What is it about?
Rupture of a non-parasitic splenic cyst is a rare but possibly dangerous complication with 21 cases described so far. We present a 46-year old female who presented with acute abdominal pain and was diagnosed with a spontaneous ruptured splenic cyst that was successfully treated by laparoscopic splenectomy. Histological examination showed characteristics corresponding with a non-parasitic congenital cyst that had lost its epithelial lining. Several treatment options can be considered for splenic cysts, depending on size and location. In case of rupture, the clinical condition of the patient should be taken in account. For our patient, because of the clinical and radiological findings together with the blood test results, we did not expect any severe complications. We decided that waiting was allowed and admitted her for observation. The symptoms disappeared but it was until one and half a month later that she became symptomatic again. As there were no signs of a rupture anymore, she was planned for surgery on the elective program.
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Why is it important?
• Rupture of a non-parasitic splenic cyst is a rare complication and may be life-threatening. • Symptoms can also be mild, in which case initial conservative treatment (no surgery) can sometimes be allowed. • Spleen preserving surgery is an option depending on location and size of the splenic cyst. • Our case was successfully treated by laparoscopic total splenectomy with full recovery.
Read the Original
This page is a summary of: Spontaneous rupture of a non-parasitic splenic cyst, BMJ Case Reports, October 2019, BMJ, DOI: 10.1136/bcr-2019-231473.
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