Posttraumatic splenic cysts and partial splenectomy: Report of a case

被引:3
作者
Pegoraro Balzan S.M. [1 ]
Riedner C.E. [1 ]
Maffazzioli Santos L. [2 ]
Pazzinatto M.C. [1 ]
Ott Fontes P.R. [1 ,3 ]
机构
[1] Department of Surgery, Fundação Faculdade Federal de Ciências Médicas de Porto Alegre (FFFCMPA), Irmandade da Santa Casa de Misericórdia de Porto Alegre (ISCMPA), Porto Alegre-RS 91050-150
[2] Integrated Radiology Service, Mãe de Deus Hospital
[3] Clinical and Surgical Digestive Unit, ISCMPA
关键词
Conservative surgery; Posttraumatic; Splenic cyst; Splenic pseudocyst;
D O I
10.1007/s005950170183
中图分类号
学科分类号
摘要
Nonparasitic splenic cysts are uncommon, with only around 800 cases described in the literature. Posttraumatic splenic pseudocysts constitute most such cases and require surgical treatment when symptomatic or voluminous. Recent studies have provided a better understanding of splenic tissue function and the consequent risks of complete resection of the spleen. Hence surgeons should make every possible effort to preserve splenic tissue. Several spleen-conserving surgical treatments have been proposed, especially for treatment of splenic posttraumatic pseudocysts. The authors report the case of a 13-year-old girl who had a posttraumatic splenic cyst with progressive growth. The diameter of the cyst at surgery was 15cm, and partial splenectomy was performed. The most common spleen-conserving surgical techniques are briefly reviewed.
引用
收藏
页码:262 / 265
页数:3
相关论文
共 25 条
  • [1] Calligaris L., Bortul M., Laparoscopic treatment of a non-parasitic splenic cyst: Case report, J Laparoendosc Surg, 6, pp. 431-434, (1996)
  • [2] Cavallaro G., Albanese V., Fabiano V., Taranto F., Chiofalo M.G., Dalmazio V., Pseudocisti emorragica della milza, Minerva Chir, 52, pp. 965-969, (1997)
  • [3] Musy P.A., Rocha B., Belli D., Bugmann P., Nussle D., Le Coultre C., Splenic cysts in pediatric patients - A report on 8 cases and review of the literature, Eur J Pediatr Surg, 2, pp. 137-140, (1992)
  • [4] Jego P., Hamidou M., Horhant P., Girard L., Le Strat A., Lancien G., Grosbois B., Le Blay, Kystes épidermoïdes de la rate, Ann Med Interne (Paris), 148, pp. 95-97, (1997)
  • [5] Feliciotti F., Sottili M., Guerrieri M., Paganini A.M., Lezoche E., Conservative ultrasound-guided laparoscopic treatment of posttraumatic splenic cysts: Report of two cases, Surg Laparosc Endosc, 6, pp. 322-325, (1996)
  • [6] Holland A.J.A., Ford W.D.A., Bourne A.J., Conservative surgery for benign non-parasitic splenic cysts, Pediatr Surg Int, 12, pp. 353-355, (1997)
  • [7] Souka H., Loosemore T., Taylor R.S., Laparoscopic partial cystectomy for post-traumatic splenic pseudocyst, Endoscopy, 29, (1997)
  • [8] Brown A.R., Immunological functions of splenic B-lymphocytes, Crit Rev Immunol, 11, pp. 395-417, (1992)
  • [9] Buess E., Illi O.E., Soder C., Hanimann B., Ruptured spleen in children: 15 Years evolution in therapeutic concepts, Eur J Pediatr Surg, 2, pp. 157-161, (1992)
  • [10] Grinblat V., Gilboa Y., Overwhelming pneumococcal sepsis 25 years after splenectomy, Am J Med Sci, 270, (1975)