Top

Published in:

01-07-2006 | Case Report

Splenoptosis complicated by a large splenic cyst: case report and discussion of combined management

Authors: Chandrasen K. Sinha, Ross Fisher

Published in: Pediatric Surgery International | Issue 7/2006

Abstract

Splenoptosis is a rare condition in children. Its association with a cyst is rare. A case of splenoptosis complicated by a large cyst is reported. The child presented with features of intermittent abdominal pain, constipation and clinical examination revealed a mass apparently rising out of the pelvis. Ultrasound confirmed the mass as spleen with a 15 cm cyst in the lower pole. At surgery the cyst was marsupialised and splenopexy undertaken placing the cyst in a retro-peritoneal pouch. This is only the second report of such a case in the English literature.

Brown C, Virgilio GR, Vazquez WD (2003) Wandering spleen and its complications in children: a case series and review of the literature. J Pediatr Surg 38:1676–1679CrossRefPubMed

Baglaj M, Czernik (1998) Epidermoid cyst in a wandering spleen. Pediatr Surg Int 14:113–115CrossRefPubMed

Dachman A, Ros P, Muran P, Olmsted W, Lichtenstein J (1986) AJR 147:537–542PubMed

Spencer GR (1982) A wandering cystic spleen. J RCS Edinburgh 27(3):183–185

Black E, Cambell J (1973) Epidermoid cysts of the spleen. Pediatrics 51:75–84 PubMed

Allen KB, Gay BB Jr, Skandalakis JE (1992) Wandering spleen: anatomic and radiologic considerations. South Med J 85:976–984PubMedCrossRef

Calisti A, Perrotta ML, Molle P, Marrocco G, Miele V (2003) Epithelial splenic cysts in children: surgical treatment by cyst-wall “peeling”. Pediatr Surg Int 19:300–302CrossRefPubMed

Touloukian RJ, Maharaj A, Ghoussoub R, Reyes M (1997) Partial decapsulation of splenic epithelial cysts: studies on etiology and outcome. J Pediatr Surg 32:272–274CrossRefPubMed

Tssakayannis DE, Mitchel K, Kozakewich PW (1995) Splenic preservation in the management of splenic epidermoid cysts in children. J Pediatr Surg 30:1468–1470CrossRefPubMed

10.

Sagar P, McMahon (1988) Partial splenectomy for splenic cysts. Br J Surg 75:488PubMedCrossRef

11.

Sink J, Filston H, Kirks D (1982) Removal of splenic cyst with salvage of functional spenic tissue. J Pediatr Surg 100:412–414

12.

Musy P, Roche B, Belli D, Bugmann Ph, Nussle D, Le Coultre C (1992) Splenic cysts in pediatric patients—a report on 8 cases and review of the literature. Eur J Pediatr Surg 2:137–140PubMedCrossRef

13.

Buring K-F (1988) Epithelial (true) splenic cysts: pathogenesis of the mesothelial and so called epidermoid cyst of the spleen. Am J Surg Pathol 12:275–281 PubMedCrossRef

14.

Kimber C, Pierro A, Drake D, Kiely E, Spitz L (1998) Hemisplenectomy for giant splenic cysts in children. Pediatr Surg Int 14:116–118CrossRefPubMed

15.

Calwe DDe, Phelan E, Puri P (2003) Pure alcohol injection of a congenital splenic cyst: a valid alternative? J Pediatr Surg 38:629–632CrossRefPubMed

16.

MoirC, Guttman F, Jequir S, Youssef S (1989) Splenic cysts:aspiration, sclerosis, or resection. J Pediatr Surg 24:626–648CrossRef

17.

Allen K, Andrew G (1989) Pediatric wandering spleen-the case for splenopexy: review of 35 reported cases in the literature. J Pediatr Surg 24:432–435PubMedCrossRef

18.

Seashore J, McIntosh S (1990) Elective splenopexy for wandering spleen. J Pediatr Surg 25:270–272 CrossRefPubMed

19.

Balliu P, Bregante J, Perez-Velasco M, Fiol M, Galiana C, Herrera M, Mulet J (2004) Spenic haemorrhage in a newborn as the first manifestation of wandering spleen syndrome. J Pediatr Surg 39:240–242CrossRefPubMed

20.

Desai DC, Hebra A, Davidoff AM et al (1997) Wandering spleen: a challenging diagnosis. South Med J 90:439–443PubMed

Title: Splenoptosis complicated by a large splenic cyst: case report and discussion of combined management
Authors: Chandrasen K. Sinha
Ross Fisher
Publication date: 01-07-2006
Publisher: Springer-Verlag
Published in: Pediatric Surgery International / Issue 7/2006
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-006-1673-0

At a glance: The STEP trials

Springer Medicine

Splenoptosis complicated by a large splenic cyst: case report and discussion of combined management

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 7/2006

Mesenchymal hamartoma of the liver: is biopsy always necessary?

Multi-modal approach to prophylaxis of necrotizing enterocolitis: clinical report and review of literature

Pleural effusion requiring drainage in congenital diaphragmatic hernia: incidence, aetiology and treatment

Subclavian venipuncture following ipsilateral extrapleural dissection is hazardous

No increase in gastroesophageal reflux after laparoscopic gastrostomy in children

Pure esophageal atresia with no gap and associated intra-abdominal calcification