Splenic Cysts in Pediatric Patients - A Report on 8 Cases and Review of the Literature

Abstract

8 cases of splenic cysts are reported: treatment was surgical in 4 large cysts (greater than 5 cm, 3 epidermoids and 1 pseudocyst), and non-operative in 4 small cysts (less than 5 cm, 3 post-traumatic pseudocysts and 1 congenital cyst, probably epidermoid). Follow-up was over a period of 3 months to 7 years. 3 among the 4 post-traumatic pseudocysts were followed up by ultrasound until resolution (3 months to 3 years), and 1 large pseudocyst was operated on due to rupture following benign trauma. 3 large cysts were epidermoid in origin, 1 was electively operated, and 2 were discovered and operated on because of complications (rupture, infection). Only one total splenectomy was performed; surgery preserved the spleen in all other cases; but 1 epidermoid cyst presents now with a recurrence. Based on this experience, we suggest frozen section of the cyst wall during surgery, to decide the type of partial splenectomy to be performed: total cystectomy or marsupialization.

Robot-assisted and laparoscopic partial splenectomy for nonparasitic cysts

“…В то же время существуют наблюдения полного регресса кист при их диаметре менее 5 см [24]. В работе C. Kenney и соавт.…”

Splenoptosis complicated by a large splenic cyst: case report and discussion of combined management

“…Intra-cystic haemorrhage has been reported as a possible cause of secondary cyst and also the sudden enlargement of primary cyst, presenting as an acute abdomen [8,12]. The presentation of acute abdominal pain in this case may have been due to a transient episode of torsion, leading to severe abdominal pain and shock like features.…”

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

“…For cysts larger than 5 cm in diameter or being symptomatic, the probability of rupture and infection increased [25,26], and should be treated surgically. Regretfully, no reason was given for choosing 5 cm as a standard.…”