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Revista chilena de pediatría

versión impresa ISSN 0370-4106

Resumen

MARTINEZ TORRES, Beatriz et al. Giant splenic cyst in a teenager girl: Case report . Rev. chil. pediatr. [online]. 2017, vol.88, n.3, pp.388-392. ISSN 0370-4106.  http://dx.doi.org/10.4067/S0370-41062017000300012.

Giant nonparasitic splenic epidermoid cysts are relatively uncommon. These lesions can lead abdominal pain, but most of then are asymptomatic, and they are discovered incidentally. We report a 13-y old female with a giant splenic epidermoid cystic, given the special interest of diagnostic and therapeutic decision-making of this rare entity. Case report: A 13-y old female with clinical history of abdominal pain since the last two months. On physical examination a firm, tender mass was palpable in left hypochondrium. Diagnosis of a large cystic splenic mass was made based on ultrasound and abdominal computed tomography scan. Splenectomy was performed, and histopathological-immunohistochemistry studies revealed findings suggestive of primary epithelial cyst. The post-operative clinical course was satisfactory and uneventful. Conclusions: Treatment of giant nonparasitic splenic cysts is surgical. Preserve splenic parenchyma must be the aim in an individualized decision-making. The different types of surgical modalities will be according to the diagnosis and clinical situation (cyst size, age, comorbidities).

Palabras clave : Splenic cyst; non-parasite cyst; splenectomy.

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