Splenic epithelial cyst mistaken with Hydatid cyst: A case report

被引:4
|
作者
Sleiman, Youssef A. [1 ]
Bohlok, Ali [1 ]
El-Khoury, Melody [2 ]
Demetter, Pieter [3 ]
Zalcman, Marc [4 ]
El Nakadi, Issam [1 ]
机构
[1] Univ Libre Bruxelles, Inst Jules Bordet, Serv Chirurg, Rue Heger Bordet 1, B-1000 Brussels, Belgium
[2] Univ Libanaise, Serv Chirurg, Beirut, Lebanon
[3] Univ Libre Bruxelles, Erasme, Serv Anat Pathol, Brussels, Belgium
[4] Univ Libre Bruxelles, Erasme, Serv Radiol, Brussels, Belgium
关键词
Splenic epithelial cysts; Hydatid cyst; Spleen conserving surgery;
D O I
10.1016/j.ijscr.2018.10.011
中图分类号
R61 [外科手术学];
学科分类号
摘要
Introduction: Cystic lesions of the spleen are infrequent and usually diagnosed incidentally. These lesions are rare and their differential diagnosis is very wide. Splenic epithelial cysts are the most common type of primary splenic cyst (4%). Surgical treatment is indicated for cysts larger than 5 cm or symptomatic. Nowadays, spleen preserving surgery is the gold standard treatment considering the immunologic role of the spleen and the increased risk of post-splenectomy infections. Case presentation: A 17 year old girl presented to the outpatient clinic with moderate left upper quadrant abdominal pain of 2 weeks duration with loss of appetite and denied fever, chills, sweating and jaundice. Abdominal examination showed tender splenomegaly. The abdominal imaging (Ultrasound, CT SCAN, MRI) was suggestive of hydatid cyst of the spleen, for which she received Albendazole for 1 month and then operated by laparotomy with partial resection and un-roofing of the splenic cyst. The pathology report showed a splenic epithelial cyst (SEC). Conclusion: SEC is a rare pathology that could mimic splenic hydatid cyst. The clinical and radiological pictures may be commonly misleading and non-conclusive. Definitive diagnosis is made on histopathology. Spleen conserving surgery, when possible, is the preferred modality for treatment. (C) 2018 The Authors. Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd.
引用
收藏
页码:21 / 24
页数:4
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