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

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 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 Laparoscopic hemi-splenectomy: a valid option in selected cases such as epidermoid cyst

2019 ◽  
Vol 101 (3) ◽  
pp. e73-e75
Author(s):  
FJ Tejero-Pintor ◽  
C Cuesta-De la Llave ◽  
M Rodriguez-Lopez ◽  
M Bailon-Cuadrado ◽  
D Pacheco-Sánchez
Keyword(s):  
Surgical Approach ◽  
Epidermoid Cyst ◽  
Laparoscopic Approach ◽  
Abdominal Ultrasound ◽  
Splenic Cyst ◽  
Partial Splenectomy ◽  
Ultrasound Scan ◽  
Splenic Cysts ◽  
Effective Removal ◽  
Total Splenectomy

Splenic cysts are a rare pathology, which can be classified as true (25%) or pseudocysts (75%). Total splenectomy has been the treatment of choice, particularly in recent times with the advent of the laparoscopic approach. However, as the spleen is an organ with multiple immunological functions, the laparoscopic partial splenectomy is an alternative, which is technically difficult but effective. We present a case of a 26-year-old woman with incidental evidence of a splenic cyst in an abdominal ultrasound scan. We performed a laparoscopic partial splenectomy to preserve the function of the spleen because of the patient’s youth. Laparoscopic partial splenectomy allows the effective removal of lesions and preservation of splenic function. Although more research is needed to clarify the most effective approach, this case is further evidence that this surgical approach may be beneficial for selected patients.

scholarly journals Emergency cricothyrotomy during the COVID-19 pandemic: how to suppress aerosolization

2020 ◽  
Vol 5 (1) ◽  
pp. e000542
Author(s):  
Nabil Issa ◽  
Whitney E Liddy ◽  
Sandeep Samant ◽  
David B Conley ◽  
Robert C Kern ◽  
...  
Keyword(s):  
Potential Risk ◽  
Healthcare Providers ◽  
Healthcare Setting ◽  
Healthcare Systems ◽  
Financial Resources ◽  
Risk Of Infection ◽  
X Ray ◽  
General Surgeons ◽  
Fluorescein Dye ◽  
Nose And Throat

BackgroundCricothyrotomy is associated with significant aerosolization that increases the potential risk of infection among healthcare providers. It is important to identify simple yet effective methods to suppress aerosolization and improve the safety of healthcare providers.Methods5 ear, nose and throat and general surgeons used a locally developed hybrid cricothyrotomy simulator with a porcine trachea to test three draping methods to suppress aerosolization during the procedure: an X-ray cassette drape, dry operating room (OR) towels and wet OR towels. The three methods were judged based on three categories: effectiveness of suppression, availability in all healthcare systems and ease of handling.ResultsAll five surgeons performed the procedure independently using each of the three suppression methods. The wet OR towel drape was found to be an effective method to suppress aerosolization, and it did not hinder the surgeons from performing the procedure accurately. This finding was confirmed by using an atomized fluorescein dye injection into the porcine trachea, representing aerosolized material while performing the procedure.ConclusionsWe present a novel intervention using wet towels to suppress aerosolization during cricothyrotomy. Wet towels are cheap and readily available within any healthcare setting regardless of the financial resources available.

scholarly journals Surgical Approach to Splenic Hydatid Cyst: Single Center Experience

2013 ◽  
Vol 98 (4) ◽  
pp. 346-353 ◽  
Author(s):  
Cengiz Eris ◽  
Sami Akbulut ◽  
Mehmet Kamil Yildiz ◽  
Hasan Abuoglu ◽  
Mehmet Odabasi ◽  
...  
Keyword(s):  
Hydatid Cyst ◽  
Surgical Approach ◽  
Treatment Options ◽  
Clinical Findings ◽  
Partial Cystectomy ◽  
Diagnostic Methods ◽  
Septic Complications ◽  
Single Center Experience ◽  
Medicinal Treatment ◽  
Splenic Hydatid Cyst

Abstract The benefits and risks of surgery for splenic hydatid cyst (SHC) remain controversial. We aimed to share our experience about a surgical approach for SHC. Sixteen consecutive patients with SHC disease who underwent open splenectomy at our hospital between January 2006 and July 2012 were retrospectively evaluated. Data on the patients' demographic features, clinical findings, radiological and serological diagnostic methods, and surgical and medicinal treatment options were collected and used to generate descriptive profiles of diagnosis, treatment course, and outcome. The patient population was composed of 6 females and 10 males, with an age range of 18 to 79 years (mean age: 47.0 ± 18.0). Radiological examinations detected hydatid cysts in spleen alone (n = 7) or both spleen and liver (n = 9). Preoperative serological testing identified 13 of the patients as IHA positive. All except 1 patient received a 10- to 21-day preoperative course of albendazole therapy and all patients received vaccination 1 week prior to surgery. Seven patients underwent splenectomy. The remaining patients underwent splenectomy with partial cystectomy and omentopexy (n = 6), partial cystectomy and unroofing (n = 1), pericystectomy (n = 1), or pericystectomy with partial nephrectomy (n = 1). All except one patient received a 10- to 45-day postoperative course of albendazole. No patients developed serious complications or signs of recurrence during the follow-up. The clinical profile of SHC disease at our hospital includes diagnosis by radiological methods, splenectomy treatment by simple or concomitant procedures according to the patient's symptoms, cyst size, number and localization, and compression of adjacent organs, and adjunct vaccination to decrease risk of postoperative septic complications. This profile is associated with low risk of complications and high therapeutic efficacy.

scholarly journals Surgical approach combining implantoplasty and reconstructive therapy with locally delivered antibiotic in the treatment of peri‐implantitis: A prospective clinical case series

2021 ◽  
Author(s):  
Iria González Regueiro ◽  
Natalia Martínez Rodriguez ◽  
Cristina Barona Dorado ◽  
Ignacio Sanz‐Sánchez ◽  
Eduardo Montero ◽  
...  
Keyword(s):  
Surgical Approach ◽  
Clinical Case ◽  
Case Series

scholarly journals Laparoscopic Splenectomy for Splenic Cyst Hydatic

2012 ◽  
Vol 9 (Supplement 1) ◽  
Author(s):  
Selim Sözen ◽  
Mehmet Aziret ◽  
Sabri Özdaş ◽  
Nevzat Akdoğan
Keyword(s):  
Laparoscopic Splenectomy ◽  
Splenic Cyst ◽  
Cyst Hydatic

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.

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.

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