[Epidermoid cyst of the spleen in a newborn infant. Prenatal diagnosis and partial splenectomy].
Non parasitic splenic cysts are an uncommon clinical and pathologic entities, out of these, epitelias splenic cysts (ESC) occurred in 10% of cases. Until recently the treatment of choice for the large ESC consisted of splenectomy. Splenic preservation, for avoiding risks of sepsis, is a modern concept uniformly accepted for treating childhood splenic injury and benign pathology. The Authors report a case of prenatal diagnosis of large left upper quadrant mass that was apparent at Ultrasonography (US) at 32th week of gestational age. Laparotomy at 3rd day of life: a large cyst splenic mass was found (7 x 7 cm), it was situated all in lower pole. Partial splenectomy was performed; cysts were not found in other organs. Histology of specimen: ESC. The postoperative course was uneventful. Postoperative (6 months) Scintigraphy demonstrated the good vascularization of the spleen.
Todde
G
G
Servizio di Radiologia, Ospedale Pediatrico Bambino Gesú, Roma, Italie.
Bagolan
P
P
Fariello
G
G
Malena
S
S
Ferro
F
F
Mosiello
G
G
Alessandri
A
A
D004814:Epidermal Cyst / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D005315:Fetal Diseases / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011247:Pregnancy; D011263:Pregnancy Trimester, Third; D011296:Prenatal Diagnosis; D013156:Splenectomy; D013158:Splenic Diseases / Q000175:diagnosis / Q000601:surgery*; D014463:Ultrasonography
Kyste épidermoïde de la rate chez un nouveau-né. Diagnostic anténatal et splénectomie partielle.