Splenic cysts in pediatric patients--a report on 8 cases and review of the literature.
8 cases of splenic cysts are reported: treatment was surgical in 4 large cysts (greater than 5 cm, 3 epidermoids and 1 pseudocyst), and non-operative in 4 small cysts (less than 5 cm, 3 post-traumatic pseudocysts and 1 congenital cyst, probably epidermoid). Follow-up was over a period of 3 months to 7 years. 3 among the 4 post-traumatic pseudocysts were followed up by ultrasound until resolution (3 months to 3 years), and 1 large pseudocyst was operated on due to rupture following benign trauma. 3 large cysts were epidermoid in origin, 1 was electively operated, and 2 were discovered and operated on because of complications (rupture, infection). Only one total splenectomy was performed; surgery preserved the spleen in all other cases; but 1 epidermoid cyst presents now with a recurrence. Based on this experience, we suggest frozen section of the cyst wall during surgery, to decide the type of partial splenectomy to be performed: total cystectomy or marsupialization.
Musy
P A
PA
Clinique de Chirurgie Pédiatrique, Hôpital Cantonal Universitaire, Genève, Suisse.
Roche
B
B
Belli
D
D
Bugmann
P
P
Nussle
D
D
Le Coultre
C
C
D000038:Abscess / Q000473:pathology / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D003560:Cysts / Q000473:pathology / Q000601:surgery*; D003937:Diagnosis, Differential; D004814:Epidermal Cyst / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D008875:Middle Aged; D012480:Salmonella Infections / Q000473:pathology / Q000601:surgery; D013156:Splenectomy; D013158:Splenic Diseases / Q000473:pathology / Q000601:surgery*; D013161:Splenic Rupture / Q000473:pathology / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography