[A case of splenic pseudocyst difficult to differentiate from splenic lymphangioma].
Splenic pseudocyst is a rare complication of abdominal trauma. Although it is rare, splenic pseudocyst is well-documented in the literature. According to the current classification, approximately 30% of all splenic cysts or pseudocysts result from direct abdominal trauma. In addition, chronic pancreatitis leads to change of nearby organs with possible acute and chronic complications including splenic lesions. This unusual complication can occur in both emergent and non-emergent conditions. The useful diagnostic procedures to assess intrasplenic pseudocyst are sonogram, CT scan, splenic scan, and occasionally angiography. However, definite diagnosis of pseudocyst is possible only after splenectomy when the absence of epithelial lining is confirmed histologically. Splenic pseudocyst requires surgical resection. We experienced a 31-year-old man who confirmed of warmness in the left side of back with left upper quadrant abdominal pain for several months. First impression was splenic lymphangioma based on CT scan and sonogram finding. Splenectomy was performed. Microscopic examination revealed splenic pseudocyst with fibrous capsule without epithelial lining.
Lee
Shin Ae
SA
Department of Internal Medicine, Dong-A University College of Medicine, Seo-Gu, Busan, Korea.
Han
Sang Young
SY
Lee
Eun Joo
EJ
Kwon
Byung Pyo
BP
Koh
In Young
IY
Choi
Hae Jong
HJ
Kim
Min Chan
MC
Cho
Jin Han
JH
D000328:Adult; D003560:Cysts / Q000175:diagnosis* / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D006801:Humans; D008202:Lymphangioma / Q000175:diagnosis; D008297:Male; D013156:Splenectomy; D013158:Splenic Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging; D013160:Splenic Neoplasms / Q000175:diagnosis; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography