Todde G, Bagolan P, Fariello G, Malena S, Ferro F, Mosiello G, Alessandri A
Servizio di Radiologia, Ospedale Pediatrico Bambino Gesú, Roma, Italie.
Chir Pediatr. 1989;30(3):172-4.
Non parasitic splenic cysts are an uncommon clinical and pathologic entities, out of these, epitelias splenic cysts (ESC) occurred in 10% of cases. Until recently the treatment of choice for the large ESC consisted of splenectomy. Splenic preservation, for avoiding risks of sepsis, is a modern concept uniformly accepted for treating childhood splenic injury and benign pathology. The Authors report a case of prenatal diagnosis of large left upper quadrant mass that was apparent at Ultrasonography (US) at 32th week of gestational age. Laparotomy at 3rd day of life: a large cyst splenic mass was found (7 x 7 cm), it was situated all in lower pole. Partial splenectomy was performed; cysts were not found in other organs. Histology of specimen: ESC. The postoperative course was uneventful. Postoperative (6 months) Scintigraphy demonstrated the good vascularization of the spleen.
非寄生虫性脾囊肿是一种罕见的临床和病理实体，其中上皮性脾囊肿（ESC）占病例的10%。直到最近，大型ESC的首选治疗方法仍是脾切除术。为避免败血症风险而保留脾脏是治疗儿童脾损伤和良性病变时普遍接受的现代理念。作者报告了一例产前诊断为左上腹巨大肿块的病例，该肿块在孕32周时超声检查（US）可见。出生第3天行剖腹手术：发现一个巨大的脾囊肿肿块（7×7cm），完全位于脾下极。行部分脾切除术；其他器官未发现囊肿。标本组织学检查：ESC。术后过程顺利。术后（6个月）闪烁扫描显示脾脏血运良好。
