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Efared B, Bako ABA, Younssa H, Boubacar I, Zabeirou A, Koura HH, Boureima HS, Amadou S, Coulibaly IS, Lassey JD, Nouhou H. Splenic lymphangiomas as a common indication for splenectomy: a case series with literature review. BMC Surg 2022; 22:446. [PMID: 36582009 PMCID: PMC9801652 DOI: 10.1186/s12893-022-01898-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2022] [Accepted: 12/28/2022] [Indexed: 12/31/2022] Open
Abstract
BACKGROUND Splenic lymphangiomas (SL) are very rare benign cystic lesions found in pediatric population. Their occurrence in adults is exceptional. Splenectomy is the common management of splenic lesions for diagnostic and/or therapeutic purpose. Our aim is to report additional cases of SL diagnosed on splenectomy specimens at our Pathology laboratory with literature review. METHODS This is a retrospective study including all cases of splenectomy recorded at our Pathology laboratory (June 2020-August 2022). We performed a comparison of clinicopathological features between patients with SL and those with other benign splenic diseases. RESULTS Sixteen cases of splenectomy were included. The mean age was 30.25 years (range of 6-70 years). The final histopathological diagnoses were congestive spleens in all cases of sickle cell disease (SCD) (5/16 patients, 31.25%), splenic cystic lymphangiomas (4/16 patients, 25%), capsular splenic infiltration by gastric and colic cancers (3/16 cases, 18.75%), splenic abscess (2/16 cases, 12.5%) and splenic rupture with subcapsular hematoma (1/16 patients, 6.25%). 12/16 patients (75%) had benign splenic conditions (4/12 with SL, 5/12 with SCD, 2/12 with abscess and 1/12 with splenic trauma). Patients with SL were older than those with other benign splenic conditions (mean age of 28.27 years versus 20.87 years). Also patients with SL presented with massive splenomegaly (mean splenic weight of 1675 g versus 418.75 g, mean splenic size of 19.62 cm versus 14.63 cm). Open surgery was performed in 15/16 patients (93.75%). CONCLUSION Unlike previous studies, our series shows that SL are a common indication for splenectomy and occur in older patients with massive cystic splenomegaly. Open splenectomy is still an usual surgical practice in our country.
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Affiliation(s)
- Boubacar Efared
- grid.10733.360000 0001 1457 1638Faculté des Scientes de la Santé (FSS), Université Abdou Moumouni, BP: 10896, Niamey, Niger ,grid.414237.70000 0004 0635 4264Laboratoire de cytologie et d’anatomie pathologiques, Hôpital National de Niamey, Niamey, Niger
| | - Aïchatou Balaraba Abani Bako
- grid.10733.360000 0001 1457 1638Faculté des Scientes de la Santé (FSS), Université Abdou Moumouni, BP: 10896, Niamey, Niger ,Hôpital Général de Référence, Niamey, Niger
| | - Hama Younssa
- grid.10733.360000 0001 1457 1638Faculté des Scientes de la Santé (FSS), Université Abdou Moumouni, BP: 10896, Niamey, Niger ,grid.414237.70000 0004 0635 4264Service de chirurgie générale et viscérale, Hôpital National Amirou B. Diallo, Niamey, Niger
| | - Idrissa Boubacar
- grid.414237.70000 0004 0635 4264Laboratoire de cytologie et d’anatomie pathologiques, Hôpital National de Niamey, Niamey, Niger
| | | | | | | | - Soumaila Amadou
- grid.414237.70000 0004 0635 4264Service de Chirurgie générale et viscérale, Hôpital National de Niamey, Niamey, Niger
| | | | - James Didier Lassey
- grid.10733.360000 0001 1457 1638Faculté des Scientes de la Santé (FSS), Université Abdou Moumouni, BP: 10896, Niamey, Niger ,Hôpital Général de Référence, Maradi, Niger
| | - Hassan Nouhou
- grid.10733.360000 0001 1457 1638Faculté des Scientes de la Santé (FSS), Université Abdou Moumouni, BP: 10896, Niamey, Niger
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Sghair A, Debaibi M, Kchaou M, Essid R, Dhaoui A, Sridi A, Chouchen A. Giant epidermoid splenic cyst associated with elevated serum marker CA 19-9. ANZ J Surg 2022; 92:3042-3045. [PMID: 35170190 DOI: 10.1111/ans.17505] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2022] [Accepted: 01/12/2022] [Indexed: 11/28/2022]
Affiliation(s)
- Asma Sghair
- Departement of General Surgery, Internal Security Forces Hospital, Marsa, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Mehdi Debaibi
- Departement of General Surgery, Internal Security Forces Hospital, Marsa, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Majdi Kchaou
- Departement of General Surgery, Internal Security Forces Hospital, Marsa, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Rime Essid
- Departement of General Surgery, Internal Security Forces Hospital, Marsa, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Amen Dhaoui
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.,Department of Anatomical Pathology, Internal Security Forces Hospital, Marsa, Tunisia
| | - Azza Sridi
- Departement of General Surgery, Internal Security Forces Hospital, Marsa, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Adnen Chouchen
- Departement of General Surgery, Internal Security Forces Hospital, Marsa, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
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Res LC, Knook MTT, Hazelbag HM, Guicherit OR. Spontaneous rupture of a non-parasitic splenic cyst. BMJ Case Rep 2019; 12:e231473. [PMID: 31666253 PMCID: PMC6827751 DOI: 10.1136/bcr-2019-231473] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/15/2019] [Indexed: 11/03/2022] Open
Abstract
Rupture of a non-parasitic splenic cyst is a rare but possibly dangerous complication with 21 cases described so far. We present a 46-year-old woman who presented with acute abdominal pain and was diagnosed with a spontaneous ruptured splenic cyst that was successfully treated by laparoscopic splenectomy. Histological examination showed characteristics corresponding with a non-parasitic congenital cyst that had lost its epithelial lining. Several treatment options can be considered for splenic cysts, depending on size and location. In case of rupture, the clinical condition of the patient should be taken into account.
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Affiliation(s)
- Lodewijk Cs Res
- Department of Surgery, Haaglanden Medical Centre, The Hague, The Netherlands
| | - Mireille T T Knook
- Department of Surgery, Haaglanden Medical Centre, The Hague, The Netherlands
| | - Hans M Hazelbag
- Department of Pathology, Haaglanden Medical Centre, The Hague, The Netherlands
| | - Onno R Guicherit
- Department of Surgery, Haaglanden Medical Centre, The Hague, The Netherlands
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Hassoun J, Ortega G, Burkhalter LS, Josephs S, Qureshi FG. Management of nonparasitic splenic cysts in children. J Surg Res 2018; 223:142-148. [DOI: 10.1016/j.jss.2017.09.036] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2017] [Revised: 08/18/2017] [Accepted: 09/28/2017] [Indexed: 11/27/2022]
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Varga I, Babala J, Kachlik D. Anatomic variations of the spleen: current state of terminology, classification, and embryological background. Surg Radiol Anat 2017. [DOI: 10.1007/s00276-017-1893-0] [Citation(s) in RCA: 38] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Kapp J, Lewis T, Glasgow S, Khalil A, Anjum A. Spleen preserving management of a non-parasitic splenic cyst in pregnancy. Ann R Coll Surg Engl 2016; 98:e114-7. [PMID: 27167310 DOI: 10.1308/rcsann.2016.0165] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Non-parasitic splenic cysts are rare entities. In pregnancy, they are rarer still, with as few as seven cases reported in the literature. There is little consensus regarding the optimal management of this condition in pregnancy. Although small, the theoretical risk of intrapartum splenic rupture is associated with a fetal mortality rate as high as 70%. The authors of at least three case reports advocate total splenectomy as first-line management of splenic cyst in pregnancy. Paradoxically, spleen conserving surgery is the recognised gold standard treatment for symptomatic splenic cysts in non-pregnant patients. We present a case of a large maternal splenic cyst that was treated successfully with a laparoscopic cystectomy.
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Affiliation(s)
- J Kapp
- University College London , UK
| | - T Lewis
- Epsom and St Helier University Hospitals NHS Trust , UK
| | - S Glasgow
- Epsom and St Helier University Hospitals NHS Trust , UK
| | - A Khalil
- Epsom and St Helier University Hospitals NHS Trust , UK
| | - A Anjum
- Epsom and St Helier University Hospitals NHS Trust , UK
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8
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Management of non-parasitic splenic cysts: does size really matter? J Gastrointest Surg 2014; 18:1658-63. [PMID: 24871081 DOI: 10.1007/s11605-014-2545-x] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/26/2014] [Accepted: 05/13/2014] [Indexed: 01/31/2023]
Abstract
BACKGROUND Splenic cysts are relatively rare clinical entities and are often diagnosed incidentally upon imaging conducted for a variety of clinical complaints. They can be categorized as primary or secondary based on the presence or absence of an epithelial lining. Primary cysts are further subdivided into those that are and are not secondary to parasitic infection. The treatment of non-parasitic splenic cysts (NPSC) has historically been dictated by two primary factors: the presence of symptoms attributable to the cyst and cyst size greater or less than 5 cm. While it is appropriate to resect a symptomatic lesion, the premise of recommending operative intervention based on size is not firmly supported by the literature. METHODS In the current study, we identified 115 patients with splenic cysts and retrospectively reviewed their management that included aspiration, resection, or observation. RESULTS Our data reveal a negative overall growth rate of asymptomatic cysts, a high recurrence rate after percutaneous drainage, as well as demonstrate the safety of observing asymptomatic lesions over time. CONCLUSION We conclude that observation of asymptomatic splenic cysts is safe regardless of size and that aspiration should be reserved for those who are not surgical candidates or in cases of diagnostic uncertainty.
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Markel TA, Lin J, Fan R, Billmire DF. Bronchogenic/foregut cyst of the ileal mesentery in a child mimicking ovarian mass. Fetal Pediatr Pathol 2013; 32:357-61. [PMID: 23438792 DOI: 10.3109/15513815.2013.768742] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
Intraabdominal bronchogenic cysts, a type of foregut cyst, are very rare. We report a case in a 12-year-old female who presented with severe abdominal pain and, in radiology workup, a cystic lesion that mimicked ovarian mass.
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Affiliation(s)
- Troy A Markel
- Department of Pediatric Surgery, Indiana University School of Medicine and Riley Hospital for Children at Indiana University Health, Indianapolis, IN, USA
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Giant pelvic retroperitoneal epidermoid cyst: a rare case report. Case Rep Med 2012; 2012:981387. [PMID: 23150734 PMCID: PMC3485512 DOI: 10.1155/2012/981387] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2012] [Accepted: 10/02/2012] [Indexed: 02/07/2023] Open
Abstract
Epidermoid cyst is a frequent benign cutaneous tumor. The pelvic localization does not occur very often. The literature that taps into such cases is very limited in scope. Here is a report of a 27-year-old woman with a giant pelvic retroperitoneal epidermoid cyst. The use of ultrasound exploration and computed tomography has indicated ovarian origins. The surgery also revealed a retroperitoneal epidermoid cyst, uterus and ovaries were all intact. The evacuation of a cyst was found to contain lamellas of keratin. Histology permitted us to confirm the diagnosis. The patient was faring well after two years of followup.
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