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 Splenectomy for Epithelial (Epidermoid) Splenic Cysts: Report of Two Cases

2013 ◽  
Vol 52 (190) ◽  
Author(s):  
Gun Raj Paudel ◽  
Rajat Agarwal ◽  
Om Prakash Pathania ◽  
Chandra Shekhar Agrawal
Keyword(s):  
Exploratory Laparotomy ◽  
Splenic Tissue ◽  
Partial Splenectomy ◽  
Pancreatic Pseudocysts ◽  
Splenic Preservation ◽  
Palpable Mass ◽  
Cyst Excision ◽  
Post Operative Period ◽  
Splenic Cysts ◽  
Upper Abdomen

Primary splenic cyst is a relatively rare disease, and the majority of cases are classified as epithelial (epidermoid) cysts. Two cases with epithelial splenic cysts are presented. Both cases had some similar symptomatology, like fullness in the left upper abdomen and a palpable mass. Preoperative radiological diagnosis was pancreatic pseudocysts. Exploratory laparotomy and partial splenectomy was done. The post operative period was uneventful in both the cases.Because of post-splenectomy sepsis, the management has shifted to splenic preservation when feasible. Partial splenectomy is an acceptable procedure for the treatment of splenic cysts which are suitably located, because it cures the disease preserving the splenic tissue. Complete splenectomy is reserved for cases in which cyst excision cannot be done otherwise. Keywords: epithelial splenic cysts; partial splenectomy; splenic preservation.

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 Schwannoma of the abdominal wall: updated literature review

2021 ◽  
Author(s):  
Tommaso Panici Tonucci ◽  
Andrea Sironi ◽  
Eleonora Pisa ◽  
Benedetta Di Venosa ◽  
Luigi Bonavina
Keyword(s):  
Differential Diagnosis ◽  
Literature Review ◽  
Abdominal Wall ◽  
Single Case ◽  
Case Reports ◽  
Rectus Abdominis ◽  
Malignant Neoplasms ◽  
Palpable Mass ◽  
Surgical Specimen ◽  
Benign Schwannoma

Summary Background Schwannoma is a benign tumor arising from Schwann cells of the peripheral nerves. It is often asymptomatic and can develop in the retroperitoneum, mediastinum, head and neck region, and upper and lower extremities. Schwannoma of the abdominal wall is extremely rare, but differential diagnosis with malignant neoplasms is important to reduce the risk of undertreatment. Methods A narrative review of abdominal wall schwannoma was performed using PubMed, EMBASE, and Web of Science database and the search terms “schwannoma”, “neurinoma”, “neurilemmoma”, “soft tissue tumors”, “neurogenic tumor”, “rectus abdominis mass”, “abdominal wall”. In addition, the hospital charts were reviewed to report the personal experience. Results Only 9 single case-reports of benign schwannoma of the abdominal wall were found in the English medical literature over the past decade. None of the patients received preoperative biopsy and all were resected with clear margins. In addition to the literature review, we report the case of a 58-year-old man referred for a palpable mass in the left upper abdominal quadrant. Ultrasonography and magnetic resonance imaging revealed a solid and well-encapsulated mass inside the left rectus abdominis muscle. A core biopsy of the lesion provided the diagnosis of cellular schwannoma and this was confirmed by histopathologic examination of the surgical specimen. Conclusions Benign schwannoma of the abdominal wall is extremely rare. Percutaneous core needle biopsy is important for the differential diagnosis with more common and biologically more aggressive malignancies, such as desmoid tumors and sarcomas, and may be relevant for planning the most appropriate management.

Inflammatory Pseudotumours in the Abdomen and Pelvis: A Pictorial Essay

2014 ◽  
Vol 65 (1) ◽  
pp. 52-59 ◽  
Author(s):  
Tony Sedlic ◽  
Elena P. Scali ◽  
Wai-Kit Lee ◽  
Sadhna Verma ◽  
Silvia D. Chang
Keyword(s):  
Differential Diagnosis ◽  
Soft Tissue ◽  
Preoperative Diagnosis ◽  
Imaging Features ◽  
Clinical Context ◽  
Inflammatory Pseudotumour ◽  
Pictorial Essay ◽  
Soft Tissue Masses

Inflammatory pseudotumours are uncommonly encountered lesions in the abdomen and pelvis that often present with variable and nonspecific imaging features. They may mimic other more common lesions, including malignancy. Within the appropriate clinical context, inflammatory pseudotumours merit consideration in the differential diagnosis of soft-tissue masses within the abdomen and pelvis. A preoperative diagnosis of inflammatory pseudotumour, established through biopsy, may help to differentiate this benign entity from malignancy. In this article, we reviewed the imaging features of inflammatory pseudotumours of the abdomen and pelvis, including liver, spleen, bowel, retroperitoneum, kidney, bladder, uterus, and adnexa.

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.

Huge Lipoma of the Right Parotid Gland: Case Report and Review of 42 Cases

2016 ◽  
Vol 95 (1) ◽  
pp. E8-E13 ◽  
Author(s):  
Timuçin Baykul ◽  
M. Asım Aydın ◽  
Yavuz Fındık ◽  
Derya Yıldırım
Keyword(s):  
Differential Diagnosis ◽  
Parotid Gland ◽  
Preoperative Diagnosis ◽  
Soft Mass ◽  
Parotid Region ◽  
Lipomatous Tumor ◽  
Parotid Tumors ◽  
Superficial Lobe ◽  
The Right

Lipomas are rarely found in the parotid gland region. Because of their rarity at this site, they are not often considered in the differential diagnosis of parotid tumors. The parotid lipoma is a slowly growing, asymptomatic, freely movable, soft mass. Preoperative diagnosis is generally difficult. We present a case of a slowly enlarging mass of the parotid region in a 44-year-old man that proved to be a lipomatous tumor of the parotid gland. We also review 42 other cases from the literature. Our patient's huge tumor was located in the superficial lobe of the gland, and a parotidectomy with preservation of the facial nerve was performed. There was no complication or recurrence of the tumor after a follow-up of 1 year.

Leiomyoma of the Esophagus

1986 ◽  
Vol 72 (5) ◽  
pp. 503-506 ◽  
Author(s):  
Ferdinando Preda ◽  
Marco Alloisio ◽  
Cosimo Lequaglie ◽  
Mauro Ongari ◽  
Gianluigi Ravasi
Keyword(s):  
Esophageal Cancer ◽  
Differential Diagnosis ◽  
Preoperative Diagnosis ◽  
Long Term Results ◽  
Barium Swallow ◽  
Thoracic Esophagus ◽  
Esophageal Leiomyoma ◽  
Correct Preoperative Diagnosis ◽  
Clinical Records

A review of the clinical records from 1947 to 1984 of the Istituto Nazionale Tumori of Milan provided 20 cases (14 males and 6 females) of esophageal leiomyoma. Eighteen of the tumors were in the thoracic esophagus and 2 were at the cardiac level. The most frequent symptoms were dysphagia, slight epigastralgia and odynophagia. Differential diagnosis should be made with mediastinic neoplasms and esophageal cancer. Barium swallow and esophagoscopy are the most sensitive procedures for a correct preoperative diagnosis. Surgery is mandatory because of the tendency to a continuous endoluminal growth (in 97% of the cases) and a possible malignant transformation. However, surgery is conservative: extramucosal enucleation of the leiomyoma is the procedure of choice. The long-term results are excellent, and morbidity is acceptable.

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 Sonographic Discovery of Autotransplanted Splenic Implants in a Pregnant Patient

2018 ◽  
Vol 35 (1) ◽  
pp. 75-78
Author(s):  
Emily M. Downs ◽  
Shane Reeves
Keyword(s):  
Differential Diagnosis ◽  
Pregnant Patient ◽  
Splenic Tissue ◽  
Splenic Trauma ◽  
Sonographic Appearance ◽  
History Of

It is important to include splenic implants in the differential diagnosis of patients with a history of splenic trauma. Autotransplanted splenic implants may have a sonographic appearance similar to that of pathologies such as lymphadenopathy or carcinomatosis. This is the first known case to discuss a pregnant patient with a history of autologous autotransplanted splenic tissue, which was discovered on sonography and confirmed during the patient’s cesearean section.

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