Spontaneous rupture of a non-parasitic splenic cyst

BMJ Case Rep. 2019 Oct 30;12(10):e231473. doi: 10.1136/bcr-2019-231473.

Abstract

Rupture of a non-parasitic splenic cyst is a rare but possibly dangerous complication with 21 cases described so far. We present a 46-year-old woman who presented with acute abdominal pain and was diagnosed with a spontaneous ruptured splenic cyst that was successfully treated by laparoscopic splenectomy. Histological examination showed characteristics corresponding with a non-parasitic congenital cyst that had lost its epithelial lining. Several treatment options can be considered for splenic cysts, depending on size and location. In case of rupture, the clinical condition of the patient should be taken into account.

Keywords: general surgery; haematology (incl blood transfusion); pathology; radiology; vaccination/immunisation.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Pain / diagnosis
  • Abdominal Pain / etiology
  • Cysts / congenital*
  • Cysts / diagnostic imaging
  • Cysts / surgery*
  • Female
  • Humans
  • Laparoscopy / methods
  • Middle Aged
  • Rupture, Spontaneous / complications*
  • Rupture, Spontaneous / diagnosis
  • Rupture, Spontaneous / surgery*
  • Spleen / pathology
  • Splenectomy / methods
  • Splenic Diseases / pathology
  • Splenic Diseases / surgery
  • Treatment Outcome