Congenital splenic cyst treated with percutaneous sclerosis using alcohol.
We report a case of successful percutaneous treatment of a congenital splenic cyst using alcohol as the sclerosing agent. A 14-year-old female adolescent presented with a nonsymptomatic cystic mass located in the spleen that was believed to be congenital. After ultrasonography, a drainage catheter was placed in the cavity. About 250 ml of serous liquid was extracted and sent for microbiologic and pathologic studies to rule out an infectious or malignant origin. Immediately afterwards, complete drainage and local sclerotherapy with alcohol was performed. This therapy was repeated 8 days later, after having observed 60 ml of fluid in the drainage bag. One year after treatment the cyst has practically disappeared. We believe that treatment of splenic cyst with percutaneous puncture, ethanolization, and drainage is a valid option and it does not rule out surgery if the conservative treatment fails.
Añon
Ramon
R
Department of Gastroenterology, Clinical University Hospital, University of Valencia, Valencia, Spain. ranon@comv.es
Guijarro
Jorge
J
Amoros
Cirilo
C
Gil
Joaquin
J
Bosca
Marta M
MM
Palmero
Julio
J
Benages
Adolfo
A
D000293:Adolescent; D003560:Cysts / Q000151:congenital / Q000000981:diagnostic imaging / Q000628:therapy*; D000431:Ethanol / Q000008:administration & dosage / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D012598:Sclerosis; D012871:Skin Diseases / Q000188:drug therapy / Q000473:pathology*; D013158:Splenic Diseases / Q000151:congenital / Q000000981:diagnostic imaging / Q000188:drug therapy*; D014463:Ultrasonography
D000431:Ethanol