Space-occupying benign lesions in spleen: experiences in a single institute

Abstract

Preoperative imaging examinations and postoperative pathology mutually confirmed space-occupying benign lesions in the spleen. The age of the children, size and character of the lesion, as well as the risk of rupturing and malignancy are reasonable indications of surgery. Splenectomy, unless with contra-indications, is a feasible choice of treatment.

A rare presentation of a splenic abscess

“…These may be restricted to a subcapsular hematoma or there may be rupture into the peritoneal cavity, which would be suggested by the symptoms of shock, left upper quadrant guarding and tenderness, pain referred to the left shoulder, and clinical and radiological evidence of bleeding. 7 The common symptoms and signs of splenic abscess include the triad of fever, left upper quadrant tenderness, and leukocytosis as seen in this case. 1 , 3 , 7 , 8 Just as with splenic cysts the definitive treatment is splenectomy as most of the spleen is affected and non‐functional (Figure 2 ).…”

“… 7 The common symptoms and signs of splenic abscess include the triad of fever, left upper quadrant tenderness, and leukocytosis as seen in this case. 1 , 3 , 7 , 8 Just as with splenic cysts the definitive treatment is splenectomy as most of the spleen is affected and non‐functional (Figure 2 ). 9 , 10 In addition, pneumococcal, haemophilus influenza type b, and meningococcal conjugate vaccinations against the lifetime risk (0.1–0.5%) but 50% mortality from a subsequent OPSI is required.…”

The rare splenic abscess

“…Spontaneous rupture has been reported in a number of conditions in which the spleen is enlarged which includes typhoid, malaria, leukaemia, Gaucher's disease, and polycythemia. These may be restricted to a subcapsular haematoma or there may be rupture into the peritoneal cavity which would be suggested by the symptoms of shock, left upper quadrant guarding and tenderness, pain referred to the left shoulder, and clinical and radiological evidence of bleeding [7]. The common symptoms and signs of splenic abscess include the triad of fever, left upper quadrant tenderness and leukocytosis as seen in this case [1,3,7,8].…”

“…These may be restricted to a subcapsular haematoma or there may be rupture into the peritoneal cavity which would be suggested by the symptoms of shock, left upper quadrant guarding and tenderness, pain referred to the left shoulder, and clinical and radiological evidence of bleeding [7]. The common symptoms and signs of splenic abscess include the triad of fever, left upper quadrant tenderness and leukocytosis as seen in this case [1,3,7,8]. Just as with splenic cysts the definitive treatment is splenectomy as most of the spleen is affected (fig 2) [9,10].…”