- 作者：George Galyfos ; Zisis Touloumis ; Konstantinos Palogos ; Konstantinos Stergios ; Maria Chalasti ; Nikolaos Kavouras ; Laurant Lavant
- 关键词：Non-parasitic splenic cyst ; Pseudocyst of the spleen ; Splenectomy ; Solitary pseudocyst ; Oversized pseudocyst
- 刊名：International Journal of Surgery Case Reports
- 出版年：2014
- 年：2014
- 卷：5
- 期：2
- 页码：104-107
- 全文大小：914 K
INTRODUCTION
Pseudocysts of the spleen are usually asymptomatic and associated with a history of trauma, infection or infarction. In this report, we present two uncommon cases of solitary, oversized pseudocysts of the spleen.PRESENTATION OF CASE
Two patients (cases A and B), with symptoms of abdominal pain, were investigated. The laboratory and ultrasound examination confirmed the diagnosis of a large, non-parasitic splenic cyst in both cases. Computed tomography described an oversized pseudocyst occupying almost the entire splenic parenchyma in both cases and in patient A, the cyst was located in the splenic hilum. The medical history revealed a previous abdominal injury only in case A. The two patients underwent an open total splenectomy. The pathology examination verified the diagnosis of a non-parasitic splenic pseudocyst.
DISCUSSION
Both patients presented with symptoms, in contrast to the majority of patients with splenic cysts. The medical history of patients with splenic pseudocysts does not always reveal the cause of the pseudocyst formation. Any type of spleen-sparing procedure is not easy to perform in cases of surgical and anatomical difficulty, because of recurrence and the risk of intractable bleeding from the spleen.
CONCLUSION
Partial splenectomy is the recommended method for parenchymal preservation, but total splenectomy is preferred when the splenic cyst is oversized or cannot be excised with safety.