title: Traumatic pseudocyst of the spleen.
abstract: Four patients with pseudocyst of the spleen gave histories of abdominal trauma. In one patient the pseudocyst had ruptured, necessitating emergency splenectomy 34 years after the original injury. In a second patient the pseudocyst was discovered incidentally, and was managed by spleen-preserving excision; and the third and fourth presented with abdominal pain and had splenectomy and spleen-preserving surgery, respectively. All patients with conservatively treated splenic injury are at risk of developing a pseudocyst of the spleen, and the lesion can be detected by computed tomography or ultrasound. When there are no symptoms the natural history is unknown; but if surgery is necessary, splenectomy can sometimes be avoided.
authors.affiliation: Department of Surgery, Greenwich District Hospital, London, UK.
authors.forename: P S
authors.initials: PS
authors.lastname: Sinha
authors.forename: T A
authors.initials: TA
authors.lastname: Stoker
authors.forename: N O
authors.initials: NO
authors.lastname: Aston
mesh_terms: D000328:Adult; D003560:Cysts / Q000209:etiology* / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013154:Spleen / Q000293:injuries*; D013158:Splenic Diseases / Q000209:etiology* / Q000601:surgery