Annals of The Royal College of Surgeons of England ◽

10.1308/rcsann.2020.0010 ◽

2020 ◽

Vol 102 (4) ◽

pp. e1-e3

Author(s):

R Hajjar ◽

M Plasse ◽

F Vandenbroucke-Menu ◽

F Schwenter ◽

H Sebajang

Keyword(s):

Distal Pancreatectomy ◽

Histopathological Examination ◽

Immunohistochemical Analysis ◽

Young Female ◽

Splenic Cyst ◽

Large Size ◽

Solid Pseudopapillary Tumour ◽

Splenic Cysts ◽

Pancreatic Tumour ◽

The Right

Solid pseudopapillary tumours of the pancreas and giant splenic cysts are very rare entities, and their coexistence in a young female patient has not been previously reported in the literature. We present the case of a 27-year-old woman who presented with abdominal pain and two masses on abdominal imaging. A mass located in the right upper quadrant was biopsied, and histological and immunohistochemical analysis showed a solid pseudopapillary tumour of the pancreas. A giant cystic splenic lesion was also noted. The patient underwent a distal pancreatectomy and splenectomy in our referral centre. Margins were negative on histopathological examination. Negative surgical margins were achieved with distal pancreatectomy and splenectomy despite the large size of the pancreatic tumour. The management of solid pseudopapillary tumours of the pancreas is often challenging and the concomitant presence of a giant splenic cyst poses additional challenges to the surgical management of such tumours.

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Endoscopic resection of sellar and suprasellar epidermoid cyst: report of two cases and review of literature

British Journal of Neurosurgery ◽

10.1080/02688697.2021.1877610 ◽

2021 ◽

pp. 1-6

Author(s):

Eduardo de Arnaldo Silva Vellutini ◽

Felix Hendrik Pahl ◽

Aldo Eden Cassol Stamm ◽

Marcos de Queiroz Teles Gomes ◽

Matheus Fernandes de Oliveira ◽

...

Keyword(s):

Endoscopic Resection ◽

Epidermoid Cyst ◽

Review Of Literature

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Functioning adrenocortical carcinoma causing virilisation: a case report

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20200126 ◽

2020 ◽

Vol 7 (2) ◽

pp. 442

Author(s):

Vivek Parameswara Sarma ◽

Sunil S. Menon

Keyword(s):

Case Report ◽

Steroid Hormone ◽

Abdominal Mass ◽

Female Child ◽

Young Female ◽

Imaging Features ◽

Adrenal Hyperplasia ◽

Fourth Decade ◽

Localized Disease ◽

Uncommon Tumor

Adrenocortical carticnoma (ACC) is an uncommon tumor with an incidence of 1-2 cases/million/year. It has two peak incidences; the first one in the first decade and the second one in the fourth decade. Most patients present with features of steroid hormone excess or abdominal mass effects, but about 15% of ACC are diagnosed incidentally. It is hormonally functional in 80 - 100% patients and the predisposing lesions include congenital adrenal hyperplasia and adenoma. ACC has significant syndromic and genetic association. Surgery offers the best chance of cure, especially in localized disease. Here, we present the case of virilization in a young female child secondary to a functioning ACC. The child had classical hormonal and imaging features of functioning ACC and underwent resection of the tumor (Adrenalectomy) with good outcome.

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Angiomyolipoma with caval extension and regional nodal involvement: Aggressive behaviour or just rare natural history? Case report and review of literature

Canadian Urological Association Journal ◽

10.5489/cuaj.1781 ◽

2014 ◽

Vol 8 (3-4) ◽

pp. 276 ◽

Cited By ~ 4

Author(s):

Kamaljot Singh Kaler ◽

Rebekah Rittberg ◽

Darrel Edmond Drachenberg

Keyword(s):

Renal Cell Carcinoma ◽

Case Report ◽

Natural History ◽

Renal Cell ◽

Young Female ◽

Renal Angiomyolipoma ◽

Review Of Literature ◽

Nodal Involvement ◽

Regional Lymph Nodes ◽

First Case

Renal angiomyolipoma (AML) is predominantly a non-aggressive benign tumour. Cases of more aggressive AMLs are present in the literature. We present 2 cases of aggressive AML behaviour. The first case is an AML with vascular extension in a young female and the second case is of AML found in regional lymph nodes in a female with a left renal AML and renal cell carcinoma.

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Unusual presentation of lipoma on the tongue

BMJ Case Reports ◽

10.1136/bcr-2019-232485 ◽

2020 ◽

Vol 13 (4) ◽

pp. e232485

Author(s):

Beena R Varma ◽

Krishna Santhosh Kumar ◽

Rhea Susan Verghese ◽

Mahija Janardhanan

Keyword(s):

Case Report ◽

Soft Tissue ◽

Neck Region ◽

Review Of Literature ◽

Diagnostic Features ◽

Soft Tissue Neoplasm ◽

Head And Neck Region ◽

Physiological Processes ◽

Large Size ◽

Slow Growing

Lipomas are benign soft tissue neoplasm which rarely occur in the oral cavity. Of the total reported cases of lipoma, only about 15% to 20% of cases have occurred in the head and neck region and the tongue is an even rarer site with only about 4% of the reported cases occurring in that region. They are slow growing and usually asymptomatic in nature. When it grows to a large size, it can hinder the physiological processes that are associated with the area. This case report describes the diagnostic features of tongue lipoma with a brief review of literature.

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Subtemporal keyhole approach to Meckel’s cave epidermoid cyst: Case report and review of literature

Indian Journal of Neurosurgery ◽

10.4103/2277-9167.132008 ◽

2017 ◽

Vol 03 (01) ◽

pp. 050-053 ◽

Cited By ~ 2

Author(s):

Qing Lan ◽

Ai Chen ◽

Jeffrey Tanudjaja

Keyword(s):

Case Report ◽

Epidermoid Cyst ◽

Review Of Literature ◽

Meckel’S Cave ◽

Meckel's Cave ◽

Keyhole Approach

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Robot-Assisted Partial Splenectomy for Splenic Epidermoid Cyst

Case Reports in Surgery ◽

10.1155/2020/6245909 ◽

2020 ◽

Vol 2020 ◽

pp. 1-5

Author(s):

Mubarak Ali kirih ◽

Xiao Liang ◽

Yangyan Xie ◽

Jingwei Cai ◽

Junhao Zheng ◽

...

Keyword(s):

Epidermoid Cyst ◽

Cystic Lymphangioma ◽

Splenic Cyst ◽

Partial Splenectomy ◽

Unknown Etiology ◽

Robot Assisted ◽

Therapy Strategy ◽

Splenic Cysts ◽

First Choice ◽

Splenic Epidermoid Cyst

The splenic cyst is a rare disease with unknown etiology. The inner wall of the cyst has lining epithelium. The cyst can be unilocular or multilocular. According to pathology, it can be divided into four types: epidermoid cyst, dermoid cyst, cystic lymphangioma, and cystic hemangioma. Ultrasound examination is often the first choice for splenic cysts because of its nonradiation, low cost, and convenient examination. The images are mostly cystic masses with clear borders and dark areas without echoes, after the detection of splenic space-occupying lesions by ultrasonography, CT, and MRI. Here, we report robot-assisted partial splenectomy for a splenic cyst. Imaging diagnosis of abdominal CT enhancement: the cystic space-occupying of the spleen is considered. We should improve the preoperative examination and exclude operative contraindications. During the operation, there was about 8 cm of the upper pole of the spleen, and the boundary was clear. There was no obvious abnormality in the exploration of the abdominal viscera. The operation was successful. The operative time was 115 minutes, and the blood loss was 20 ml. On the first day after the operation, the patient took a liquid diet. The time of first anal exhaust was on the second day after operation. The patient was discharged at the fourth day. Postoperative pathology revealed epidermoid cyst. The therapy strategy of the splenic cyst is ambiguous. Better understanding of the splenic segmental anatomy and surgical skills has made minimally invasive partial splenectomy a preferred treatment for splenic cysts. In this paper, we report a case of splenic epidermoid cyst managed successfully by robot-assisted partial splenectomy.

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A large epidermoid cyst of breast mimicking carcinoma: A case report and review of literature

International Journal of Surgery Case Reports ◽

10.1016/j.ijscr.2012.03.037 ◽

2012 ◽

Vol 3 (9) ◽

pp. 437-440

Author(s):

Debasish Debnath ◽

Savita Taribagil ◽

Khalid J.S. Al-Janabi ◽

Reggie Inwang

Keyword(s):

Case Report ◽

Epidermoid Cyst ◽

Review Of Literature

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Epidermoid Cysts in a Wandering Spleen: An Unusual Enigma

Case Reports in Surgery ◽

10.1155/2019/1581736 ◽

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.

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