scholarly journals Giant complex non-parasitic splenic cyst in a young boy: is laparoscopic spleen-preserving surgery safe?

2021 ◽  
Author(s):  
Alessandro Boscarelli ◽  
Marta Miglietta ◽  
Flora-Maria Murru ◽  
Sonia Maita ◽  
Maria-Grazia Scarpa ◽  
...  
Keyword(s):  
Abdominal Mass ◽  
Splenic Cyst ◽  
Spleen Preserving ◽  
Splenic Parenchyma ◽  
Splenic Cysts ◽  
Mesothelial Cyst ◽  
Histopathological Studies ◽  
Cyst Lining ◽  
Cyst Content ◽  
Safe Treatment Option

Abstract Non-parasitic splenic cysts are an uncommon finding in pediatric patients. We report on a 14-year-old male presenting with a giant abdominal mass. Imaging documented a giant splenic cyst, and preoperative blood tests revealed high levels of CA125. Minimally invasive unroofing of the cyst was performed. Notably, the cyst content was hematic, but histopathological studies described a mesothelial cyst lining. To date, no recurrence has been noted. Laparoscopic spleen-preserving surgery appears to be a valid and safe treatment option in children with complex non-parasitic splenic cyst to preserve the splenic parenchyma.

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 A Huge Splenic Cyst: Case Report

2019 ◽  
Vol 16 (2) ◽  
pp. 101-105
Author(s):  
Sheikh Firoj Kabir ◽  
Lmtiaz Faruk ◽  
Atiqul Islam ◽  
Kh ABM Abdullah Al Hasan ◽  
Lshrat Jahan
Keyword(s):  
Differential Diagnosis ◽  
Preoperative Diagnosis ◽  
Splenic Tissue ◽  
Splenic Cyst ◽  
Parasitic Infections ◽  
Palpable Mass ◽  
Cyst Excision ◽  
Splenic Cysts ◽  
Mesothelial Cyst ◽  
Upper Abdomen

Splenic cyst is a relatively rare disease. They may occur secondary to trauma or even being more seldom due to parasitic infections, mainly caused by ecchinococcus granulosus. This patient had an atypical symptomatology, consisted mainly of fullness in the left upper abdomen and a palpable mass. Preoperative diagnosis was established with ultrasonography and computerized tomography. lmmunohistochemistry allows differential diagnosis between epidermoid and mesothelial cyst. For many years, open splectomy was the accepted treatment. Laparoscopic partial splenectomy is a procedure for the treatment of splenic cysts, because it cures the disease preserving the splenic tissue. Complete splenectomy is reserved for cases in which cyst excision cannot be done otherwise. Journal of Surgical Sciences (2012) Vol. 16 (2) : 101-105

scholarly journals Partial resection of the splenic cyst using radiofrequency ablation system

2017 ◽  
Vol 145 (5-6) ◽  
pp. 301-303
Author(s):  
Srdjan Putnik ◽  
Miroslav Ilic
Keyword(s):  
Computed Tomography ◽  
Radiofrequency Ablation ◽  
Splenic Cyst ◽  
Partial Resection ◽  
Lower Pole ◽  
Rf Ablation ◽  
Splenic Parenchyma ◽  
Splenic Cysts ◽  
Internally Cooled

Introduction. This paper presents a case of a patient with a benign splenic cyst, which was removed by way of partial resection of the spleen. Case outline. The patient?s benign cyst in the lower pole of the spleen was excised using single CooltipTM radiofrequency ablation electrode (Cool-tip RF Ablation System, CovidienTM, Dublin, Ireland). More than half of the spleen was excised without setting stitches to the splenic parenchyma and without any other hemostyptics. This way, the function of the spleen was preserved, which was proven with scintigraphy and computed tomography two years after the intervention. Conclusion. Radiofrequency ablation system with internally cooled needles can be used successfully and without any consequences to the organ, especially in case of large benign splenic cysts, when it is necessary to preserve the function of the spleen.

scholarly journals Spleen preserving management of a non-parasitic splenic cyst in pregnancy

2016 ◽  
Vol 98 (7) ◽  
pp. e114-e117 ◽  
Author(s):  
J Kapp ◽  
T Lewis ◽  
S Glasgow ◽  
A Khalil ◽  
A Anjum
Keyword(s):  
Case Reports ◽  
Splenic Cyst ◽  
Fetal Mortality ◽  
First Line ◽  
Spleen Preserving ◽  
Splenic Cysts ◽  
Laparoscopic Cystectomy ◽  
Total Splenectomy ◽  
Theoretical Risk ◽  
In Pregnancy

Non-parasitic splenic cysts are rare entities. In pregnancy, they are rarer still, with as few as seven cases reported in the literature. There is little consensus regarding the optimal management of this condition in pregnancy. Although small, the theoretical risk of intrapartum splenic rupture is associated with a fetal mortality rate as high as 70%. The authors of at least three case reports advocate total splenectomy as first-line management of splenic cyst in pregnancy. Paradoxically, spleen conserving surgery is the recognised gold standard treatment for symptomatic splenic cysts in non-pregnant patients. We present a case of a large maternal splenic cyst that was treated successfully with a laparoscopic cystectomy.

Laparoscopic spleen-preserving dome resection for a giant primary epithelial splenic cyst

2021 ◽  
Vol 14 (9) ◽  
pp. e245635
Author(s):  
Neil Robert Lowrie ◽  
Monica Jane Londahl ◽  
Konrad Klaus Richter
Keyword(s):  
Laparoscopic Surgery ◽  
Female Patient ◽  
Current Literature ◽  
Young Female ◽  
Splenic Cyst ◽  
Surgical Practice ◽  
Spleen Preserving ◽  
Splenic Cysts ◽  
Surgical Technical ◽  
Epithelial Cysts

Non-parasitic splenic cysts are rare and are seldom diagnosed outside the paediatric surgical practice. Giant true primary epithelial cysts greater than 14 cm in diameter are even rarer. Laparoscopic surgery is preferable; however, bleeding, splenectomy and recurrence are recognised risks. Here, we report a young female patient with a 21 cm symptomatic primary splenic cyst. The patient underwent a spleen-preserving laparoscopy and was followed up for 2 years when she had an MRI of the abdomen. Surgical, technical and perioperative treatment aspects are discussed here, in the context of the current literature.

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 Laparoscopic fenestration surgery of a large primary splenic cyst

2020 ◽  
Vol 7 (11) ◽  
pp. 3815
Author(s):  
Harsh Bhomaj ◽  
Aditya Prasad Padhy ◽  
Pran Singh Pujari
Keyword(s):  
Preoperative Evaluation ◽  
Cystic Mass ◽  
Splenic Cyst ◽  
Spleen Preserving ◽  
Splenic Cysts ◽  
Left Hypochondrium ◽  
Contrast Enhanced ◽  
Laparoscopic Fenestration ◽  
Fenestration Surgery ◽  
Enhanced Computed Tomography

Splenomegaly is a major and perhaps the only concern pertaining to spleen for surgeons. Splenic cysts are rare presentations as splenomegaly, with about 800 cases reported so far. Presenting a case report of a 19 years old boy presented with a mass in the abdomen below the rib cage on the left side since 1 year. No other associated complaints. On clinical evaluation a soft cystic mass of size 10×10 cm approximately, was felt extending upto and just above the umbilicus, occupying the left hypochondrium, epigastrium, left lumbar and part of umbilical region. On contrast enhanced computed tomography (CECT) abdomen and pelvis, a well-defined, rounded cystic swelling arising from the spleen and abutting the surrounding structures was noted. Clinically diagnosing it as a primary splenic cyst and after thorough preoperative evaluation the patient was planned for laparoscopic fenestration surgery of the cyst. Surgery involved aspirating, deroofing of the cyst with omental packing of the cyst cavity. This surgery is a novel minimally invasive spleen preserving approach to such types of splenic cysts. This approach carries the least morbidity and recurrence rate among its other options.

scholarly journals SPLENIC CYST

2014 ◽  
Vol 2 (3) ◽  
Author(s):  
Larissa L. Garcia ◽  
Fernanda L. Lomanto ◽  
Felipe Simões da Rocha Mata ◽  
Dilton Mendonça
Keyword(s):  
Computed Tomography ◽  
Incidental Findings ◽  
Clinical Case ◽  
Standard Treatment ◽  
Clinical Status ◽  
Exploratory Laparotomy ◽  
Splenic Cyst ◽  
Splenic Cysts ◽  
The Times ◽  
Total Splenectomy

Background: Splenic cysts are rare in children. They are classified into primary and secondary, also called pseudocysts. The primary feature capsule and can be congenital, vascular or neoclassical. The diagnosis, in most cases, is incidental because it is asymptomatic clinical status. The diagnosis is confirmed by Ultrasound and / or Computed Tomography (CT) of the abdomen. Case Report: Patient, I.T.S.A, female, 11 years old, complains of increasing abdominal size. The diagnosis of splenic cyst was confirmed with an exploratory laparotomy. The pathology suggests reactive mesothelial hyperplasia. The patient underwent a total splenectomy and recovered without complications. Conclusions: Splenic cysts are incidental findings, most of the times it has been an asymptomatic clinical status. In the clinical case described, the patient showed a significant increase in the abdomen. She underwent exploratory laparotomy and, consequently, total splenectomy, which is the standard treatment in cases of giants splenic cysts.

scholarly journals Robot-Assisted Partial Splenectomy for Splenic Epidermoid Cyst

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.

Incidental Splenic Cyst Simulating A Supernumerary Kidney

Ultrasound ◽  
2009 ◽  
Vol 17 (2) ◽  
pp. 90-92
Author(s):  
Andrew Christie
Keyword(s):  
Computed Tomography ◽  
Renal Failure ◽  
Left Kidney ◽  
Splenic Cyst ◽  
Computed Tomography Scan ◽  
Splenic Cysts ◽  
Us Findings ◽  
Tomography Scan ◽  
Collecting System

This case represents an incidental splenic cyst misinterpreted as a supernumerary kidney, resulting in a computed tomography scan to confirm the ultrasound (US) findings. A 55-year-old man presenting with renal failure had an US examination which showed a mass adjacent to the left kidney. It resembled a kidney with a dilated collecting system rather than a spleen. Supernumerary kidneys are extremely rare in the published literature. Splenic cysts are more common, but are still relatively unusual. The possible diagnoses and US findings in splenic cysts are discussed.

Sign in / Sign up

Export Citation Format

Share Document