Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2019 Oct 30;12(10):e231473.
doi: 10.1136/bcr-2019-231473.

Spontaneous rupture of a non-parasitic splenic cyst

Lodewijk Cs Res  1 , Mireille T T Knook  2 , Hans M Hazelbag  3 , Onno R Guicherit  2
Affiliations
Case Reports

Spontaneous rupture of a non-parasitic splenic cyst

Lodewijk Cs Res et al. BMJ Case Rep. .

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.

PubMed Disclaimer

Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Sagittal view of CT-scan with rupture indicated.
Figure 2
Figure 2
Upper: wall of the cyst (H&E, 20x); lower: lymphocytes, histiocytes, plasma cells and eosinophils. No epithelial lining is present (H&E, 400x).
See this image and copyright information in PMC

References

    1. Morgenstern L. Nonparasitic splenic cysts: pathogenesis, classification, and treatment. J Am Coll Surg 2002;194:306–14. 10.1016/s1072-7515(01)01178-4 - DOI - PubMed
    1. Qureshi MA, Hafner CD. Clinical manifestations of splenic cysts: study of 75 cases. Am Surg 1965;31:605–8. - PubMed
    1. Mirilas P, Mentessidou A, Skandalakis JE. Splenic cysts: are there so many types? J Am Coll Surg 2007;204:459–65. 10.1016/j.jamcollsurg.2006.12.012 - DOI - PubMed
    1. Vajda P, Kereskai L, Czauderna P, et al. . Re-Evaluation of histological findings of nonparasitic splenic cysts. Eur J Gastroenterol Hepatol 2012;24:316–9. 10.1097/MEG.0b013e32834ea639 - DOI - PubMed
    1. Balzan SM, Riedner CE, Santos LM, et al. . Posttraumatic splenic cysts and partial splenectomy: report of a case. Surg Today 2001;31:262–5. 10.1007/s005950170183 - DOI - PubMed

Publication types

LinkOut - more resources