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Updated: Apr 22, 2026
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Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions
Published on: December 20, 2024
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[Splenic cysts as an incidental finding--what's next?].
Deutsche Medizinische Wochenschrift (1946)
|October 8, 2014
Summary
This case study highlights that extended non-parasitic splenic cysts can be managed conservatively. Regular check-ups are recommended as long as parasitic or malignant processes are excluded.
Area of Science:
- Gastroenterology and Hepatology
- Radiology
- Infectious Diseases
Background:
- A 55-year-old woman presented with elevated serum lipase during a routine check-up.
- Initial physical examination revealed no pathological findings.
Observation:
- Abdominal sonography identified liver and spleen lesions, initially suspected as parasitic or amoebic infections.
- Computer tomography (CT) confirmed complex cysts in the spleen (59 × 44 mm) and liver.
- Serological tests for parasitic and amoebic infections were negative.
Findings:
- Eight-year follow-up with magnetic resonance tomography (MRI) showed cyst progression (splenic: 88 × 69 mm, liver: 25 × 20 mm).
- No signs of pancreatic duct compression or malignant transformation were observed.
- No correlation was found between elevated lipase and splenic cyst progression.
Implications:
- Conservative, non-operative management is a reasonable approach for extended non-parasitic splenic cysts.
- Continued monitoring is advised to exclude parasitic genesis and malignant processes.
- This approach is suitable when patients remain asymptomatic.
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