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Published on: May 16, 2020
[Splenic Epidermoid Cyst--imaging features]
Joana Albuquerque1, Ana Mónica, Ana Germano
1Serviço de Imagiologia, Hospital Fernando Fonseca, Amadora.
Insights
Splenic epidermoid cysts are rare, often diagnosed with imaging but confirmed by histology. This case highlights imaging features of a splenic epidermoid cyst in a child with abdominal pain.
Area of Science:
- Radiology
- Pediatric Surgery
- Pathology
Background:
- Splenic epidermoid cysts are uncommon benign splenic lesions.
- Accurate diagnosis relies on integrating imaging findings with histological confirmation.
- These cysts can present with vague or post-traumatic abdominal symptoms.
Observation:
- A case study of an eleven-year-old child presenting with a month of post-traumatic abdominal pain is detailed.
- The clinical presentation included symptoms suggestive of a splenic abnormality.
- Diagnostic imaging modalities were employed to evaluate the abdominal pain.
Findings:
- Ultrasound, CT, and MRI demonstrated characteristic imaging features of a splenic epidermoid cyst.
- Pathological correlation confirmed the diagnosis, matching the observed imaging patterns.
- The review emphasizes the role of imaging in the pre-operative characterization of splenic epidermoid cysts.
Implications:
- This case underscores the importance of considering rare splenic lesions in pediatric abdominal pain evaluations.
- Radiologists and surgeons can utilize this information to improve diagnostic accuracy for splenic epidermoid cysts.
- Understanding imaging features aids in differentiating these cysts from other splenic pathologies.
Abstract:
Splenic Epidermoid Cyst is a rare entity and the imaging methods play a major role in the diagnosis, although this can only be accomplished by the histological features. The authors report a case of splenic epidermoid cyst in a child of eleven years old, which presented with one month history of post-traumatic abdominal pain. They illustrate the imaging features on ultrasound, CT and MR with pathologic correlation. A review of imaging aspects in the characterization and diagnosis of this clinical entity is made.
