Nonparasitic splenic cysts: a report of 52 cases with radiologic-pathologic correlation

Abstract

[5, 6]. This series demonstrates the spectrum of radiologic findings and provides new evidence as to the pathogenesis of false cysts. Materials and MethodsFor 52 cases of nonneoplastic, nonparasitic splenic cysts with radiographs in the files of the Registry of Radiologic Pathology at the AFIP, clinical data were derived from summaries submitted by the case contributors.All diagnoses were confirmed by review of both gross and histologic data by the Department of Hematologic Pathology. The cysts were categorized as either "true' or "false.

Spleen Salvaging Treatment Approaches in Non-parasitic Splenic Cysts in Childhood

“…Thereafter, with conservative splenic surgery gaining popularity, we performed partial splenectomy (n=2) preserving more than 25 % of the splenic parenchyma, which is the minimal splenic tissue required to preserve immunologic protection [2] and total cyst excision (either open n=4 or laparoscopically n=1) regardless of the cysts' location, size, and proximity to the hilum based on our subsequent experiences. Additionally, we considered that in all situations, the size of the splenic remnant and the relation of the cyst to the hilar vessels are the aspects that can be only definitively determined at the time of operation [3]. Because of this, in three patients, with huge splenic cysts with a limited parenchyma located close to hilar vessels, we performed total cyst excision with delicate bleeding control, preserving the hilar vessels and remaining splenic parenchyma.…”

“…The non-operative management of splenic trauma and the growing use of imaging modalities in the evaluation of abdominal pain have contributed to the diagnosis of increased number of splenic cysts in children [2]. They are usually asymptomatic and are often discovered incidentally when investigating other symptoms or examining a patient after trauma [3]. Therefore, the rising incidence of diagnosed splenic cysts may be due to the increased use of abdominal US and other types of imaging [3,4].…”

“…They are usually asymptomatic and are often discovered incidentally when investigating other symptoms or examining a patient after trauma [3]. Therefore, the rising incidence of diagnosed splenic cysts may be due to the increased use of abdominal US and other types of imaging [3,4].…”

Non-traumatic pseudocyst of the spleen: A case report

“…Th e diagnosis of a false cyst should be favored, if there is a clear history of trauma, hematoma elsewhere in the spleen, or if the cyst wall is calcifi ed. Th e diff erential diagnosis includes echinococcal cyst (oft en has multiple septations), large solitary abscess or hematoma, or cystic neoplasm of spleen (hamartoma, hemangioma or lymphangioma) 7 .…”

Cistos esplênicos não-parasitários

“…In Addition, they share the same histological appearance of ovarian dermoid cysts that originate from primordial germ cells 19,20 . Pseudocysts Pseudocysts Pseudocysts Pseudocysts Pseudocysts They are called pseudocysts because they do not have capsule 21 . They correspond to about 75% of parasitic cysts of the spleen.…”