Nonparasitic abdominal serous cysts. A multiple case report

Area of Science:

• Gastroenterology
• Abdominal Surgery
• Diagnostic Imaging

Background:

• Nonparasitic abdominal serous cysts are rare conditions.
• These cysts can occur in various abdominal organs, most commonly the liver, but also kidneys, spleen, pancreas, adrenals, and mesentery.

Purpose of the Study:

• To investigate the diagnostic and therapeutic features of nonparasitic abdominal serous cysts.
• To evaluate the effectiveness of different diagnostic and surgical approaches.

Main Methods:

• Retrospective review of 35 patients with nonparasitic abdominal serous cysts.
• Analysis of clinical presentation, diagnostic imaging (primarily ultrasonography), and surgical procedures.
• Evaluation of immediate and late postoperative outcomes.

Main Results:

• Cyst size, not location, primarily determined clinical symptoms.
• Ultrasonography was effective for detection but had limitations in precise visceral localization (6 errors).
• Confusion with hydatid cysts occurred due to low incidence and lack of specific diagnostic markers, especially for solitary cysts.
• Partial cystectomy (18 cases) and total cystectomy (8 cases) were common surgical procedures.
• A novel technique involving cavity obliteration was used in two patients.

Conclusions:

• Surgical approach selection depends on cyst size, site, and number.
• Both standard and novel surgical techniques resulted in very good immediate and late postoperative outcomes.
• Nonparasitic abdominal serous cysts require careful diagnosis and tailored surgical management.