Splenic cysts, many questions are yet to be answered: a case report

Abstract

We present two patients with splenic cysts. The first is a female 29-years-old who presented with upper abdominal discomfort of one-year duration. Imaging revealed a huge splenic cyst. Splenectomy was undertaken. Pathological examination revealed a lymphatic cyst. The second was an 18-years-old female who presented to the emergency department with a ruptured splenic cyst. Splenectomy was undertaken, it proved to be a simple cyst.

Ultrasound-guided percutaneous sclerosis of congenital splenic cysts using ethyl alcohol 96% and minocycline hydrochloride 10%: A pediatric series

“…The number of patients is unfortunately too few to provide statistically significant results but the high success rate achieved with percutaneous drainage and sclerotherapy with alcohol in renal cysts, hepatic cysts and lymphoceles, as well as the promising report of Akhan et al, supports our results [7,8,[24][25][26]30].…”

“…Percutaneous aspiration without sclerosis has been reported to be a successful treatment, but most investigators agree that simple aspiration of the cyst does not prevent recurrences, probably because of the persistence of a true secreting epithelial lining of the cyst [11,13,23]. For this reason injection of chemical agents, after aspiration, has been explored as a good alternative in the attempt to collapse the cyst wall, promote fibrosis and prevent re-accumulation [24]. Alcohol [11], formalin [25], phenol [26], pantopaque [27], doxycycline or tetracycline [23] have been used as sclerosing agents for percutaneous procedures of different abdominal fluid lesions.…”

Quiste epidermoide de bazo

“…dominales. El aumento de la realización de tomografías computarizadas (TC) ha hecho que la prevalencia de estos quistes también aumente 1 . Los quistes esplénicos pueden dividirse en parasitarios (quiste hidático) y no parasitarios.…”

Blužnies Cistos: Klinikinis Atvejis Ir Literatūros Apžvalga

“…blužnies parenchimos ir jos imunologinę funkciją. Ši procedūra gali būti atliekama, kai cista užima tik vieną blužnies polių, yra paviršinė ir gana nedidelė (garantuoja ¼ blužnies audinio išsaugojimą) [13,14,16,17]. Totalinė splenektomija indikuotina esant gigantinėms, daugybinėms, intraspleninėms cistoms (visiškai padengtoms blužnies parenchima), cistoms blužnies vartų srityje, taip pat parazitinėms arba komplikuotoms cistoms bei esant kitoms nepalankioms anatominėms ir chirurginėms sąlygoms [11,13,14,18].…”

“…Šis metodas sutrumpina operacijos trukmę ir padeda išvengti cistos atkryčių. Dalinės cistektomijos metu rekomenduojama pašalinti kuo didesnę dalį cistos sienelės, kad ji neužsivertų [12,16,17]. Pirminėms blužnies cistoms taip pat tinka PAIR (perkutaninė aspiracinė injekcinė reaspiracija), pirminėms ir antrinėms -PEA metodas (perkutaninė etanolinė abliacija) [18,20,21].…”