Non-parasitic splenic cysts: A report of three cases

Abstract

Primary splenic cyst is a relatively rare disease, and the majority of cases are classified as epithelial cysts. Three cases with nonparasitic splenic cysts are presented: two epithelial and one pseudocyst. All cases had an atypical symptomatology, consisted mainly of fullness in the left upper abdomen and a palpable mass. Preoperative diagnosis was established with ultrasonography and computerized tomography. Two cases with large cysts located in the splenic hilum were treated with open complete splenectomy. The most recent case, a pseudocyst, was managed laparoscopically with partial cystectomy. All cases did not have any problems or recurrence during follow-up. Laparoscopic partial cystectomy is an acceptable procedure for the treatment of splenic cysts, because it cures the disease preserving the splenic tissue. Complete splenectomy is reserved for cases in which cyst excision cannot be done otherwise.

Giant true cyst of the spleen with elevated serum markers, carbohydrate antigen 19-9 and cancer antigen 125

“…Indeed, the spleen has an important role in haematopoiesis, immune function, and protection against infections and malignancies. Today, the optimal treatment options are partial splenectomy (preserving >25%), total cystectomy, marsupialisation or cyst decapsulation (unroofing), with access by open laparotomy or laparoscopy 1 , 10. The recurrence of splenic cysts occurs usually in cases where the primary splenic cyst was incompletely removed.…”

Non-traumatic pseudocyst of the spleen: A case report

“…Most of the splenic cysts are asymptomatic until they reach signifi cant sizes. Large cysts may cause left sided upper abdominal pain and other symptoms of space occupation, secondary to the enlarging cystic mass within the abdominal cavity 5 . Symptomatic cysts and cysts larger than 5 cm, whether symptomatic or not, are generally managed surgically.…”

Laparoscopic splenectomy: the clinical practice guidelines of the European Association for Endoscopic Surgery (EAES)

“…If symptoms evolve, they are vague and appear when the cyst has reached a certain size.The symptoms include abdominal pain, fullness, nausea, vomiting, flatulence and diarrhea, and irritation of the left diaphragm followed by cough or pneumonia. Occasionally, cysts present by hemorrhage, infection, or rupture [57].…”