Non-parasitic splenic cyst - case report

Primarne ciste slezene su rijetka bolest. Ciste slezene dijele se na primarne i sekundarne ciste, a to ovisi o prisutnosti epitelnih stanica u lumenu ciste. Primarne ciste dijele se prema uzročniku na parazitne i neparazitne. Urođene neparazitne ciste rijetko se viđaju u kliničkoj praksi i one se javljaju u otprilike 10 posto slučajeva svih cista slezene. Urođene ciste su prave ciste s epitelnim stanicama u lumenu (1). Sekundarne ciste u najvećem broju slučajeve nastaju nakon traume (2). Bolesnici imaju atipičnu simptomatologiju, s osjećajem težine u lijevom gornjem dijelu abdomena te s tvorbom koja se mogla napipati, s bolnosti ili bez bolnosti. Preoperativna dijagnoza postavljena je ultrazvukom i kompjutoriziranom tomografijom (3). Otvorena djelomična splenektomija ili laparoskopsko odstranjenje ciste su metode izbora u liječenju tih vrsta cista. Kod našeg bolesnika djelomična splenektomija nije dolazila u obzir jer je bila riječ o velikoj cisti s jako reduciranim tkivom slezene.Primary splenic cysts are uncommon lesions of the spleen. Splenic cysts are classified as primary or secondary cysts according to the presence of an epithelial lining. The primary cysts are further subdivided as parasitic or non-parasitic. The congenital non-parasitic cysts are rarely seen in clinical practice and constitute approximately 10% of all splenic cysts. Congenital cysts are true cysts with an epithelial lining (1). Secondary cysts are in most cases posttraumatic (2). All patients had an atypical symptomatology, consisting mainly of fullness in the left upper abdomen and a palpable mass with or without pain. Preoperative diagnosis was established by ultrasonography and computerized tomography (3). Open partial splenectomy and laparoscopic cyst wall unroofing are both effective tools in the management of splenic nonparasitic cysts. In our patient partial splenectomy was not a possibility because the cyst was too large and the healthy splenic tissue was too small

Non-parasitic splenic cyst - case report

Primarne ciste slezene su rijetka bolest. Ciste slezene dijele se na primarne i sekundarne ciste, a to ovisi o prisutnosti epitelnih stanica u lumenu ciste. Primarne ciste dijele se prema uzročniku na parazitne i neparazitne. Urođene neparazitne ciste rijetko se viđaju u kliničkoj praksi i one se javljaju u otprilike 10 posto slučajeva svih cista slezene. Urođene ciste su prave ciste s epitelnim stanicama u lumenu (1). Sekundarne ciste u najvećem broju slučajeve nastaju nakon traume (2). Bolesnici imaju atipičnu simptomatologiju, s osjećajem težine u lijevom gornjem dijelu abdomena te s tvorbom koja se mogla napipati, s bolnosti ili bez bolnosti. Preoperativna dijagnoza postavljena je ultrazvukom i kompjutoriziranom tomografijom (3). Otvorena djelomična splenektomija ili laparoskopsko odstranjenje ciste su metode izbora u liječenju tih vrsta cista. Kod našeg bolesnika djelomična splenektomija nije dolazila u obzir jer je bila riječ o velikoj cisti s jako reduciranim tkivom slezene.Primary splenic cysts are uncommon lesions of the spleen. Splenic cysts are classified as primary or secondary cysts according to the presence of an epithelial lining. The primary cysts are further subdivided as parasitic or non-parasitic. The congenital non-parasitic cysts are rarely seen in clinical practice and constitute approximately 10% of all splenic cysts. Congenital cysts are true cysts with an epithelial lining (1). Secondary cysts are in most cases posttraumatic (2). All patients had an atypical symptomatology, consisting mainly of fullness in the left upper abdomen and a palpable mass with or without pain. Preoperative diagnosis was established by ultrasonography and computerized tomography (3). Open partial splenectomy and laparoscopic cyst wall unroofing are both effective tools in the management of splenic nonparasitic cysts. In our patient partial splenectomy was not a possibility because the cyst was too large and the healthy splenic tissue was too small