Spontaneous Rupture of a True Splenic Cyst Diagnosed by Laparoscopy

Karasakalides, A.; Ganas, E.; Triantafillidou, Sofia; Lagonidis, D.; Papapavlou, Leonidas; Νάκος, Γεώργιος

doi:10.1007/s10620-006-9076-6

Cited by 4 publications

(2 citation statements)

References 34 publications

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“…Only 13 cases of ruptured splenic cysts have been reported (table 1) [5,6,7,8,9,10,11,12,13,14,15,16,17]. In those studies, the mean age of the patients was 20.0 years (range 9–36 years), and the mean diameter of the cysts was 8.6 cm (range 4–14 cm) in diameter.…”

Section: Discussionmentioning

confidence: 99%

Spontaneously Ruptured Giant Splenic Cyst with Elevated Serum Levels of CA 19-9, CA 125 and Carcinoembryonic Antigen

Inokuma¹,

Minami²,

Suga³

et al. 2010

Case Rep Gastroenterol

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Splenic cyst is a relatively rare disease; however, the occurrence of complications associated with its rupture is even more rare. A 20-year-old female patient who had severe abdominal and left shoulder pain was admitted to our hospital. The patient’s abdomen was hard and tender to the touch and she presented with a high fever. The patient’s serum levels of the tumor markers carbohydrate antigen 19-9, cancer antigen 125 and carcinoembryonic antigen were high. Ultrasonography and computed tomography of the abdomen showed an 11-cm multilocular cystic lesion in the spleen and the presence of free intraperitoneal fluid. Peritonitis with ruptured splenic cyst was diagnosed, and the patient underwent an emergency laparotomy. The abdominal cavity was filled with purulent fluid. The cyst was localized to the spleen and had already ruptured. Total splenectomy and cyst resection were performed. The postoperative course was uneventful. The patient was discharged on day 9 following surgery. The histological findings showed the lesion to be a benign epidermoid cyst completely lined with inner stratified squamous epithelium with a capsule of connective tissue. In the immunostaining analyses, the squamous epithelium was positive for carcinoembryonic antigen. A ruptured splenic cyst causes sudden onset of severe peritonitis and elevation of serous tumor markers. An emergency operation is indicated as the treatment for a ruptured splenic cyst with peritonitis, after which a favorable outcome can be expected.

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Section: Discussionmentioning

confidence: 99%

Spontaneously Ruptured Giant Splenic Cyst with Elevated Serum Levels of CA 19-9, CA 125 and Carcinoembryonic Antigen

Inokuma¹,

Minami²,

Suga³

et al. 2010

Case Rep Gastroenterol

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“…However, as ruptured cysts are even more uncommon, we concluded that 20 studies have been published addressing 21 cases with ruptured non-parasitic splenic cysts, the oldest study being published in 1960 (table 2). 8–26 Age varies from 6 to 46 years old with our study presenting the oldest patient. All cases presented with abdominal pain which was sometimes accompanied by left shoulder pain, nausea or vomiting.…”

Section: Discussionmentioning

confidence: 89%

Spontaneous rupture of a non-parasitic splenic cyst

Knook

Hazelbag

et al. 2019

BMJ Case Rep

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Rupture of a non-parasitic splenic cyst is a rare but possibly dangerous complication with 21 cases described so far. We present a 46-year-old woman who presented with acute abdominal pain and was diagnosed with a spontaneous ruptured splenic cyst that was successfully treated by laparoscopic splenectomy. Histological examination showed characteristics corresponding with a non-parasitic congenital cyst that had lost its epithelial lining. Several treatment options can be considered for splenic cysts, depending on size and location. In case of rupture, the clinical condition of the patient should be taken into account.

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