Primary splenic cysts are uncommon lesions of the spleen. Splenic cysts are classified as primary or secondary on the basis of presence or absence of an epithelial lining. The primary cysts are further subdivided as parasitic or non-parasitic. The congenital non-parasitic cysts are rarely met in clinical practice and it constitutes approximately 10% of all splenic cysts. Congenital cysts are true cysts with an epithelial. Secondary cysts are in most cases posttraumatic. Patient at admission had lower abdominal pain and splenic cyst was asymptomatic. In routine abdominal pain investigation we found cyst of the spleen in diameter 2 cm. We made serodiagnostic tests for echinococcosis which were negative. After 3 years she came with left upper quadrant enlargement with tangible abdominal mass, increasing abdominal girth, decrease of appetite and sometimes vomiting. CT scan showed cyst enlargement in diameter 8 x 6 cm. Operative treatment was necessary and splenectomy was done. However, splenectomy remains a relatively safe procedure, associated with few complications and avoiding any future problems.
Papillary cystic neoplasm is a rare tumor and is usually found in young female patients. Procedure: Here we describe a rare case of PCN in 16year old girl, which was presented with abdominal pain in last 3 years. Preoperative diagnosis was suggested by ECHO and CT of the abdomen. The sonographic examination of the abdomen showed a tumor measuring 6.5 x 5.5cm in diameter in epigastrium. It was excised totally. Histological description confirmed the diagnosis of PCN. The patient is currently in good health without signs of relapse 3 years after surgery. Discussion: Our patient is one of the very few adolescent patients with PCN who was treated successfully with surgery. ECHO and CT of the abdomen suggested the diagnosis which was confirmed by histopatological examination. Conclusion: The diagnosis of PCN is suspected by ECHO and CT of the abdomen and confirmed by specific histologic features. Prognosis is good and tumor should be excised whenever detected.
Pseudopapillary cystic neoplasm of the pancreas (Frantz tumor) is rare slow growing tumor with low malignant potential usually affecting young women. PCN have good prognosis in case of radical removal. Tumor was described for the first time by Frantz in 1959. A retrospective clinical analyses was made of two patients with PCN admitted in our hospital in the last 10 years. A 16 year old girl admitted in our hospital with intermittent abdominal pain lasting for 3 years. Abdominal ultrasound and CT-scan showed the presence of the tumor in a head of pancreas. Excision was performed. A 13 year boy came to routine US because frequent urological infection. Abdominal US and after CT are showed the presence of the tumor in a neck of pancreas. Excision was performed. In both of patients metastases were not noticed. The follow up period was 9 years in female patient and 2 years in male patient, Surgical resection of PCN affords an excellent prognosis without other ways of treatments
A b s t r a c t Background. Ovarian haemangioma are very rare type of tumors, although the ovary itself is a highly vascularised organ. Such benign tumors of the blood vessels are rare in ovaries during childhood. Clinical case. We described a 13-year-old girl with an ovarian haemangioma presented clinically with acute abdomen symptoms -abdominal and pelvic pain and vomiting. The pelvic mass was noted and sonography revealed a huge cystic tumor with probably ovarian torsion. A left salpingo-oophorectomy and appendectomy were performed with an uneventful postoperative course. Pathology examination revealed a cavernous haemangioma of the ovary.Conclusion. Haemangiomas of the ovary, especially in children, are very rare type of the benign tumor. Surgical extirpation of the involved areas is the treatment of the choice.
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