title: Traumatic splenic cyst.
abstract: The authors report two cases of traumatic rupture of splenic cyst. In each case a previous abdominal trauma was found responsible for the presence of the cyst. A new minor abdominal trauma provoked a major haemoperitoneum. In both cases laparotomy revealed the rupture of a large cyst of the upper pole of the spleen, with extension of the lesion into healthy splenic parenchyma. Conservative splenic surgery with cystectomy was possible in both cases; microscopic examination confirmed a true pseudocyst in case 2. In presence of haemoperitoneum and ultrasonographic view of a splenic cyst, the treatment should be surgical in contrast to the more conservative attitude now recommended for the usual splenic trauma.
authors.forename: D
authors.initials: D
authors.lastname: Christinaz
authors.forename: C
authors.initials: C
authors.lastname: Le Coultre
mesh_terms: D000293:Adolescent; D003560:Cysts / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D013154:Spleen / Q000473:pathology; D013161:Splenic Rupture / Q000473:pathology / Q000601:surgery*; D014463:Ultrasonography; D014949:Wounds, Nonpenetrating / Q000473:pathology / Q000601:surgery*