Spleen: Splenic Cyst

Splenic Cyst

Basics

  • Benign but May Secrete Tumor Markers (CA 19-9)
  • Presentation: Usually Asymptomatic
  • Always Preform Serologic Testing for Echinococcal Ab

Causes

  • Trauma
  • Parasitic – Hydatid (Echinococcal)
  • Congenital
  • Manifestation of Polycystic Kidney Disease

Treatment

  • Parasitic: Albendazole & Splenectomy
  • Non-Parasitic:
    • ASx & Small: Conservative
    • Sx or Large (> 4-5 cm): Intervention
      • Superficial: Marsupialization or Unroofing
      • Deep: Partial Splenectomy
      • Other Options: Percutaneous Drainage or Total Splenectomy
      • *Some Argue for Conservative Management of All Asymptomatic Cysts Regardless of Size

Hydatid Cyst 1

Hydatid Cyst on CT 2

References

  1. Vezakis A, Dellaportas D, Polymeneas G, Tasoulis MK, Chondrogiannis C, Melemeni A, Polydorou A, Fragulidis GP. Two cases of primary splenic hydatid cyst in Greece. Korean J Parasitol. 2012 Jun;50(2):147-50.(License: CC BY-NC-4.0)
  2. Limas C, Soultanidis C, Kirmanidis MA, Tsigalou C, Deftereos S. Management of abdomen hydatidosis after rupture of a hydatid splenic cyst: a case report. Cases J. 2009 Sep 2;2:8416. (License: CC BY-3.0)