Marjanović Z O, Djordjević I M
Klinika za Deciju hirurgiju i ortopediju, Nis.
Acta Chir Iugosl. 2008;55(1):63-7. doi: 10.2298/aci0801063m.
Epidermoid cysts of the spleen are a rare lesion comprising less than 10% benign non-parasitic splenic cysts. Two boys and three girls, aged 13 to 24 years (mean 18.0 years) were diagnosed over a 4-year period. Presenting symptoms were dull, acute left hypochondrium pain and diffuse abdominal pain. Hemogram and routine analyses, as well as radiography were performed for the diagnosis. Ultrasound and CT confirmed the cystic nature of the lesion. Definitive diagnosis is made by pathological findings. Was performed splenectomy on one patient, and was performed a partial splenectomy on the other patients, in order to eliminate the symptoms produced by the cyst and prevent potential complications (postspleenectomiam sepsis). Patients were examined postoperatively. They were asymptomatic and with a normal spleen remnant detected by ultrasound and CT. Routine hematological data, blood clotting factors, and immunoglobulins were normal.
脾脏表皮样囊肿是一种罕见病变，占良性非寄生虫性脾囊肿的比例不到10%。在4年期间诊断出2名男孩和3名女孩，年龄在13至24岁之间（平均18.0岁）。主要症状为左上腹钝痛、急性疼痛和弥漫性腹痛。通过血常规和常规分析以及影像学检查进行诊断。超声和CT证实了病变的囊性性质。通过病理检查结果做出明确诊断。对1例患者实施了脾切除术，对其他患者实施了部分脾切除术，以消除囊肿产生的症状并预防潜在并发症（脾切除术后败血症）。术后对患者进行了检查。他们无症状，超声和CT检测到脾脏残余正常。常规血液学数据、凝血因子和免疫球蛋白均正常。
