Epithelial cyst of spleen presenting as hypersplenism

Banerjee, Jayant Kumar; Bharathi, Ramanathan Saranga; Somasundaram, Venkatesan; Singh, Giriraj

doi:10.1016/j.mjafi.2016.10.010

Cited by 3 publications

(1 citation statement)

References 4 publications

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“…18 Even rare cases of epithelial cysts presenting with hypersplenism have been described. 19 One case of hypersplenism showed massive splenic enlargement (Weight -2800g) with evidence of extramedullary hematopoiesis(EMH) without any evidence of myeloproliferative neoplasm(MPN). This has been also seen in a study where 2 cases of idiopathic EMH, were incidentally discovered in the spleen while evaluating unrelated symptoms with none harboring malignancies or showing subsequent development of MPN or other myeloid malignancies.…”

Section: Discussionmentioning

confidence: 99%

A histopathological study of spectrum of splenic lesions- An eleven year analysis of clinical and pathological aspects of splenectomy specimens in a tertiary care hospital

Namratha¹,

Vijaya²,

Bhadran³

2022

IJPO

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: The spleen is the largest organ in the mononuclear phagocytic system which plays a prominent role in systemic inflammation, hematopoietic disorders, and metabolic disturbances. Our limited understanding of the pathological processes in the spleen is due to the recent changing trends in the indications for splenectomy and the limited number of splenectomy specimens available for examination. Splenectomies are rarely performed for diagnostic purposes and are usually done as a therapeutic procedure. The aim of the study is to analyse the etiological factors responsible for splenectomy and correlate factors such as age, sex and indications with macroscopic and histopathogical features in splenectomy specimens. : The present study is retrospective in nature and studies the histomorphological patterns in 68 splenectomy specimens received at the department of pathology at a single tertiary care center in Southern India. : It was found that the male: female ratio was 1.4:1. The age of patients ranged from 6 to 75 years and the mean age was 37 years. Traumatic injury was found to be the most common indication for splenectomy (32.35%) followed by hypersplenism and portal hypertension. Congestive splenomegaly was the most common pathology in the specimens studied while a few rare incidental lesions were encountered. : This study reflects the current trends in the indications and surgical pathology of splenectomy specimens in a tertiary care teaching center.The indications for splenectomy correlated well with the histological findings.

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Section: Discussionmentioning

confidence: 99%

A histopathological study of spectrum of splenic lesions- An eleven year analysis of clinical and pathological aspects of splenectomy specimens in a tertiary care hospital

Namratha¹,

Vijaya²,

Bhadran³

2022

IJPO

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Large splenic epithelial cyst: A rare presentation

Hammouda

Mabrouk

Bellalah

et al. 2022

International Journal of Surgery Case Reports

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Transumbilical single-site laparoscopic treatment of primary splenic cyst in child: a rare case report and review of literature

Kong,

Chen,

Bai

et al. 2024

Front. Pediatr.

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BackgroundSplenic cysts are relatively rare benign tumors that are asymptomatic in most patients and are usually discovered incidentally by imaging. In our case, we report a splenic cyst in a child who underwent laparoscopic partial splenectomy.Case descriptionA 13-year-old boy was admitted to the hospital after an incidental finding of a splenic cyst on an abdominal ultrasound conducted 4 days prior. He was asymptomatic before admission. Upon admission, abdominal ultrasound and CT revealed a cystic lesion in the spleen, highly suspicious for a splenic cyst. Then, we used transumbilical single-site laparoscopic exploration and found a cyst measuring approximately 12 cm × 11 cm × 10 cm at the upper pole of the spleen, so we performed a partial splenectomy and diagnosed a primary epithelioid splenic cyst via postoperative pathology.ConclusionsSplenic cysts in children are very rare and can be treated conservatively in asymptomatic patients with a diameter of less than 5 cm, while surgery is required in symptomatic patients or those with a diameter greater than or equal to 5 cm. Transumbilical single-site laparoscopic partial splenectomy is a minimally invasive and effective treatment, especially for children.

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Epithelial cyst of spleen presenting as hypersplenism

Cited by 3 publications

References 4 publications

A histopathological study of spectrum of splenic lesions- An eleven year analysis of clinical and pathological aspects of splenectomy specimens in a tertiary care hospital

A histopathological study of spectrum of splenic lesions- An eleven year analysis of clinical and pathological aspects of splenectomy specimens in a tertiary care hospital

Large splenic epithelial cyst: A rare presentation

Transumbilical single-site laparoscopic treatment of primary splenic cyst in child: a rare case report and review of literature

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