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Nonparasitic splenic cysts.

E Hoffman1, Y W Chang

  • 1Baltimore County General Hospital.

Maryland Medical Journal (Baltimore, Md. : 1985)
|July 1, 1990
PubMed
Summary
This summary is machine-generated.

Diagnosing splenic cysts involves imaging like ultrasound, Scintiscan, and CAT scans. Physical exams may show LUQ masses or secondary chest findings, but can also be normal.

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Area of Science:

  • Radiology
  • Diagnostic Imaging
  • Abdominal Surgery

Background:

  • Splenic cysts are fluid-filled sacs within the spleen.
  • Diagnosis can be challenging due to variable presentation.
  • Accurate localization is crucial for effective management.

Purpose of the Study:

  • To outline diagnostic modalities for splenic cysts.
  • To describe physical examination findings associated with splenic cysts.
  • To highlight imaging techniques for pinpointing cyst location.

Main Methods:

  • Review of diagnostic imaging techniques including ultrasound, Scintiscan (technetium), and CAT scan.
  • Description of physical examination findings: palpation for LUQ mass, assessment of intercostal spaces, and diaphragm evaluation.

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  • Discussion of secondary pulmonary findings detectable via percussion and auscultation.

    • Main Results:

    • Ultrasound, Scintiscan, and CAT scans are effective for diagnosing and localizing splenic cysts.
    • Physical examination may reveal no abnormalities or a palpable LUQ mass.
    • Reported physical findings include bulging of left lower intercostal spaces, impaired diaphragm motion, and elevated diaphragm.

    Conclusions:

    • Imaging modalities are key to diagnosing and locating splenic cysts.
    • Physical examination can provide supportive, though not always definitive, evidence.
    • Secondary pulmonary findings may indicate associated pathology or cyst effects.