A case of ruptured splenic cyst with elevated serum levels of CEA treated by laparoscopic unroofing

Okuno, Masataka; Yuasa, Norihiro; Takeuchi, Eiji; Goto, Yuichi; Miyake, Hideo; Nagai, Hidemasa; Yoshioka, Yuichiro; Miyata, Kanji

doi:10.1007/s12328-019-00980-0

Cited by 6 publications

(8 citation statements)

References 25 publications

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“…However, as ruptured cysts are even more uncommon, we concluded that 20 studies have been published addressing 21 cases with ruptured non-parasitic splenic cysts, the oldest study being published in 1960 (table 2). 8–26 Age varies from 6 to 46 years old with our study presenting the oldest patient. All cases presented with abdominal pain which was sometimes accompanied by left shoulder pain, nausea or vomiting.…”

Section: Discussionmentioning

confidence: 89%

“…Blood tests did not show any significant increased infection parameters (leucocytes 10.8×10 9 /L and C-reactive protein (CRP) <1 mg/L). Tumour markers were not determined as these have no clinical significance for the treatment of splenic cysts 8. Ultrasound (US) of the abdomen showed a splenic cyst sized 10.0×8.8×10.5 cm surrounded by free fluid, from which 12 cc was punctured.…”

Section: Investigationsmentioning

confidence: 99%

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Spontaneous rupture of a non-parasitic splenic cyst

Knook

Hazelbag

et al. 2019

BMJ Case Rep

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Rupture of a non-parasitic splenic cyst is a rare but possibly dangerous complication with 21 cases described so far. We present a 46-year-old woman who presented with acute abdominal pain and was diagnosed with a spontaneous ruptured splenic cyst that was successfully treated by laparoscopic splenectomy. Histological examination showed characteristics corresponding with a non-parasitic congenital cyst that had lost its epithelial lining. Several treatment options can be considered for splenic cysts, depending on size and location. In case of rupture, the clinical condition of the patient should be taken into account.

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Section: Discussionmentioning

confidence: 89%

Section: Investigationsmentioning

confidence: 99%

Spontaneous rupture of a non-parasitic splenic cyst

Knook

Hazelbag

et al. 2019

BMJ Case Rep

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“…However, large cysts result in the development of nonspecific abdominal complaints, such as discomfort, nausea, pain, or detecting a palpable mass formation situated mainly in the left hypochondriac region 11 , 17 . Nevertheless, a small percentage of patients initially present with disease-related complications, such as infections, cystic hemorrhage, or rupture 18 , 19 . Patients could also present with an unexplained thrombocytopenia, but this seldom occurs 20 , 21 .…”

Section: Discussionmentioning

confidence: 99%

Unraveling a rare splenic pathology: a case report of a benign hemorrhagic spleen with primary congenital splenic epidermoid cysts

Al Laham,

Sharaf Aldeen,

Al Kurdi

et al. 2023

Annals of Medicine &Amp; Surgery

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Introduction and importance: A primary congenital splenic epidermoid cyst is an immensely rare pathology with mostly unknown epidemiological parameters. Misdiagnosis can easily happen and this results in life-threatening ramifications for patients. Considering this pathology as a potential differential diagnosis allows for the required surgical intervention to be timely accomplished. In this case, we are documenting this pathology and presenting how it was successfully managed via proper and informed preoperative analysis and meticulous intraoperative technique. Case Presentation: Hereby, we portray the exceptionally rare case of a 7-year-old male who presented to our surgical clinic complaining of a sudden left hypochondriac pain with early satiety for 1 month’s duration. The preoperative radiological assessment displayed numerous splenic cystic lesions throughout the splenic parenchyma. Clinical Discussion: Resection of the cysts was accomplished via total splenectomy. The ensuing histopathological analysis via Hematoxylin and Eosin of the resected specimens established the diagnosis of a congested hemorrhagic spleen with multiple primary congenital splenic epidermoid cysts. Conclusion: Primary congenital splenic epidermoid cysts are an extremely rare type of splenic pathology. There is profound scarcity amidst the published literature regarding it. This merits in-depth study and apt documentation to raise awareness regarding this pathology as a potential differential diagnosis in cases of abdominal pain. Documentation allows us to set up proper and innovative clinical and surgical protocols for these patients. Based on our conclusive review of the published literature, we conclude that ours is the first ever documented case from our country of a primary congenital splenic epidermoid cyst.

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“…Existe evidencia en forma de reporte de casos, de pacientes con quistes epidermoides del bazo, que cursaron con incremento de CA 19-9, CA 125 y antígeno carcinoembrionario; así como de su normalización postoperatoria (Takagi et al, 2014;Buda et al, 2018;Okuno et al, 2019).…”

Section: Discussionunclassified

“…El tratamiento de elección de los quistes esplénicos, es la cirugía (Pouché et al); ya sea la esplenectomía con remoción total de quiste por laparotomía o vía laparoscópica (Mertens et al, 2007;Z˙yluk & Puchalski;Lobascio et al, 2017;Okuno et al;Res et al); como también la extirpación del quiste con conservación de bazo (Kapp et al, 2016). También existe evidencia reciente de exéresis utilizando robot (Kirih et al, 2020).…”

Section: Discussionunclassified

Quiste Epitelial Esplénico Gigante, Características Morfológicas y Evolución Postoperatoria. Reporte de un Caso

Manterola

2021

Int. J. Morphol.

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RESUMEN: Los quistes primarios del bazo (QPB), son lesiones poco frecuentes en patología quirúrgica; los mayores de 5 cm o sintomáticos deben ser tratados quirúrgicamente para evitar el riesgo de complicaciones. Se debe realizar un examen histopatológico para confirmar el subtipo de quiste esplénico y descartar una eventual transformación maligna del revestimiento epitelial pluripotencial. El objetivo de este manuscrito fue reportar un caso de QPB intervenido quirúrgicamente y revisar la evidencia existente respecto de sus características morfológicas, terapéuticas y pronósticas. Caso clínico: Se trata de una mujer de 18 años (MAC), que consultó por distensión abdominal progresiva, de varios meses de evolución. La tomografía abdominal reveló la existencia de una masa heterogénea de 21 cm de diámetro mayor, en relación con el colon transverso y la curva mayor gástrica. El examen intraoperatorio reveló una masa sólidoquística que surgía del mesocolon transverso. La cirugía consistió en la esplenectomía y exéresis en bloque del tumor. La paciente evolucionó de forma satisfactoria, dándose de alta al quinto día del postoperatorio. El diagnóstico de quiste epitelial esplénicose estableció en base al examen patológico de la pieza quirúrgica. Cursando su 6º mes postoperatorio sin inconvenientes. Se realizó control tomográfico, que permitió verificar un bazo supernumerario funcionante.PALABRAS CLAVE: Enfermedades del bazo; Quiste esplénico; Quiste epidérmico del bazo.

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A case of ruptured splenic cyst with elevated serum levels of CEA treated by laparoscopic unroofing

Cited by 6 publications

References 25 publications

Spontaneous rupture of a non-parasitic splenic cyst

Spontaneous rupture of a non-parasitic splenic cyst

Unraveling a rare splenic pathology: a case report of a benign hemorrhagic spleen with primary congenital splenic epidermoid cysts

Quiste Epitelial Esplénico Gigante, Características Morfológicas y Evolución Postoperatoria. Reporte de un Caso

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