Familial Epidermoid Cysts of the Spleen: Report of Two Cases

Kubo, Michinori; Yamane, Masaomi; Miyatani, Katsuya; Udaka, Tetsunobu; Mizuta, Minoru; Shirakawa, Kazutoyo

doi:10.1007/s00595-006-3244-3

Cited by 16 publications

(7 citation statements)

References 17 publications

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“…We did not find a similar image in the literature, except in one case of a spontaneously ruptured congenital splenic cyst, which had a CT appearance resembling to our case [23]. Retrospectively, we believe that the nonenhancing areas of splenic parenchyma in the vicinity of the splenic cyst wall were not consistent with perfusion defects but represented pockets of perisplenic fluid.…”

Section: Discussioncontrasting

confidence: 48%

Total Splenectomy due to an Unexpected “Complication” after Successful Extended Laparoscopic Partial Decapsulation of a Giant Epidermoid Splenic Cyst: A Case Report

Pitiakoudis

Zezos

Oikonomou

et al. 2011

Case Reports in Medicine

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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.

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Section: Discussioncontrasting

confidence: 48%

Total Splenectomy due to an Unexpected “Complication” after Successful Extended Laparoscopic Partial Decapsulation of a Giant Epidermoid Splenic Cyst: A Case Report

Pitiakoudis

Zezos

Oikonomou

et al. 2011

Case Reports in Medicine

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“…However, as ruptured cysts are even more uncommon, we concluded that 20 studies have been published addressing 21 cases with ruptured non-parasitic splenic cysts, the oldest study being published in 1960 (table 2). 8–26 Age varies from 6 to 46 years old with our study presenting the oldest patient. All cases presented with abdominal pain which was sometimes accompanied by left shoulder pain, nausea or vomiting.…”

Section: Discussionmentioning

confidence: 89%

Spontaneous rupture of a non-parasitic splenic cyst

Knook

Hazelbag

et al. 2019

BMJ Case Rep

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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.

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“…Kubo et al 4 reported that the splenic epidermoid cysts can generally be treated conservatively; however, symptomatic, ruptured, and infectious cysts require surgical intervention. 4 We also believe that an epidermoid cyst in the abdominal wall should be surgically treated. When findings of malignancy are doubtful, the tumor should immediately be removed surgically because there are reports of cancer developing from an epidermoid cyst.…”

Section: Discussionmentioning

confidence: 98%

Laparoscopic Excision of an Epidermoid Cyst Arising From the Deep Abdominal Wall

Ishikawa

Nakai

Ueda

et al. 2009

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques

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Epidermoid cysts are the most common type of cutaneous cyst. However, their occurrence in the deep abdominal wall has not yet been reported. Here, we present the case of a 60-year-old woman who developed an epidermoid cyst in the deep abdominal wall, which was resected laparoscopically. The patient presented with right upper quadrant abdominal pain on admission to our hospital. Computed tomography revealed cholecystolithiasis and an incidentally identified well-defined hypoattenuating mass (62 x 47 x 65 mm) in the deep abdominal wall on the left side of the navel. We performed laparoscopic complete resection of the abdominal wall tumor followed by cholecystectomy. The excised specimen was a cyst covered with a smooth thin membrane and contained sludge. Histopathologic examination revealed an epidermoid cyst. This is a very rare case with no previous reports on a similar type of epidermoid cyst.

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Familial Epidermoid Cysts of the Spleen: Report of Two Cases

Cited by 16 publications

References 17 publications

Total Splenectomy due to an Unexpected “Complication” after Successful Extended Laparoscopic Partial Decapsulation of a Giant Epidermoid Splenic Cyst: A Case Report

Total Splenectomy due to an Unexpected “Complication” after Successful Extended Laparoscopic Partial Decapsulation of a Giant Epidermoid Splenic Cyst: A Case Report

Spontaneous rupture of a non-parasitic splenic cyst

Laparoscopic Excision of an Epidermoid Cyst Arising From the Deep Abdominal Wall

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