Epidermoid Splenic Cyst: Report of Two Cases
Journal Title: Biomedical Journal of Scientific & Technical Research (BJSTR) - Year 2019, Vol 15, Issue 2
Abstract
The authors report two cases of epidermoid splenic cyst including one infected. One was diagnosed on Computer Tomography (CT) and the other on ultrasound total. They have undergone splenectomy. The outcome is good.46-year-old patient with no pathological history, admitted for left hypochondria pain associated with bloating of the abdomen that has been evolving for years, treated traditionally without success. The examination made notes: a good general state; an apyrexia; a good hemodynamic state; an enlarged abdomen with non-sensitive type V splenomegaly. We have evoked the hypothesis of a tumor of the spleen. A biological examination performed was normal. An abdominal CT scan showed a large splenic cyst (Fig-ures 1 and 2). The indication of a total splenectomy was retained. Vaccination against pneumococcus and Hemophilus influenza was made. It was performed by median laparotomy. The spleen weighed 2kg 600g and measured 30cm ×10cm ×20cm.Child of 6 years brought by his parents for a progressive increase of the volume of the abdomen evolving since a few weeks. A few days before his admission appeared on this table a fever motivated the present consultation. The examination noted an infectious syndrom associated with moderate hepatomegaly and a sensitive type IV splenomegaly. We thought of malaria but he thick drop was negative. In addition, leukocytosis at 15600/ mm3 associated with hypochromic microcytic anemia at 7g/dl was noted. An abdominal ultrasound made it possible to objectify a large spleen seat of a large mixed formation of 20cm × 14cm× 5cm occupying almost all of it with a cloudy liquid part.
Authors and Affiliations
Dossouvi Tamegnon, Dagbe Massaga, Ntimon Bidamin, Adabra Komlan
Keywords
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- EP ID EP591690
- DOI 10.26717/BJSTR.2019.15.002689
- Views 132
- Downloads 0
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