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EnglishPrimary 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.
Total splenectomy for a recurrent giant splenic cyst [SPLENECTOMIA TOTALE PER VOLUMINOSA CISTI SPLENICA RECIDIVA] / Casaccia M; Saltalamacchia L; Panaro F; Cavaliere D; Ghinolfi D; Di Domenico S; Savelli A; Valente U. - In: IL GIORNALE DI CHIRURGIA. - ISSN 0391-9005. - STAMPA. - 25(2004), pp. 390-393.
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| Titolo: | Total splenectomy for a recurrent giant splenic cyst [SPLENECTOMIA TOTALE PER VOLUMINOSA CISTI SPLENICA RECIDIVA] |
| Autori: | |
| Data di pubblicazione: | 2004 |
| Rivista: | |
| Citazione: | Total splenectomy for a recurrent giant splenic cyst [SPLENECTOMIA TOTALE PER VOLUMINOSA CISTI SPLENICA RECIDIVA] / Casaccia M; Saltalamacchia L; Panaro F; Cavaliere D; Ghinolfi D; Di Domenico S; Savelli A; Valente U. - In: IL GIORNALE DI CHIRURGIA. - ISSN 0391-9005. - STAMPA. - 25(2004), pp. 390-393. |
| 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. |
| Handle: | http://hdl.handle.net/11567/377341 |
| Appare nelle tipologie: | 01.01 - Articolo su rivista |
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