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Related Experiment Videos

Splenic cysts: aspiration, sclerosis, or resection.

C Moir1, F Guttman, S Jequier

  • 1Department of Surgery, McGill University, Montreal Children's Hospital, Quebec, Canada.

Journal of Pediatric Surgery
|July 1, 1989
PubMed
Summary

Percutaneous aspiration and tetracycline sclerosis offers temporary relief for large splenic cysts in children. This minimally invasive approach is safe but often requires subsequent surgery for definitive treatment of pediatric splenic cysts.

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Area of Science:

  • Pediatric Surgery
  • Interventional Radiology
  • Gastroenterology

Background:

  • Large splenic cysts in children are rare and often asymptomatic.
  • Congenital mesothelial cysts and lymphangiomatosis are common pediatric splenic pathologies.
  • Percutaneous aspiration and sclerotherapy are explored as less invasive treatment options.

Observation:

  • Three pediatric patients with large splenic cysts (8-16 cm) underwent percutaneous aspiration and tetracycline sclerotherapy.
  • Initial cyst collapse was achieved, but catheter insertion failed in one case.
  • Sclerotherapy was ineffective in obliterating cysts in two patients, necessitating surgery.

Findings:

  • Percutaneous therapy for large splenic cysts in children is safe but provides temporary palliation.

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  • Two patients with congenital mesothelial cysts underwent successful partial splenectomy.
  • One patient with massive lymphangiomatosis required a total splenectomy due to disease progression.

    • Implications:

    • Percutaneous aspiration and sclerotherapy are not definitive treatments for large pediatric splenic cysts.
    • Surgical intervention remains the gold standard for long-term management.
    • Prior percutaneous procedures did not complicate subsequent surgical interventions.