Browse > Article
http://dx.doi.org/10.5223/pghn.2015.18.4.276

A Case of Post-Traumatic Pseudocyst in the Spleen Successfully Treated with Alcohol Sclerotherapy  

Mun, Sang Wook (Department of Pediatrics, Pusan National University School of Medicine)
Lim, Taek-Jin (Department of Pediatrics, Pusan National University School of Medicine)
Hwang, Eun Ha (Department of Pediatrics, Pusan National University School of Medicine)
Lee, Yeoun Joo (Department of Pediatrics, Pusan National University School of Medicine)
Jeon, Ung Bae (Department of Radiology, Pusan National University School of Medicine)
Park, Jae Hong (Department of Pediatrics, Pusan National University School of Medicine)
Publication Information
Pediatric Gastroenterology, Hepatology & Nutrition / v.18, no.4, 2015 , pp. 276-279 More about this Journal
Abstract
This report details a case of post-traumatic pseudocyst in the spleen that was successfully treated with sclerotherapy using ethanol. A sixteen-year-old boy visited our hospital for a follow-up examination of a splenic cyst. He had experienced blunt trauma to the abdomen three years prior to presentation. An abdominal computed tomography scan revealed a large cyst of the lower pole of the spleen. The cyst was $6.8{\times}9.5{\times}7.0cm$ and conservative management was tried. A follow-up ultrasonographic examination three years later revealed that the size of the cyst was unchanged and another treatment was needed to prevent complications. One session of sclerosis with ethanol (90 mL of 99% ethanol) percutaneously was applied to the cyst. A follow-up after four months revealed that the cyst had completely resolved.
Keywords
Spleen; Cysts; Sclerotherapy;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Pachter HL, Hofstetter SR, Elkowitz A, Harris L, Liang HG. Traumatic cysts of the spleen--the role of cystectomy and splenic preservation: experience with seven consecutive patients. J Trauma 1993;35:430-6.   DOI
2 Labruzzo C, Haritopoulos KN, El Tayar AR, Hakim NS. Posttraumatic cyst of the spleen: a case report and review of the literature. Int Surg 2002;87:152-6.
3 Holland AJ, Ford WD, Bourne AJ. Conservative surgery for benign non-parasitic splenic cysts. Pediatr Surg Int 1997;12:353-5.   DOI
4 Dillemans B, Mottrie A, Decoster M, Gruwez JA. Epidermoid cysts of the spleen. Acta Chir Belg 1993;93:265-7.
5 Schier F, Waag KL, Ure B. Laparoscopic unroofing of splenic cysts results in a high rate of recurrences. J Pediatr Surg 2007;42:1860-3.   DOI
6 Anon R, Guijarro J, Amoros C, Gil J, Bosca MM, Palmero J, et al. Congenital splenic cyst treated with percutaneous sclerosis using alcohol. Cardiovasc Intervent Radiol 2006;29:691-3.   DOI
7 Bean WJ. Renal cysts: treatment with alcohol. Radiology 1981;138:329-31.   DOI
8 Bean WJ, Rodan BA. Hepatic cysts: treatment with alcohol. AJR Am J Roentgenol 1985;144:237-41.   DOI
9 Akhan O, Ozmen MN, Dincer A, Sayek I, Gocmen A. Liver hydatid disease: long-term results of percutaneous treatment. Radiology 1996;198:259-64.   DOI
10 De Caluwe D, Phelan E, Puri P. Pure alcohol injection of a congenital splenic cyst: a valid alternative? J Pediatr Surg 2003;38:629-32.   DOI
11 Wu HM, Kortbeek JB. Management of splenic pseudocysts following trauma: a retrospective case series. Am J Surg 2006;191:631-4.   DOI
12 Qureshi MA, Hafner CD. Clinical manifestations of splenic cysts: study of 75 cases. Am Surg 1965;31:605-8.
13 Klompmaker IJ, Haagsma EB, Slooff MJ. Splenic vein obstruction due to a solitary echinococcal splenic cyst, resulting in gastric fundus varices: an unusual cause of variceal bleeding. HPB Surg 1993;6:229-32.   DOI
14 Rakowski TA, Argy WP Jr, Pierce L Jr, Schreiner GE. Splenic cyst causing hypertension by renal compression. JAMA 1977;238:2528-9.   DOI
15 Costa Borras E, Segarra Llido V, Velazquez Terron J, Menor Serrano F. Evolution of conservative treatment in traumatic spleen injuries. Report of 54 cases. Cir Pediatr 2003;16:14-6.
16 Volk M, Rogler G, Strotzer M, Lock G, Manke C, Feuerbach S. Post-traumatic pseudocyst of the spleen: sclerotherapy with ethanol. Cardiovasc Intervent Radiol 1999;22:246-8.   DOI
17 Akhan O, Baykan Z, Oguzkurt L, Sayek I, Ozmen MN. Percutaneous treatment of a congenital splenic cyst with alcohol: a new therapeutic approach. Eur Radiol 1997;7:1067-70.   DOI
18 Akhan O, Cekirge S, Ozmen M, Besim A. Percutaneous transcatheter ethanol sclerotherapy of postoperative pelvic lymphoceles. Cardiovasc Intervent Radiol 1992;15:224-7.   DOI
19 Jeng KS, Yang FS, Kao CR, Huang SH. Management of symptomatic polycystic liver disease: laparoscopy adjuvant with alcohol sclerotherapy. J Gastroenterol Hepatol 1995;10:359-62.   DOI