Splenectomia totale per voluminosa cisti splenica recidiva.

Translated title of the contribution: Total splenectomy for a recurrent giant splenic cyst

M. Casaccia, L. Saltalamacchia, F. Panaro, D. Cavaliere, D. Ghinolfi, S. Di Domenico, A. Savelli, U. Valente

Research output: Contribution to journalArticlepeer-review

Abstract

Primary splenic cysts are a rare finding. Some are large and require surgical removal. The Authors report a case of a recurrent huge splenic cyst in a 41-year-old female patient. A marsupialization was performed at another hospital 6 years before. Ultrasonography and computed tomography imaging revealed a cystic lesion in the spleen measuring approximately 20 cm in diameter. A total open splenectomy was performed. Postoperative course was uneventful. The histologic diagnosis was an epithelial cyst of the spleen with no atypical cells in the cyst wall, as previously found at the first operation. The epidermoid cysts have an epidermal lining, and prevention of recurrence is dependent on complete resection of the cyst wall preserving, whenever possible, the splenic tissue. Recurrence can be avoided with partial splenectomy in polar localization of the cyst, or complete removal of the cyst by "peeling" it off the splenic parenchyma. Marsupialization of the cyst, either via a laparoscopic or an open approach, is often ineffective.

Translated title of the contributionTotal splenectomy for a recurrent giant splenic cyst
Original languageItalian
Pages (from-to)390-393
Number of pages4
JournalGiornale di Chirurgia
Volume25
Issue number11-12
Publication statusPublished - Nov 2004

ASJC Scopus subject areas

  • Surgery

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