Splenic Cysts

Shabtaie, Samuel A.; Hogan, Anthony R.; Slidell, Mark B.

doi:10.3928/00904481-20160523-01

Cited by 20 publications

(27 citation statements)

References 30 publications

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“…Symptoms are generally correlated with size, 3 with the smallest generally being asymptomatic. [1][2][3][4][5][6] The confirmatory diagnosis is radiological. The initial imaging test is an ultrasound scan with pulse Doppler.…”

Section: Discussionmentioning

confidence: 99%

“…It is important to carefully delineate the splenic vascularization, both arterial and venous branches. [1][2][3][4][5][6][7] Less aggressive therapeutic alternatives have been described for splenic cysts. Ultrasound monitoring may be useful in simple cysts under 5 cm.…”

Section: Discussionmentioning

confidence: 99%

“…However, it is a difficult technique, especially in large and centrally located cysts. 2 The use of minimally invasive techniques reduces the aggressiveness of the procedure, but there are few cases published of partial splenectomy in children. This is because it is a technically demanding procedure, especially during vascular dissection.…”

Section: Introductionmentioning

confidence: 99%

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Laparoscopic Partial Splenectomy Assisted by Fluorescence in a 13-Year-Old Girl

Bada-Bosch

Mata

Torre

et al. 2020

European J Pediatr Surg Rep

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Partial splenectomy allows preserving immune function in benign splenic lesions such as epidermoid cysts. Determining the plane of resection and perfusion of the spleen remnant can be difficult, especially in centrally located lesions. We present a 13-year-old girl with a symptomatic splenic cyst of 6 cm in diameter located next to the splenic hilum. Laparoscopic partial splenectomy was performed through a 10-mm umbilical approach and three accessory 5-mm ports. Intraoperative intravenous injection of indocyanine green (ICG) at 0.2 mg/kg guided the careful dissection of the splenic hilum and checked the spleen perfusion once the upper arterial branch was clamped. The subsequent wash-out of the ICG allowed inspection of the peripheral vascular return of the splenic remnant through polar veins. Surgery was uneventful with minimal blood loss. Follow-up ultrasound scan revealed a well-perfused small splenic remnant with no signs of recurrence.Laparoscopic partial splenectomy is feasible in benign splenic tumors, especially in those cases of peripheral location. Fluorescence facilitates the safe dissection of the splenic hilum, the visualization of the transection plane of the spleen and the perfusion of the remnant in cases of anatomically and technically complicated partial splenectomies.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Laparoscopic Partial Splenectomy Assisted by Fluorescence in a 13-Year-Old Girl

Bada-Bosch

Mata

Torre

et al. 2020

European J Pediatr Surg Rep

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“…In their series of 32 cases, Robertson et al [10] found that the recidivism rate after the laparoscopic operation was 22%, but a new surgical intervention was required in only 3% of the patients. In order to reduce the risk of recurrence of the disease, it is considered necessary to remove as much of the wall of the cyst as possible [2,11,12].…”

Section: Discussionmentioning

confidence: 99%

“…Depending on the presence of epithelium that covers the lumen of the cyst, cysts are divided into primary (true) and secondary (pseudocysts). The primary ones are epithelial (epidermoid, dermoid, mesothelial) or endothelial (hemangioma, lymphangioma) [2]. Primary cysts are most commonly found in children and younger persons, comprising about 25% of all non-parasitic cysts.…”

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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Spontaneous splenic pseudocyst: Case report of a rare entity

Tiwari¹,

Poudel²,

Nepal³

et al. 2023

Clinical Case Reports

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Splenic cysts are classified on the basis of epithelial lining, either primary or secondary. Primary cysts are further divided as parasitic and nonparasitic. The secondary cysts are usually post traumatic or after a splenic extension of pancreatic pseudocyst. However, not all pseudocysts are associated with trauma. Mostly, they are asymptomatic (30%-60%) and usually grow in size to cause compressive symptoms. Splenic pseudocysts should be differentiated with other malignant and nonmalignant pathology, specifically hydatid cysts, in order to manage them correctly. The walls of pseudocysts may be degenerative or calcified, which may resemble hydatid cysts. Here, we present a case of a non-traumatic splenic cyst masquerading as a hydatid cyst preoperatively. The patient was taken up for surgery and intraoperatively noted to be a hemorrhagic cyst with a non-splenic cyst wall. We decided to preserve the spleen with marsupialisation of cyst and omentoplasty. On histopathology, the diagnosis of a pseudocyst of spleen was made in view of absent epithelial lining. We would like to report this case because of the diagnostic dilemma, its clinical rarity and, even more, in the absence of any history of trauma.

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Splenic Cysts

Cited by 20 publications

References 30 publications

Laparoscopic Partial Splenectomy Assisted by Fluorescence in a 13-Year-Old Girl

Laparoscopic Partial Splenectomy Assisted by Fluorescence in a 13-Year-Old Girl

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

Spontaneous splenic pseudocyst: Case report of a rare entity

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