AN EPITHELIAL CYST OF SPLEEN- A RARE CLINICAL ENTITY: A CASE REPORT

Ravi V Patel, Yugal Jain, Pradeep Sharma

Abstract


Splenic cysts are very rare clinical entity. They can be classified in many types. According to one classification splenic cysts are classified as primary and secondary cyst. Primary cysts are again classified as parasitic and non-parasitic. Non parasitic is further classified as congenital and neoplastic. Congenital cysts are again classified as cystic haemangioma, cystic lymphangioma, epithelial cyst or dermoid cyst. Secondary cysts are also called as pseudo cyst or posttraumatic cyst. Here we are discussing a case of splenic cyst which was diagnosed as epithelial cyst which is a type of primary non parasitic congenital cyst. The patient presented with abdominal pain and nausea and vomiting. USG and CT scan were suggestive of cystic lesion originating from spleen with multiple septa. Patient was given pneumococcal and meningococcal vaccine 2 weeks prior and was operated for laparoscopic splenectomy.   


Keywords


Epithelial cyst, Splenic cyst, Laparoscopic Splenectomy

Full Text:

PDF

References


Martin, J. W. (1958). Congenital splenic cysts. The American Journal of Surgery, 96(2), 302-308.

Fowler, R. H. (1953). Nonparasitic benign cystic tumors of the spleen. In Int Abstr Surg (Vol. 96, pp. 209-227).

Cebollero, M. P., Cordoba, E., Escartin, J., Cantin, S., Artigas, J. M., & Esarte, J. M. (2001). Hydatic cyst of spleen. Journal of clinical gastroenterology, 33(1), 89-90.

Ingle, S. B., Hinge, C. R., & Jatal, S. N. (2013). An interesting case of primary epithelial cyst of spleen. Indian Journal of Pathology and Microbiology, 56(2), 181.

Robbins, F. G., Yellin, A. E., Lingua, R. W., Craig, J. R., Turrill, F. L., & Mikkelsen, W. P. (1978). Splenic epidermoid cysts. Annals of surgery, 187(3), 231.

Harding, H. E. (1933). A large inclusion cyst in a spleen. The Journal of Pathology and Bacteriology, 36(3), 485-485.

Rana, A. P. S., Kaur, M., Singh, P., Malhotra, S., & Kuka, A. S. (2014). Splenic epidermoid cyst-a rare entity. Journal of clinical and diagnostic research: JCDR, 8(2), 175.

Sakamoto, Y., Yunotani, S., Edakuni, G., Mori, M., Iyama, A., & Miyazaki, K. (1999). Laparoscopic splenectomy for a giant splenic epidermoid cyst: report of a case. Surgery today, 29(12), 1268-1272.

Karlo, C. A., Stolzmann, P., Do, R. K., & Alkadhi, H. (2013). Computed tomography of the spleen: how to interpret the hypodense lesion. Insights into imaging, 4(1), 65-76.

Hansen, M. B., & Moller, A. C. (2004). Splenic cysts. Surgical Laparoscopy Endoscopy & Percutaneous Techniques, 14(6), 316-322.

Morgenstern, L. (2002). Nonparasitic splenic cysts: pathogenesis, classification, and treatment. Journal of the American College of Surgeons, 194(3), 306-314.

Losanoff, J. E., Richman, B. W., & Jones, J. W. (2003). Hand-assisted laparoscopic surgery of splenic cysts. Journal of Laparoendoscopic & Advanced Surgical Techniques, 13(5), 339-340

Dan, D., Bascombe, N., Harnanan, D., Hariharan, S., & Naraynsingh, V. (2010). Laparoscopic management of a massive splenic cyst. Asian journal of surgery, 33(2), 103-106.

Maskey, P., Rupakheti, S., Regmi, R., Adhikary, S., & Agrawal, C. S. (2007). Splenic epidermoid cyst. Kathmandu Univ Med J, 5(2), 250-2.

Tagaya, N., Oda, N., Furihata, M., Nemoto, T., Suzuki, N., & Kubota, K. (2002). Experience with laparoscopic management of solitary symptomatic splenic cysts. Surgical Laparoscopy Endoscopy & Percutaneous Techniques, 12(4), 279-282.

Centers for Disease Control and Prevention (CDC). (1997). Recommendations of the Advisory Committee on Immunization Practices (ACIP): Prevention of pneumococcal disease. MMWR, 46, 1-24.

Shatz, D. V., Romero-Steiner, S., Elie, C. M., Holder, P. F., & Carlone, G. M. (2002). Antibody responses in postsplenectomy trauma patients receiving the 23-valent pneumococcal polysaccharide vaccine at 14 versus 28 days postoperatively. Journal of Trauma and Acute Care Surgery, 53(6), 1037-1042.


Refbacks

  • There are currently no refbacks.