Symptoms of splenic cyst?

summary

Splenic cysts are rare, but the etiology is still unclear. The diagnosis mainly depends on the history, CT and CT examination. According to the location, size and nature of the cyst, total splenectomy, half splenectomy or partial splenectomy should be selected. Symptoms of splenic cyst? Let's talk about it.

Symptoms of splenic cyst?

The clinical manifestations were left upper abdominal pain in 7 cases, of which 3 cases were accompanied by low back pain; There were 7 cases of left upper abdominal mass, of which 1 case almost occupied the whole abdominal cavity, and 6 cases were located 5-18cm below the costal margin of the left clavicle midline, with smooth mass, wave motion and tenderness; 4 cases were accompanied by weakness and anorexia. Dyspepsia and emaciation were found in 2 cases and fever in 1 case.

5 cases showed splenic cyst and 1 case showed splenic tumor; CT examination showed splenic cyst in 5 cases and splenic cyst in 4 cases; Chest and abdomen X-ray plain film examination in 7 cases, 4 cases of diaphragmatic elevation, limited movement, left upper abdominal calcification in 2 cases; Barium meal fluoroscopy of upper gastrointestinal tract showed signs of gastrointestinal tract compression in 3 cases. Preoperative diagnosis included 4 cases of splenic cyst, 1 case of splenic tumor, 1 case of pancreatic tail cyst and 1 case of left perirenal abscess.

Pathological examination showed that the cyst was located in the upper pole in 3 cases, the lower pole in 2 cases, the dorsal side of the spleen in 1 case, and the spleen was completely replaced by the cyst in 1 case. The cyst fluid was 4500ml at most and 350ml at least. The cyst fluid was watery serous in 3 cases, brown in 2 cases and bloody in 2 cases. Microscopically, there were 2 cases of lymphatic cyst, 2 cases of traumatic cyst, 1 case of vascular cyst, 1 case of inflammatory cyst and 1 case of infarct necrosis liquefied cyst.

matters needing attention

Among them, 2 cases of postoperative failure complicated with left pleural and peritoneal effusion, 1 case was discharged 20 days after operation after one puncture and drainage and nutritional support treatment, and the other case was discharged 35 days after operation after three puncture and drainage and nutritional support treatment. Five cases were followed up and two cases were lost. The longest follow-up time was 18 years and the shortest was 1.5 years.