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[Epidermoid splenic cysts and partial splenectomy].
F Seguel Ramírez1, J L Alonso Calderón, J M Ollero Caprani
1Servicio de Cirugía Pediátrica, Hospital Niño Jesús, Madrid.
Summary
Large epidermoid splenic cysts in children can be successfully treated with partial splenectomy. This spleen-sparing surgery offers a favorable outcome, preserving organ function and avoiding complications.
Area of Science:
- Pediatric Surgery
- Abdominal Imaging
- Pathology
Background:
- Epidermoid splenic cysts are rare, particularly in pediatric patients.
- Large splenic cysts can present with abdominal pain or be incidentally discovered.
Observation:
- Two pediatric cases of large epidermoid splenic cysts are presented.
- One child experienced right hypochondrium pain; the other's cyst was an incidental finding during abdominal ultrasound.
Findings:
- Abdominal ultrasound proved to be the most effective diagnostic tool in both cases.
- Surgical treatment via partial splenectomy, conserving over a third of the spleen, was successfully performed.
- Histopathology confirmed the diagnosis of epidermoid spleen cysts.
Implications:
- Partial splenectomy is a viable and effective surgical option for large pediatric epidermoid splenic cysts.
- Spleen-sparing surgery leads to favorable patient outcomes with no reported complications.
- Long-term clinical, analytical, and imaging follow-up indicates a very satisfactory evolution in treated patients.