1/45. Post traumatic pseudocyst of the spleen: case report on a conservative management through percutaneous drainage.Non-parasitic cysts of the spleen are uncommon and often result from blunt abdominal trauma. These lesions are classified as splenic pseudocysts. Until recently, splenectomy has been the primary choice of treatment of these pseudocysts. The trend for treatment of spleen cysts is now towards a conservative management. The case reported herein is an example of a post traumatic splenic pseudocyst successfully treated with a conservative approach (ultrasound aided percutaneous drainage). In most tropical countries, also in view of lack of resources and expertise, a conservative non-surgical of post-traumatic spleen cysts management could be appropriate and feasible under certain circumstances.- - - - - - - - - - ranking = 1keywords = pseudocyst (Clic here for more details about this article) |
2/45. Traumatic pseudocyst of the spleen.Four patients with pseudocyst of the spleen gave histories of abdominal trauma. In one patient the pseudocyst had ruptured, necessitating emergency splenectomy 34 years after the original injury. In a second patient the pseudocyst was discovered incidentally, and was managed by spleen-preserving excision; and the third and fourth presented with abdominal pain and had splenectomy and spleen-preserving surgery, respectively. All patients with conservatively treated splenic injury are at risk of developing a pseudocyst of the spleen, and the lesion can be detected by computed tomography or ultrasound. When there are no symptoms the natural history is unknown; but if surgery is necessary, splenectomy can sometimes be avoided.- - - - - - - - - - ranking = 1.1428571428571keywords = pseudocyst (Clic here for more details about this article) |
3/45. Gastric pseudotumor.The authors present a case report of a pseudotumor of the stomach and a brief discussion about this very unusual entity. A 75-year-old female patient was admitted with melena and a large epigastric tumor; she underwent upper gastrointestinal endoscopy, abdominal ultrasound, magnetic resonance imaging, guided needle aspiration and angiography. Preoperative diagnostic hypothesis included a partially thrombosed aneurysm of the splenic artery, pancreatic cystic neoplasm with gastric invasion and pancreatic pseudocyst complicated with hemorrhage. laparotomy revealed a gastric tumor and the patient was submitted to a radical subtotal Billroth II gastrectomy. Only the pathologic examination revealed the unexpected definitive diagnosis of an organized intramural gastric hematoma. There were no postoperative complications and she remains asymptomatic 10 months after surgery.- - - - - - - - - - ranking = 0.60285883985881keywords = pancreatic pseudocyst, pseudocyst (Clic here for more details about this article) |
4/45. pancreatic pseudocyst with hemorrhage into the gastrointestinal tract through the duct of Wirsung.A case of massive upper gastrointestinal hemorrhage is presented in which a pancreatic pseudocyst eroded into the splenic artery resulting in intracystic hemorrhage through the duct of Wirsung. Total excision of the pseudocyst, spleen, and tail of the pancreas is recommended.- - - - - - - - - - ranking = 1.3171445541445keywords = pancreatic pseudocyst, pseudocyst (Clic here for more details about this article) |
5/45. Posttraumatic splenic cysts and partial splenectomy: report of a case.Nonparasitic splenic cysts are uncommon, with only around 800 cases described in the literature. Posttraumatic splenic pseudocysts constitute most such cases and require surgical treatment when symptomatic or voluminous. Recent studies have provided a better understanding of splenic tissue function and the consequent risks of complete resection of the spleen. Hence surgeons should make every possible effort to preserve splenic tissue. Several spleen-conserving surgical treatments have been proposed, especially for treatment of splenic posttraumatic pseudocysts. The authors report the case of a 13-year-old girl who had a posttraumatic splenic cyst with progressive growth. The diameter of the cyst at surgery was 15 cm, and partial splenectomy was performed. The most common spleen-conserving surgical techniques are briefly reviewed.- - - - - - - - - - ranking = 0.28571428571429keywords = pseudocyst (Clic here for more details about this article) |
6/45. Posttraumatic cyst of the spleen: a case report and review of the literature.Splenic cysts are rare lesions. They are mainly divided into primary or genuine cysts and secondary or false cysts according to their etiology and pathophysiology. Primary cysts have a cellular lining that can be caused by either congenital events or parasitic infestations (echinococcus). Secondary cysts have no cellular lining and may be of hemorrhagic, serous, inflammatory, or degenerative origin. It is important for surgeons to assess each individual case and decide on the most suitable treatment, taking into account the features of the cyst, the time of onset, and the age of the patient, to avoid possible complications. We report a case of posttraumatic pseudocyst treated successfully by splenectomy and we review the literature.- - - - - - - - - - ranking = 0.14285714285714keywords = pseudocyst (Clic here for more details about this article) |
7/45. Displacement of the spleen in infected pancreatic pseudocyst: case report.In two patients with infected pancreatic pseudocyst 99mTc-sulfur colloid scans showed similar medial and inferior displacement of the spleen.- - - - - - - - - - ranking = 3.014294199294keywords = pancreatic pseudocyst, pseudocyst (Clic here for more details about this article) |
8/45. Splenic hematoma in acute pancreatitis. role of coagulation disorders.Splenic hematomas are infrequent complications of acute pancreatitis. In some cases, local factors that may play a role in the pathogenesis of the hematoma (thrombosis of the splenic artery or veins, intrasplenic pseudocysts, perisplenic adhesions, enzymatic digestion) are found. In the absence of local factors, the etiology of splenic hemorrhage remains unknown. We report two cases of splenic hematoma occurring during an acute necro-hemorrhagic pancreatitis associated with renal failure that required renal replacement therapy (hemodialysis and continuous arteriovenous hemodialysis). In both cases, more than half of splenic parenchyma was affected by multiple infarctions. No local factors responsible for the splenic abnormalities were detected in either case. thrombosis of the splenic arterial microcirculation and a coagulation disorder consistent with disseminated intravascular coagulation was detected in one patient. In the second patient, coagulation disorders secondary to either liver disease, pancreatitis and its septic complications, or extracorporeal circuit heparinization for renal replacement therapy were present. Coagulation disorders should be considered whenever a splenic hematoma is found in a patient with acute pancreatitis. disseminated intravascular coagulation may be the etiology of a splenic hematoma in acute pancreatitis.- - - - - - - - - - ranking = 0.14285714285714keywords = pseudocyst (Clic here for more details about this article) |
9/45. Intrasplenic pancreatic pseudocyst: a case report.An intrasplenic pseudocyst associated with the acute relapsing phase of chronic pancreatitis in a 51-year-old woman is reported, with a review of the Japanese literature. The patient was admitted with a complaint of left lateral and back pain. Abdominal US and CT revealed communicating cysts at the pancreatic tail and the subcapsule of the spleen. A repeat US and CT 1 month after admission demonstrated enlargement of the cyst at the pancreatic tail. ERCP revealed a dilated main pancreatic duct without any definite evidence of stenosis, and direct communication with the cyst at the pancreatic tail. Percutaneous cystography revealed that the subcapsular cyst of the spleen, the cyst of the pancreatic tail, and the main pancreatic duct communicated with each other. The cyst contained serous fluid with an amylase content of 57,500 IU/I. Distal pancreatectomy and splenectomy was performed. Histologically, there was a nonepithelial lining on the inner surface of the cysts at the pancreatic tail and the subcapsule of the spleen. Severe chronic inflammatory changes were present in the resected tail of the pancreas. Timely surgical treatment is advocated to reduce the mortality and morbidity associated with complications of intrasplenic pseudocysts.- - - - - - - - - - ranking = 2.6971496451495keywords = pancreatic pseudocyst, pseudocyst (Clic here for more details about this article) |
10/45. Laparoscopic partial splenectomy for a splenic pseudocyst.We describe a laparoscopic hemisplenectomy that was performed to treat a 21-year-old patient with a large splenic pseudocyst located in the upper splenic pole. The diagnosis was made by computed tomography and ultrasound, and surgery was performed with ultrasound scalpel, clips, and fibrin glue. Surgery lasted 70 min and did not require blood transfusions. The patient was discharged on postoperative day 3, and at 28-month follow-up there were no sequelae or recurrences. The laparoscopic approach is a valid alternative to laparotomy because the integrated magnified view enables the surgical team to perform surgery in a much shorter time and with greater hemostatic accuracy than the traditional technique.- - - - - - - - - - ranking = 0.71428571428571keywords = pseudocyst (Clic here for more details about this article) |
| | Next -> |