A Case of Post-Traumatic Pseudocyst in the Spleen Successfully Treated with Alcohol Sclerotherapy

Abstract

This report details a case of post-traumatic pseudocyst in the spleen that was successfully treated with sclerotherapy using ethanol. A sixteen-year-old boy visited our hospital for a follow-up examination of a splenic cyst. He had experienced blunt trauma to the abdomen three years prior to presentation. An abdominal computed tomography scan revealed a large cyst of the lower pole of the spleen. The cyst was 6.8×9.5×7.0 cm and conservative management was tried. A follow-up ultrasonographic examination three years later revealed that the size of the cyst was unchanged and another treatment was needed to prevent complications. One session of sclerosis with ethanol (90 mL of 99% ethanol) percutaneously was applied to the cyst. A follow-up after four months revealed that the cyst had completely resolved.

Splenic cyst following trauma, the intraoperative decision on definitive management

“…There are data in literature on the effectiveness of sclerotization with alcohol as well as on percutaneous treatment known as PAIR (puncture, aspiration, injection, reaspiration) [10,11]. The insight into the effectiveness of these techniques is limited to a small number of case reports, without larger series and without data on long-term follow-up of patients treated in this way.…”

Percutanious sclerotization of non -parasitic splenic cysts

“…В последнее время появляется все больше сообщений о чрескожных минимально инвазивных методах лечения непаразитарных кист селезенки под контролем УЗИ или КТ, однако в мировой литературе описано большое число рецидивов после таких вмешательств [16,17]. Возможно, это связано с до конца неясным патогенезом истинных непаразитарных кист селезенки, особенностей нарушения эмбриогенеза, при которых мезотелиальные клетки, попадая в селезенку, способствуют развитию внутренней выстилки кисты, подвергающейся метаплазии в многослойный плоский эпителий.…”

Blužnies Cistos: Klinikinis Atvejis Ir Literatūros Apžvalga

“…Dalinės cistektomijos metu rekomenduojama pašalinti kuo didesnę dalį cistos sienelės, kad ji neužsivertų [12,16,17]. Pirminėms blužnies cistoms taip pat tinka PAIR (perkutaninė aspiracinė injekcinė reaspiracija), pirminėms ir antrinėms -PEA metodas (perkutaninė etanolinė abliacija) [18,20,21]. 2016 m. Yang ir kt.…”