Huge Non-parasitic Mesothelial Splenic Cyst in a Child: A Case Report and Literature Review.

IF 1.7 Q2 PEDIATRICS Clinical Medicine Insights-Pediatrics Pub Date : 2021-06-03 eCollection Date: 2021-01-01 DOI:10.1177/11795565211021597
Imed Krichen, Kais Maazoun, Murad Kitar, Naglaa M Kamal, Ubaidullah Khan, Mostafa Yl Khalif, Rasha A, Haifa Assiri, Kawthar Abdulrhim Bokari
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引用次数: 7

Abstract

Background: Splenic cysts are one of the relatively rare conditions in pediatric surgery practice. Primary non-parasitic splenic cysts are even more scarce.

Case presentation: A 13-years-old female patient presented with chronic left hypochondrial pain of 2 months duration. Abdominal ultrasonography and computed tomography revealed huge 18 cm × 14 cm × 10 cm splenic cyst. Deroofing of the cyst was done which was complicated by secondary infection. Subsequently, the patient was re-operated on and partial splenectomy done with good outcome at 6 months follow up.

Conclusion: Partial splenectomy is the best management strategy for huge non-parasitic splenic cysts in children. There is also less recurrence rate of splenic cysts with preservation of splenic functions.

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儿童巨大非寄生性脾间皮囊肿1例报告并文献复习。
背景:脾囊肿是儿科外科实践中较为罕见的疾病之一。原发性非寄生性脾囊肿更为罕见。病例介绍:一名13岁女性患者,以慢性左肋软骨疼痛2个月为主诉。腹部超声和计算机断层扫描显示巨大的18厘米× 14厘米× 10厘米脾囊肿。切除囊肿后并发继发感染。随后,患者再次手术,并在6个月的随访中进行了部分脾切除术,结果良好。结论:部分脾切除术是治疗儿童巨大非寄生性脾囊肿的最佳方法。脾囊肿复发率较低,可保留脾功能。
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