A Giant Epidermoid Splenic Cyst in a Teenage: A Case Report

Journal of Health and Medical Sciences

ISSN 2622-7258

Published: 29 April 2019

A Giant Epidermoid Splenic Cyst in a Teenage: A Case Report

Fatma Trabelsi, Maha Landolsi, Riadh Ben Melek, Aida Daib, Rabiaa Ben Abdallah, Youssef Hellel, Youssef Gharbi, Nejib Kaabar

Habib Thameur Hospital, Tunis, Tunisia

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10.31014/aior.1994.02.02.35

Pages: 183-187

Keywords: Conservative Treatment, Surgery, Splenic Cyst, Teenage

Abstract

Introduction: Splenic cysts are rare and are either primary or secondary. Epidermoid splenic cysts are an example of primary congenital cysts. Most often, they are asymptomatic discovered incidentally, but they may present with abdominal discomfort predominantly at young female age. Case presentation: We have reported a case of 14 -years- old girl presented with intermittent abdominal pain. The physical examination revealed a palpable mass in the left hypochondriac region. Ultrasonography and computed tomography of the abdomen showed a giant unulocular splenic cyst without a clean wall. Operative treatment was necessary, and at laparotomy, a huge cyst was found. A partial splenectomy was performed. The diagnosis of a splenic epidermoid cyst was confirmed with histological examination. Conclusion: Splenic cysts are not frequent especially in children and adolescents. Imaging is useful for diagnosis. The confirmation of the diagnosis is histological. Different treatment modalities are discussed. However, partial or total splenectomy remains a relatively safe procedure, associated with few complications and avoiding any future problems.

References

  1. Pastore, Bartoli (2014). A report of a giant epidermoid splenic cyst. African Journal of Paediatric Surgery; 11(1):  67-70

  2. Da Costa, Gaujoux, Gouya, Dousset, Legmann (2015). Epidermoid splenic cyst. Diagnostic and interventional imaging; 96: 417-420.

  3. Kiran, Balachandran, Mohan (2017). A rare gigantic primary epithelial cyst of spleen in an adolescent boy. International Surgery Journal;4(6):2084-2087.

  4. M. Zganjer, V. Zganjer and Irenej Cigit (2010). Huge Dermoid Cyst of the Spleen. Indian Journal of Pediatrics; 77: 454-455.

  5. Rana, Kaur, Singh, Malhotra, Kuka (2014). Splenic Epidermoid Cyst - A Rare Entity.Journal of Clinical and Diagnostic Research. 8(2):175-176.

  6. López et al. (2017). Sclerotherapy for Splenic Cysts in Children. Journal of Surgical Research; 219: 1-4.

  7. Accinni, Bertocchini, Madafferi, Natali, Inserra. (2016) Ultrasound-guided percutaneous sclerosis of congenital splenic cysts using ethyl alcohol 96% and minocycline hydrochloride Journal of Pediatric Surgery; 51(9):1480-4.

  8. Czauderna et al. (2006) Nonparasitic Splenic Cysts in Children: A Multicentric Study Eur J Pediatr Surg; 16 (6): 415-419.

  9. Martin. (1958) Congenital splenic cysts. Am J Surg ;96(2):302-8.

  10. ETsakayannis, Harry, WKozakewich, CShamberger. (1995) Splenic preservation in the management of splenic epidermoid cysts in children. Journal of Pediatric Surgery; 30:1468-1470.

  11. Schlittler; Dallagasperina. (2010) Non-parasitic splenic cysts. Rev. Col. Bras. Cir; 37(6): 442-446

  12. Thomas and Taiwo. (1994) Splenic epidermoid cysts presenting as an acute abdomen. Postgrad Med J;70: 376 377.

  13. Sarvaiya, Raniga, Vohra, Sharma, Bhrtyan. (2006) Case Report: Huge Splenic Epidermoid Cyst.Ind J Radiol Imag;16(2):197-198

  14. Tassopoulos, Wein, Segura. (2017) Traumatic rupture of a giant congenital splenic cyst presenting as peritonitis. Radiology Case Reports;12(2): 401-404.

  15. Sinha, Agrawal. (2011) Nonparasitic splenic cysts in children: Current status the surgeon;9: 49 e53

  16. Rifai et al. (2013) Fine needle sclerotherapy as a new effective therapeutic approach for nonparasitic splenic cysts: a case series a case series. Digestive and liver disease: official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver; 45:595-599.

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