A Rare Encounter with an Expanding Pseudocyst of the Spleen
Background. Splenic Pseudocyst (SP) is a diagnostic rarity, with cystic lesions of spleen themselves being uncommon. Establishing a preoperative diagnosis could help in specific management but this is rather challenging. Here we present a common presentation of an uncommon diagnosis. Case Presentati...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2017-01-01
|
| Series: | Case Reports in Gastrointestinal Medicine |
| Online Access: | http://dx.doi.org/10.1155/2017/9896856 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832563426761637888 |
|---|---|
| author | Ashish Lal Shrestha Pradita Shrestha |
| author_facet | Ashish Lal Shrestha Pradita Shrestha |
| author_sort | Ashish Lal Shrestha |
| collection | DOAJ |
| description | Background. Splenic Pseudocyst (SP) is a diagnostic rarity, with cystic lesions of spleen themselves being uncommon. Establishing a preoperative diagnosis could help in specific management but this is rather challenging. Here we present a common presentation of an uncommon diagnosis. Case Presentation. A 47-year-old lady, previously well, presented to the outpatient clinic with intermittent left hypochondrial pain radiating towards left shoulder for 2 months not associated with fever, jaundice, or weight loss. Abdominal examination revealed nontender hepatosplenomegaly. The initial abdominal ultrasonogram (USG) was suggestive of a hydatid cyst, for which she received a course of antihelminthics. At follow-up, after finding no clinical improvement and radiological worsening, she underwent an exploratory laparotomy. A cyst replacing entire lower pole and a significant portion of splenic hilum was found. Total splenectomy was performed. The specimen was reported to be a SP. Conclusion. SP is a unique entity, usually misdiagnosed as a parasitic lesion and often treated with antihelminthic medicines. The natural course of disease, however, follows a subsequent failure of symptom resolution and radiological worsening that ultimately demands surgical attention. Based on size, location, and intraoperative findings, either total or partial splenectomy is required. The final histopathological report often presents a diagnostic surprise. |
| format | Article |
| id | doaj-art-4d9e53d58b6b4cf28c7cab61dd4e9da8 |
| institution | Kabale University |
| issn | 2090-6528 2090-6536 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Gastrointestinal Medicine |
| spelling | doaj-art-4d9e53d58b6b4cf28c7cab61dd4e9da82025-02-03T01:20:12ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362017-01-01201710.1155/2017/98968569896856A Rare Encounter with an Expanding Pseudocyst of the SpleenAshish Lal Shrestha0Pradita Shrestha1Department of General Surgery, United Mission Hospital, Tansen, Palpa, NepalDepartment of General Surgery, United Mission Hospital, Tansen, Palpa, NepalBackground. Splenic Pseudocyst (SP) is a diagnostic rarity, with cystic lesions of spleen themselves being uncommon. Establishing a preoperative diagnosis could help in specific management but this is rather challenging. Here we present a common presentation of an uncommon diagnosis. Case Presentation. A 47-year-old lady, previously well, presented to the outpatient clinic with intermittent left hypochondrial pain radiating towards left shoulder for 2 months not associated with fever, jaundice, or weight loss. Abdominal examination revealed nontender hepatosplenomegaly. The initial abdominal ultrasonogram (USG) was suggestive of a hydatid cyst, for which she received a course of antihelminthics. At follow-up, after finding no clinical improvement and radiological worsening, she underwent an exploratory laparotomy. A cyst replacing entire lower pole and a significant portion of splenic hilum was found. Total splenectomy was performed. The specimen was reported to be a SP. Conclusion. SP is a unique entity, usually misdiagnosed as a parasitic lesion and often treated with antihelminthic medicines. The natural course of disease, however, follows a subsequent failure of symptom resolution and radiological worsening that ultimately demands surgical attention. Based on size, location, and intraoperative findings, either total or partial splenectomy is required. The final histopathological report often presents a diagnostic surprise.http://dx.doi.org/10.1155/2017/9896856 |
| spellingShingle | Ashish Lal Shrestha Pradita Shrestha A Rare Encounter with an Expanding Pseudocyst of the Spleen Case Reports in Gastrointestinal Medicine |
| title | A Rare Encounter with an Expanding Pseudocyst of the Spleen |
| title_full | A Rare Encounter with an Expanding Pseudocyst of the Spleen |
| title_fullStr | A Rare Encounter with an Expanding Pseudocyst of the Spleen |
| title_full_unstemmed | A Rare Encounter with an Expanding Pseudocyst of the Spleen |
| title_short | A Rare Encounter with an Expanding Pseudocyst of the Spleen |
| title_sort | rare encounter with an expanding pseudocyst of the spleen |
| url | http://dx.doi.org/10.1155/2017/9896856 |
| work_keys_str_mv | AT ashishlalshrestha arareencounterwithanexpandingpseudocystofthespleen AT praditashrestha arareencounterwithanexpandingpseudocystofthespleen AT ashishlalshrestha rareencounterwithanexpandingpseudocystofthespleen AT praditashrestha rareencounterwithanexpandingpseudocystofthespleen |