外科ジャーナル

Prezervarea Splinei Într-Un Caz de Chist Splenic Voluminos

Abstract

C Velicescu1,2, Mihaela Blaj1,3, S Pădureanu1,2, C Dogaru1,2, I Dragostin2, C Opincă2 and C Burcoveanu1,2

Splenic cysts are uncommon, not frequently encountered in surgical practice. Generally, they are considered to be either parasitic or non-parasitic. We report the case of a young woman who presented with pain in the left upper abdomen quadrant and nausea. Ultrasonography and CT scan revealed a giant cystic lesion arising from the splenic hilum compressing the stomach and pancreas. At laparotomy a huge cyst was found which was affecting also the splenic vein and artery. Through a meticulous surgical technique it was possible to preserve the spleen in this particular case. Cystectomy with spleen preservation is the treatment of choice for spleen cystic lesions, especially in young patients, due to its immunologic functions.