Giant splenic pseudocyst

Rodrı́guez, Enrique; Silva, Joseph; Astani, Seyed Amin

doi:10.37549/ar2399

Cited by 4 publications

(2 citation statements)

References 6 publications

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“…In fact, the differential diagnosis for a cystic splenic lesion is wide, and it requires consideration of various potential causes. It includes a congenital cyst, echinococcal disease, cystic lymphangioma/hemangioma, pyogenic splenic abscess, and cystic metastatic disease [ 5 ]. Given the wide range of potential causes, a thorough clinical assessment, imaging studies, and possibly further diagnostic procedures are essential for an accurate diagnosis.…”

Section: Discussionmentioning

confidence: 99%

A Giant Non-Traumatic Splenic Pseudocyst Successfully Treated With Cyst Aspiration and Partial Cystectomy: A Case Report and Review of Literature

Abu Sabha,

Thalji,

Abu Laila

et al. 2024

Cureus

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Splenic cysts are extremely rare entities that typically result from prior abdominal trauma, infections, and degenerative diseases. They are divided into two categories: true cysts with epithelial lining, and false pseudocysts without epithelial lining, which is more common than true cysts.We describe here a case of a non-traumatic splenic pseudocyst in a healthy 29-year-old male patient, who presented with left upper quadrant abdominal pain. Physical examination revealed scaphoid abdomen and left hypochondrium fullness. The spleen was uniformly enlarged, smooth, and firm, with mild tenderness. Laboratory testing was normal. An abdominal CT scan showed a huge unilocular non-enhancing cyst occupying the upper part of the spleen, measuring around 16 × 18.5 × 20 cm. The patient was managed with cyst aspiration and partial cystectomy. The histopathological examination findings are consistent with splenic pseudocyst. A one-year follow-up period revealed no complications or recurrence.Spleen cysts are rare in clinical practice, posing challenges in diagnosis and treatment. Surgical options include partial or total splenectomy, cyst aspiration, percutaneous drainage, partial cystectomy, and marsupialization. The choice depends on the cyst's size, splenic coverage, and relation to the hilum. Recently, spleen-preserving approaches have been favored to avoid life-threatening sepsis.Non-traumatic splenic pseudocysts present significant diagnostic dilemmas, requiring histopathological examination for definitive diagnosis. Spleen-preserving management is highly recommended to reduce the risk of life-threatening sepsis.

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Section: Discussionmentioning

confidence: 99%

A Giant Non-Traumatic Splenic Pseudocyst Successfully Treated With Cyst Aspiration and Partial Cystectomy: A Case Report and Review of Literature

Abu Sabha,

Thalji,

Abu Laila

et al. 2024

Cureus

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“…Morgenstern [17] subdivides nonparasitic splenic cysts (NPSC) lesions into neoplastic (hemangioma, lymphangioma) and congenital (epidermoid, dermoid, endodermoid). Type II pseudocysts constitute 80% of all splenic cysts, and typically originate from trauma, haemorrhage, abscess, degeneration, inflammation and infarction [18][19][20]. Hormonal changes in pregnancy may also contribute to splenic infarcts [1].…”

Section: Discussionmentioning

confidence: 99%

Massive splenic cyst in pregnancy: case report

Chung

Swinson

O’Rourke

et al. 2020

BMC Pregnancy Childbirth

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Background Primary splenic cysts are very rarely diagnosed in pregnancy, with only thirteen cases described in the literature. We examine the approach towards diagnosing and managing uniquely large abdominal masses that significantly complicate obstetric care. Case presentation A 37-year-old primigravida woman presented with abdominal distension and discomfort, yet otherwise asymptomatic. On ultrasound, an incidental pregnancy at 25 weeks of gestation and a large pelvic lesion were discovered. MRI defined a 28 × 29 cm lobulated, complex cystic mass in the upper abdomen. The patient underwent two ascitic drainages throughout her pregnancy. At 34 weeks of gestation, she had a classical caesarean section. Then at five-weeks postpartum, she underwent a laparotomy and total splenectomy with 16 L of fluid drained. Histopathological analysis revealed an epithelial cyst of the spleen. Her recovery was complicated by complete portal vein thrombosis. Conclusion This case describes the largest splenic cyst ever reported in pregnancy and explores the diagnostic dilemmas and treatment challenges associated. We introduce the utility of serial ascitic drainages in prolonging the pregnancy and emphasise the reliance on imaging for surveillance of splenic size and fetal wellbeing.

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