A young man with a 12 cm cyst of the spleen

Authors : Metin SENOL, Hakan ÖZDEMİR, Zehra ÜNAL ÖZDEMİR, İbrahim Tayfun ŞAHİNER

Pages : 151-152

View : 8 | Download : 6

Publication Date : 2014-05-20

Article Type : Other Papers

Abstract :A 45-year-old man was admitted to the general surgery clinic with abdominal pain, especially on his left side. He also complained about abdominal distension for the last few months. Physical examination revealed both tenderness and a mass in the left upper quadrant of the abdomen. There were no other pathological findings. There were no chronic diseases or surgery in his medical history. In laboratory examinations, complete blood count insert ignore into journalissuearticles values(CBC);, biochemistry and urine tests were normal. There was no sign for hypersplenism. On radiological examination, the abdominal X-ray was normal but abdominal ultrasonography insert ignore into journalissuearticles values(USG); and computed tomography insert ignore into journalissuearticles values(CT); revealed a pure cystic mass in the spleen which was 12 cm in radius with a thick wall structure that was pushing the spleen superiorly and left kidney inferiorly insert ignore into journalissuearticles values(Figure 1);. An operation was planned for the patient, who was diagnosed as having a splenic cyst. Pneumococcus vaccination administered to the patient preoperatively. During the exploration through a median incision, it was observed that in addition to the splenomegaly, the spleen was attached to surrounding tissues. A total splenectomy was performed without opening the cyst. The patient had oral nutrition on the postoperative first day and he was discharged on the postoperative fifth day. There were no pathological findings at the patient’s first month follow-up examination.
Keywords : cyst, spleen