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Splenic cysts: Analysis of 16 cases
Hamed Golmohammadzadeh1, Ghodratollah Maddah1, Yavar Shams Hojjati1
1Endoscopic and Minimally Invasive Surgery Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Caspian Journal of Internal Medicine
|October 21, 2016
Summary
Splenic cysts, though rare, are effectively treated with splenectomy. Both total and partial splenectomy offer safe and successful outcomes for patients with splenic cysts, including those with hydatidosis, with no reported recurrences.
Area of Science:
- Surgical outcomes of splenic cysts
- Management of parasitic and non-parasitic splenic cysts
Background:
- Splenic cysts are rare, classified as primary (true) or secondary (pseudocysts).
- True cysts have an epithelial lining and can be parasitic (e.g., hydatid) or non-parasitic.
- This study evaluates treatment outcomes for splenic cysts.
Observation:
- A 24-year retrospective review of 16 patients with splenic cysts treated at Ghaem and Omid teaching hospitals.
- The patient cohort included 11 females and 5 males, with an average age of 39.8 years.
- Fifteen cases were true cysts (11 parasitic/hydatid, 4 non-parasitic), and one was a pseudocyst.
Findings:
- Splenic cysts ranged from 6 to 25 cm (average 14.3 cm).
- Coexistent cysts in the liver, pelvis, omentum, and paracolic regions were observed in 37.5% of cases.
- Treatments included total splenectomy (9 patients), partial splenectomy (5 patients), and conservative medical management (2 patients).
- All patients with hydatid cysts received 6 months of postoperative albendazole treatment.
- All patients achieved full recovery without recurrence.
Implications:
- Open splenectomy (total or partial) is a safe and effective treatment for splenic cysts.
- Surgical intervention yields good outcomes, even in cases of hydatidosis.
- Conservative management may be an option for select cases, though splenectomy ensures no recurrence.
