Cysts of the spleen are rare disease that affects the spleen. They are divided into primary and secondary in relation to the etiology and histopathology. We report two young patients of a boy aged 16 and a girl of 15 godina. Ultrasonography and CT of the abdomen showed a large cystic mass in the spleen unclear origin. On laparotomy for both the patient was found a large cyst that reached to the upper pole of the spleen and required total splenectomy. Histopathology showed fibrous cyst wall with areas of hyaline degeneration below which there is significant blood kongstion.Etipatogenesis and different modalities of treatment for cysts of the spleen are questionable. Although pseudocysts of the spleen are rare, they must be considered in the differential diagnosis of abdominal masses in the upper abdomen in young adolescents. ApstraktCiste slezine su retka bolest koja zahvata slezinu. One se dele na primarne i sekundarne u odnosu na etiologiju i patohistologiju. Prikazujemo dva mlada pacijenta jednog dečaka od 16 godina i jednu devojčicu od 15 godina. Ultrasonografija i CT abdomena pokazuju jednu veliku cističnu formaciju u slezini nejasnog porekla.Na laparatomiji kod oba pacijenta je nađena velika cista koja je dostizala do gornjeg pola slezine i zahtevala je totalnu splenektomiju. Histopatološki nalaz pokazuje fibrozni zid ciste sa poljima hijaline degeneracije ispod koga se nalazi značajna krvna kongstija. Etipatogeneza i različiti modaliteti tretmana kod cista slezine su diskutabilni. Iako su pseudociste slezine retke, one moraju biti razmatrane u diferencijalnoj dijagnozi abdominalnih masa u gornjem abdomenu u mladih adolescenata.Ključne reči: pseudocista, slezina, splenektomija PRIKAZI SLUČAJA CASE REPORTS UvodCiste slezine su retke u svakodnevnoj hirurškoj praksi. Postoje brojne klasifikacije cista slezine, ali jednu prostu i praktičnu podelu dao je Martin 1 : I. Primarne (prave ciste -obložene specifičnim sekretornim epitelom) A. Parazitarne B. Ne-parazitarne 1. Kongenitalne 2. Neoplastične II. Sekundarne ( ili-lažne ) ciste-bez pravog ćelijskog zida Sekundarne ( ili-lažne ) ciste se pojavljuju približno oko četiri puta češće od pravih cista slezine i mogu biti posttraumatske (hemoragične ili serozne), degenerativne (nakon infarkcije tkiva) ili inflamatorne i uglavnom nemaju epitel, već je zid izgradjen od fibroznog tkiva˝. Oko osam procenata lažnih cista su velike, solitarne i unilokularne. Prema Fowleru ehinokokne ciste su dva puta češće od ostalih formi neparazitarnih cista. Teorije o etiologiji cista slezine su brojne i spekulativne 3 . Najprihvaćenija teorija koja je naročito prihvatljiva za

Tumors of the gallbladder are rare. Adenomas of the gallbladder is mostly occur as papillary or tubular. Tubular adenomas of the gallbladder occur in middleaged and old people, and it is extremely rare in children. We present 61 year old woman in whom during an ultrasound examination of the abdomen for pain that lasts a long time discovered a chronic inflammation of the gallbladder and slightly polypoid tumor of the gallbladder. Cholecystectomy was performed based on ultrasonographic findings of polyps in the gallbladder. Macroscopic and microscopic established that it is a tubular adenoma type with intestinal epithelial dysplasia, which clearly indicates that it is adenoma with reliable signs of precancer Finding intraoperative cholangiography was normal, and the postoperative course was uneventful.

as evidenced by the limited number of reported cases, primary tumors of the spleen are very rare, and angiomata are extremely rare. We report a rare case of splenic angioma in the form of the inferior pole of the spleen in a 5 years male. Child was operated on, and the mass was found to be a tumor of the inferior pole of the spleen. He remains well after tow years of follow-up. The diagnostic and treatment options are reviewed and discussed. The authors reviewed the literature about splenic angioma in childrens, noticing that it is the ekstremely rare tumor. splenic angioma is a rare differential diagnosis to abdominal masses in childrens. The final diagnosis established by histopathologic and immunohistochemical analysis by two pathologists as follows: angioma of the spleen. Primary tumors of the spleen in children is very rare, especially angiomata are extremely rare. Partial splenectomy or partial splenic embolization are the method of choice when posible in primari benign tumors of the spleen in children.