Department of Pediatric Surgery, Children's Hospital Zagreb, Klaiceva16, Zagreb, Croatia.
Indian J Pediatr. 2010 Apr;77(4):454-5. doi: 10.1007/s12098-010-0025-1. Epub 2010 Feb 8.
Primary splenic cysts are uncommon lesions of the spleen. Splenic cysts are classified as primary or secondary on the basis of presence or absence of an epithelial lining. The primary cysts are further subdivided as parasitic or non-parasitic. The congenital non-parasitic cysts are rarely met in clinical practice and it constitutes approximately 10% of all splenic cysts. Congenital cysts are true cysts with an epithelial. Secondary cysts are in most cases posttraumatic. Patient at admission had lower abdominal pain and splenic cyst was asymptomatic. In routine abdominal pain investigation we found cyst of the spleen in diameter 2 cm. We made serodiagnostic tests for echinococcosis which were negative. After 3 years she came with left upper quadrant enlargement with tangible abdominal mass, increasing abdominal girth, decrease of appetite and sometimes vomiting. CT scan showed cyst enlargement in diameter 8 x 6 cm. Operative treatment was necessary and splenectomy was done. However, splenectomy remains a relatively safe procedure, associated with few complications and avoiding any future problems.
原发性脾囊肿是脾脏罕见的病变。根据是否存在上皮衬里，将脾囊肿分为原发性或继发性。原发性囊肿进一步分为寄生虫性或非寄生虫性。先天性非寄生虫性囊肿在临床上很少见，约占所有脾囊肿的 10%。先天性囊肿是真正的囊肿，具有上皮。继发性囊肿大多数情况下是创伤后形成的。入院时患者有下腹痛，脾囊肿无症状。在常规腹痛检查中，我们发现直径 2 厘米的脾囊肿。我们进行了包虫病的血清学诊断检测，结果为阴性。3 年后，她出现左上象限增大，触及腹部肿块，腹围增大，食欲减退，有时呕吐。CT 扫描显示囊肿直径增大至 8×6 厘米。需要手术治疗，行脾切除术。然而，脾切除术仍然是一种相对安全的手术，并发症较少，并可避免任何未来的问题。
