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    Go to the top of the page   ID: 20020724115637 Original case in english  More links about this topic on Pubmed (PubMed Reader)
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    Splenic cyst, unspecific
    R Mund, L Hinz. Splenic cyst, unspecific. PedRad [serial online] vol 2, no. 7.
    URL: www.PedRad.info/?search=20020724115637


     
     Pediatric Radiology CasesImages to this case: There are Ultrasound-images available for this case. [ Ultrasound ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    R. Mund (Leipzig), L. Hinz (Halle)  

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    16 Years  

     
     Pediatric Radiology CasesGender:

    Male  

     
     Pediatric Radiology CasesRegion-Organ:

    Abdomen-Spleen  

     
     Pediatric Radiology CasesMost likely etiology:

    congenital  

     
     Pediatric Radiology CasesHistory:

    16 year-old boy with symptomatic splenic cyst (pain). History showed no evidence of trauma.  

     
     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease :

    Splenic cysts occur in echinococcus zysticus infections, congenitally or posttraumatically. In this case, the genesis (postraumatic or congenital) cannot be verified.  

     
     Pediatric Radiology CasesRadiological findings:


    Ultrasound 1 <- view Ultrasound 1

    Ultrasound 1: Splenic cyst preoperatively (SieScape-Mode)



    Ultrasound 2 <- view Ultrasound 2

    Ultrasound 2: Splenic cyst after aspiration and drainage



    Ultrasound 3 <- view Ultrasound 3

    Ultrasound 3: Splenic cyst after aspiration and drainage; enlargened.



    Ultrasound 4 <- view Ultrasound 4

    Ultrasound 4: Splenic cyst after Hemisplenectomy



    Ultrasound 5 <- view Ultrasound 5

    Ultrasound 5: Splenic cyst after Hemisplenectomy (Power-Mode)

     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    Surgery / Histo  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    N/A  

     
     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other :

    The most frequent cause for splenic cysts is infection with Echinococcus cysticus, followed by innate and post-traumatic cysts.

    In this case, the cyst was punctured selectively using ultrasound. Subsequently, puncture and instillation of 96% alcohol solution as well as drainage by means of a Zystofix-catheter was performed. Initially, one saw an almost completely collapsed cyst; in the course of disease, however, reoccurrence, so that a hemisplenectomy of the lower part which contained the cyst was carried out. The cyst's contents and it's serology yielded no proof of the pathogen .  

     
     Pediatric Radiology CasesComments of the author about the case:

    In most cases of an echinococcus cyst, a preoperative echinococcus serology must be obtained. If the result is positive, a partial splenic resection should be done to the avoid pathogenic seeding into the peritoneal space; a preferential treatment when compared to marsupialization, for example.  

     
     Pediatric Radiology CasesFirst description / History:

    N/A  

     
     Pediatric Radiology CasesLiterature:

    N/A  

     
     Pediatric Radiology CasesKeywords:

    Splenic cyst, unspecific, unspecific splenic cyst, abdominal pain, echinococcus zysticus infection, congenital, posttraumatic, child, childhood, pediatric radiology  

     
     Pediatric Radiology Cases Cite this article:

    R Mund, L Hinz. Splenic cyst, unspecific. PedRad [serial online] vol 2, no. 7.
    URL: www.PedRad.info/?search=20020724115637  

     
     Pediatric Radiology Cases Read similar articles: with corresponding keywords
    in the same field: Abdomen-Spleen
    or in the region: Abdomen
    or in the tissue/organ: Spleen
    or with the etiology: congenital
     
     Pediatric Radiology CasesImages to this case: There are Ultrasound-images available for this case. [ Ultrasound ] View all modalities [ All ]   
     
    Splenic cyst, unspecific
    R Mund, L Hinz. Splenic cyst, unspecific. PedRad [serial online] vol 2, no. 7.
    URL: www.PedRad.info/?search=20020724115637


     

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    Splenic cyst, unspecific
    Other cases by these authors:

    Search R. Mund in Medline R. Mund (16)   
    Search L. Hinz in Medline L. Hinz (5)   

    Splenic cyst, unspecific  
     
    Splenic cyst, unspecific
    R Mund, L Hinz. Splenic cyst, unspecific. PedRad [serial online] vol 2, no. 7.
    URL: www.PedRad.info/?search=20020724115637


     
     
    Splenic cyst, unspecific
    R Mund, L Hinz. Splenic cyst, unspecific. PedRad [serial online] vol 2, no. 7.
    URL: www.PedRad.info/?search=20020724115637


     

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    Splenic cyst, unspecific
    R Mund, L Hinz. Splenic cyst, unspecific. PedRad [serial online] vol 2, no. 7.
    URL: www.PedRad.info/?search=20020724115637


     




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