A rare case or a huge asymptomatic splenic cyst

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COD: 2856_24_07_2018_EP Categorie: , ,

Panagiotis Charatsaris, Stylianos Kontostolis, Dimitrios Filippou, Panagiotis Skandalakis

Ann Ital Chir, Digital Edition 2018, 7
Epub, July 24

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Panagiotis Charatsaris, Stylianos Kontostolis, Dimitrios Filippou, Panagiotis Skandalakis

AIM: Splenic cysts are rare benign lesions of the spleen, usually asymptomatic and incidentally discovered at imaging.
MATERIAL AND METHODS: A case of huge epidermoid cyst of the spleen on a 16 years old female patient is presented.
This case was symptomatic with fullness and palpable mass in the entire abdomen.
RESULTS: Initial evaluation with ultrasound and computed tomography established the diagnosis with the greater dimension
of the cyst about 25cm. Because of the size and the relation with the hilum of the spleen, splenectomy was performed
and any effort to rescue splenic parenchyma was impossible.
DISCUSSION-CONCLUSIONS: Many techniques are reported as treatment options, but the standard of care for nonparasitic
splenic cysts is splenectomy.

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