Andrzej B Szczepanik1. 1. Instytut Hematologii i Transfuzjologii w Warszawie, Klinika Chirurgii Ogólnej i Hematologicznej. andrzejszczepanik@go2.pl
Abstract
UNLABELLED: Secondary cysts of the spleen are uncommon and usually result from blunt abdominal trauma. Symptomatic cysts and those with diameter above 5 cm are indications for surgical treatment. Spleen parenchyma preserving operations, currently recommended, reduce the risk of early and late septic complications, particularly overwhelming postsplenectomy sepsis. Partial splenectomy offers a definitive treatment of a splenic cyst while preserving splenic functions. The author describes the case of a patient with spleen lower pole pseudocyst, 14 cm in diameter, subjected to partial splenectomy in 1992. Healthy spleen parenchyma was cut with an electrocoagulation knife at a distance of 1.5 cm from the cyst edge. Local hemostasis was assured with mattrees absorbable tape polyglycolic acid sutures and fibrin glue injection into resection plane. Complications were not observed. Long-term, fifteen years follow-up revealed preservation of splenic function and no septic complications. CONCLUSION: Partial splenectomy, demanding high technical experience procedure, is the treatment of choice of the splenic cyst.
UNLABELLED: Secondary cysts of the spleen are uncommon and usually result from blunt abdominal trauma. Symptomatic cysts and those with diameter above 5 cm are indications for surgical treatment. Spleen parenchyma preserving operations, currently recommended, reduce the risk of early and late septic complications, particularly overwhelming postsplenectomy sepsis. Partial splenectomy offers a definitive treatment of a splenic cyst while preserving splenic functions. The author describes the case of a patient with spleen lower pole pseudocyst, 14 cm in diameter, subjected to partial splenectomy in 1992. Healthy spleen parenchyma was cut with an electrocoagulation knife at a distance of 1.5 cm from the cyst edge. Local hemostasis was assured with mattrees absorbable tape polyglycolic acid sutures and fibrin glue injection into resection plane. Complications were not observed. Long-term, fifteen years follow-up revealed preservation of splenic function and no septic complications. CONCLUSION: Partial splenectomy, demanding high technical experience procedure, is the treatment of choice of the splenic cyst.
Authors: Ulises Garza-Serna; Christian Ovalle-Chao; David Martinez; Eduardo Flores-Villalba; Jose A Diaz-Elizondo; Ulises de Jesus Garza-Luna Journal: Int J Surg Case Rep Date: 2017-02-20