Mesothelial cyst of the spleen in an adult: a case report

Vijayaraghavan, R.; Chandrashekar, R.; Aithal, Saraswathi; Rashmi, M; Belagavi, C. S.

doi:10.1136/bcr.03.2010.2810

Cited by 9 publications

(12 citation statements)

References 7 publications

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“…Most primary splenic epithelial cysts are clinically silent and are often found incidentally or due to an abdominal mass or abdominal pain on imaging techniques, such as ultrasound (USG) or CT. 1 , 5 , 10 They are typically well-defined hypoechoic and hypodense lesion, with a thin or imperceptible wall, on USG and CT, respectively. 1 , 5 , 6 , 10 On magnetic resonance imaging, the cysts are hypointense on T1-weighted images and hyperintense on T2- weighted images, without reinforcement after contrast injection. 11 – 13 However, the signal intensity may vary depending on the contents of the cyst.…”

Section: Discussionmentioning

confidence: 99%

“… 14 Mesothelial cysts of the spleen have been described in the literature as unilocular with smooth and well-defined margins, without enhancing portions. 1 , 6 , 8 , 10 However, there are a few reports on multilocular mesothelial cysts, some of which were misdiagnosed as hydatid cysts due to their shape. 5 , 15 , 16 The imaging findings and clinical characteristics of previously reported cases of splenic mesothelial cysts are detailed in Table 1 .…”

Section: Discussionmentioning

confidence: 99%

“…5 , 15 , 16 The imaging findings and clinical characteristics of previously reported cases of splenic mesothelial cysts are detailed in Table 1 . 1 , 5 , 6 , 10 – 13 , 17…”

Section: Discussionmentioning

confidence: 99%

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Mesothelial cyst of the spleen mimicking a metastasis: a case report

et al. 2021

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Mesothelial cyst of the spleen is a developmental disorder. Previous reports have elaborated on the radiological features of splenic mesothelial cysts as being unilocular with a smooth and well-defined margin. However, due to its rarity, it is unclear whether these characteristics are representative and specific for the diagnosis of mesothelial cysts. Herein, this case report presents an atypical case of splenic mesothelial cyst mimicking a malignant tumour, especially splenic metastasis in a 66-year-old woman with ascending colon cancer. Due to an overlapping imaging finding of hypodense splenic lesions, and considering the clinical history, a mesothelial cyst that developed as a multilocular hypodense mass from an ill-defined small nodule was inevitably misdiagnosed as metastasis. Although rare, it is important to consider the possibility of mesothelial cyst in a patient with multilocular hypodense lesions of the spleen.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Mesothelial cyst of the spleen mimicking a metastasis: a case report

et al. 2021

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“…The modalities of the surgical treatment of splenic cysts are different. They vary from the application of minimally invasive surgical procedures such as cyst fenestration, cyst marsupialization, PAIR, partial splenectomy, and total [7,13,14]. Some studies have proven that laparoscopic fenestration in the treatment of non-parasitic splenic cyst is an acceptable treatment method, with an acceptable rate of disease recurrence.…”

Section: Discussionmentioning

confidence: 99%

“…Other treatment modalities include splenectomy, partial splenectomy, punctureaspiration-injection-reaspiration (PAIR) technique, partial excision, and marsupialization of the splenic cysts. Spleen preservation should be considered as the most important factor in selecting a surgical procedure [7].…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic technique as a method of choice in the treatment of non-parasitic splenic cysts

Milosavljević¹,

Tadić²,

Grubor³

et al. 2019

Srp Arh Celok Lek

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Introduction/Objective Splenic cysts are a rare clinical entity. In their origin, they may be parasitic or non-parasitic. They are classified as either primary (true) or secondary cysts (pseudocysts), depending on the presence or absence of an epithelial lining of the lumen. Methods Using a retrospective case study, we included 29 patients undergoing laparoscopic surgery due to splenic cysts. The patients were treated within the 2007-2017 period at the Clinic for Digestive Surgery, the Clinical Center of Serbia. We analyzed pre-operative, intra-operative and post-operative characteristics of laparoscopic technique in treating non-parasitic splenic cysts. Results The group of 29 patients treated with laparoscopic technique surgery due to the previously diagnosed splenic cyst, consisted of 12 (41.4%) men and 17 (58.6%) women. The average age of patients undergoing surgery was 38.86 ± 10.4 years (22-62). Based on the histopathological findings, there were eight epithelial cysts and 21 pseudocysts of the spleen. The maximal diameter of the splenic cyst, measured pre-operatively, was 10.09 ± 2.51 cm on average. The average operative time was 35 minutes, and the intra-operative bleeding amount was 11.48 ± 3.78 ml. None of the intra-operative complications, injury to the spleen or other organs of the abdomen, conversions to open surgery or reintervention were recorded. Conclusion Laparoscopic fenestration with excision of the part of the spleen cyst wall (marsupialization) represents an effective and definitive treatment for this disease. It is an alternative to splenectomy, along with other well-known benefits ensured by the spleen preservation. Low probability of occurrence of intra-operative and post-operative complications, as well as minimal trauma of tissue, results in a shorter postoperative stay, rapid recovery, and better quality of life.

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Tumor-Like Lesions of the Liver and Intrahepatic Bile Duct

Feng

et al. 2017

Surgical Pathology of Hepatobiliary Tumors

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Mesothelial cyst of the spleen in an adult: a case report

Cited by 9 publications

References 7 publications

Mesothelial cyst of the spleen mimicking a metastasis: a case report

Mesothelial cyst of the spleen mimicking a metastasis: a case report

Laparoscopic technique as a method of choice in the treatment of non-parasitic splenic cysts

Tumor-Like Lesions of the Liver and Intrahepatic Bile Duct

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