Huge Non-parasitic Mesothelial Splenic Cyst in a Child: A Case Report and Literature Review

Abstract

Background: Splenic cysts are one of the relatively rare conditions in pediatric surgery practice. Primary non-parasitic splenic cysts are even more scarce. Case presentation: A 13-years-old female patient presented with chronic left hypochondrial pain of 2 months duration. Abdominal ultrasonography and computed tomography revealed huge 18 cm × 14 cm × 10 cm splenic cyst. Deroofing of the cyst was done which was complicated by secondary infection. Subsequently, the patient was re-operated on and partial splenectomy done with good outcome at 6 months follow up. Conclusion: Partial splenectomy is the best management strategy for huge non-parasitic splenic cysts in children. There is also less recurrence rate of splenic cysts with preservation of splenic functions.

Surgical treatment of benign splenic lesions in pediatric patients: a case series of 30 cases from a single center

“…As in our case series 56.7% (17/30) are CECs, and 26.7% (8/30) are vascular malformations. Some patients with benign splenic lesions are asymptomatic [10], however in surgical cases the most common clinical symptoms are abdominal pain in the left hypochondrium area, and abdominal mass (splenomegaly) [10,11], which is in accordance with our surgical series. Our indications for surgical intervention include clinical symptoms, large lesions (> 5 cm), or diagnostic purposes, which were consistent with reported indications [12].…”

“…The mean age at surgery was 116.4 ± 43.6 months. Three patients (case 11,12,21) were diagnosed as recurrent splenic cyst after previous surgical unroofing at other centers (Fig. 1A), and the previous procedures were not analyzed in this study.…”

“…In children the most common type of nonparasitic splenic cysts is CEC [11], and we didn't encounter any parasitic cysts, which might be geographically specific. The epithelial lining of CECs includes three basic types: mesothelium, transitional epithelium, and stratified squamous epithelium [13,14].…”

“…According to the International Society for the Study of Vascular Anomalies (ISSVA), splenic lymphangioma and hemangioma should be considered as lymphatic and capillary malformations rather than tumors, and both belong to vascular malformations [11,16]. A lesion with mixed form of lymphatic and capillary malformations is also proposed as "combined vascular malformation" by ISSVA classification [16,17].…”

Tissue-Welding Device: Considerable Advantages for Spleen Surgery Based on Histological and Cardiorespiratory Investigation

“…e thermal effect of an electrocoagulator on the tissue depends on the duration of application, the energy level, and the biological properties of the tissues [1, 2, 4-6, 8-10, 12-28]. A laser causes thermal damage, necrosis, and carbonization, not only in the damaged bone tissue but also in the surrounding soft tissues [1,5,6,8,9,[12][13][14][15][16][17][18][19][20][21][22]. ere is minimal information on the tissue-welding device and the healing process following its use, but the hypothesized working principle of tissuewelding devices is based on the denaturation of albumin, collagen, and elastin in the blood vessel walls [29].…”