Communicating pancreatic and splenic pseudocysts: A case report

Haddad, F.; Araydah, Mohammad; Sharie, Sarah Al; Haddad, R.; Azar, Shadi F.

doi:10.1016/j.radcr.2022.10.013

Cited by 2 publications

(1 citation statement)

References 30 publications

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“…Псевдокисты поджелудочной железы являются частым осложнением острого и хронического панкреатита [9]. По данным литературы, панкреатическая псевдокиста может быть этиологическим фактором формирования вторичной кисты селезенки [10]. Это обусловлено анатомической близостью хвоста поджелудочной железы и ворот селезенки, создающей возможность прямой экспансии панкреатической псевдокисты или попадания секрета поджелудочной железы в паренхиму селезенки, в том числе по кровеносным сосудам [9].…”

Section: Discussionunclassified

Large Splenic Cyst: a Case Report

Каленчиц,

Кабак,

Сяхович

et al. 2024

Рецепт

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В статье описан клинический случай диагностики бессимптомной кисты селезенки больших размеров у 44-летнего пациента терапевтического отделения с внегоспитальной пневмонией. По данным компьютерной томографии размеры кисты составляли 173×242×261 мм. Наряду с кистой селезенки были выявлены кистозные образования в головке и хвосте поджелудочной железы. Анатомическая близость хвоста поджелудочной железы и ворот селезенки создает возможность прямой экспансии панкреатической псевдокисты или попадания секрета поджелудочной железы в паренхиму селезенки. В последующем в хирургическом отделении из кисты было аспирировано 2 литра лизированной крови с нитями фибрина. In this case report, a splenic cyst in a 44-year-old male with community-acquired pneumonia is presented. CT scan measurements of cyst were found to be 173×242×261 mm. Along with the splenic cyst, pancreatic pseudocysts were identified in the head and tail of the pancreas. The anatomical proximity of the tail of the pancreas to the hilum of the spleen creates the possibility of direct expansion of the pancreatic pseudocyst or entry of pancreatic secretions into the splenic parenchyma. Subsequently, in the surgical department, 2 liters of lysed blood with fibrin threads were aspirated from the cyst.

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Section: Discussionunclassified

Large Splenic Cyst: a Case Report

Каленчиц,

Кабак,

Сяхович

et al. 2024

Рецепт

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A Giant Non-Traumatic Splenic Pseudocyst Successfully Treated With Cyst Aspiration and Partial Cystectomy: A Case Report and Review of Literature

Abu Sabha,

Thalji,

Abu Laila

et al. 2024

Cureus

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Splenic cysts are extremely rare entities that typically result from prior abdominal trauma, infections, and degenerative diseases. They are divided into two categories: true cysts with epithelial lining, and false pseudocysts without epithelial lining, which is more common than true cysts.We describe here a case of a non-traumatic splenic pseudocyst in a healthy 29-year-old male patient, who presented with left upper quadrant abdominal pain. Physical examination revealed scaphoid abdomen and left hypochondrium fullness. The spleen was uniformly enlarged, smooth, and firm, with mild tenderness. Laboratory testing was normal. An abdominal CT scan showed a huge unilocular non-enhancing cyst occupying the upper part of the spleen, measuring around 16 × 18.5 × 20 cm. The patient was managed with cyst aspiration and partial cystectomy. The histopathological examination findings are consistent with splenic pseudocyst. A one-year follow-up period revealed no complications or recurrence.Spleen cysts are rare in clinical practice, posing challenges in diagnosis and treatment. Surgical options include partial or total splenectomy, cyst aspiration, percutaneous drainage, partial cystectomy, and marsupialization. The choice depends on the cyst's size, splenic coverage, and relation to the hilum. Recently, spleen-preserving approaches have been favored to avoid life-threatening sepsis.Non-traumatic splenic pseudocysts present significant diagnostic dilemmas, requiring histopathological examination for definitive diagnosis. Spleen-preserving management is highly recommended to reduce the risk of life-threatening sepsis.

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Communicating pancreatic and splenic pseudocysts: A case report

Cited by 2 publications

References 30 publications

Large Splenic Cyst: a Case Report

Large Splenic Cyst: a Case Report

A Giant Non-Traumatic Splenic Pseudocyst Successfully Treated With Cyst Aspiration and Partial Cystectomy: A Case Report and Review of Literature

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