Splenic Epidermoid Cyst during Pregnancy; Case Report and Review of the Literature

Cystic disease of the spleen is not frequently encountered in surgical practice. It is broadly classified as parasitic and non-parasitic, the latter being a rare entity. In this case report, an epidermoid cyst of spleen led to acute abdomen in young age pregnant woman is presented.A 26-year-old woma...

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Main Authors: Majid Forouzesh, Laleh Ghanbarzadegan, Masoomeh Rahimi, Leila Ghahramani
Format: Article
Language:English
Published: Shiraz University of Medical Sciences 2013-10-01
Series:Bulletin of Emergency and Trauma
Subjects:
Online Access:http://beat.sums.ac.ir/article_44236_4111a49cdc99819331d0924d89ba8636.pdf
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author Majid Forouzesh
Laleh Ghanbarzadegan
Masoomeh Rahimi
Leila Ghahramani
author_facet Majid Forouzesh
Laleh Ghanbarzadegan
Masoomeh Rahimi
Leila Ghahramani
author_sort Majid Forouzesh
collection DOAJ
description Cystic disease of the spleen is not frequently encountered in surgical practice. It is broadly classified as parasitic and non-parasitic, the latter being a rare entity. In this case report, an epidermoid cyst of spleen led to acute abdomen in young age pregnant woman is presented.A 26-year-old woman with 15 weeks gestational age second pregnancy referred to emergency ward with left upper quadrant pain and tenderness that ultra sonography revealed large cyst (100х110mm) with internal echo in spleen in favor of hydatic cyst or abscess. The patient was managed medically for one week but developed her abdominal pain, epigastric fullness, anorexia and fever. New sonography was done for her and large cyst was detected in spleen (120х110mm). She had severe pain accompanied with anorexia and vomiting. Fetus was normal in sonography. Exploratory laprotomy with splenectomy was performed. Splenomegaly (200х130х90mm) with a cyst without any adhesion and inflammation was detected. Histopathology examination showed epidermoid cyst of spleen. (140х10х90mm). Though splenic epidermoid cyst is an uncommon entity, it should be considered in the differential diagnosis of an abdominal mass in a young individual. An attempt should be made to preserve the spleen provided there is adequate parenchyma otherwise splenectomy is the rule.
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spelling doaj.art-5b6199a95b284303a015c93ff8ae9fc52022-12-22T01:15:16ZengShiraz University of Medical SciencesBulletin of Emergency and Trauma2322-25222322-39602013-10-011Issue 417918144236Splenic Epidermoid Cyst during Pregnancy; Case Report and Review of the LiteratureMajid Forouzesh0Laleh Ghanbarzadegan1Masoomeh Rahimi2Leila Ghahramani3Shiraz University of Medical Sciences, Shiraz, IranShiraz University of Medical Sciences, Shiraz, IranColorectal Research Center, Shiraz University of Medical Sciences, Shiraz, IranColorectal Research Center, Shiraz University of Medical Sciences, Shiraz, IranCystic disease of the spleen is not frequently encountered in surgical practice. It is broadly classified as parasitic and non-parasitic, the latter being a rare entity. In this case report, an epidermoid cyst of spleen led to acute abdomen in young age pregnant woman is presented.A 26-year-old woman with 15 weeks gestational age second pregnancy referred to emergency ward with left upper quadrant pain and tenderness that ultra sonography revealed large cyst (100х110mm) with internal echo in spleen in favor of hydatic cyst or abscess. The patient was managed medically for one week but developed her abdominal pain, epigastric fullness, anorexia and fever. New sonography was done for her and large cyst was detected in spleen (120х110mm). She had severe pain accompanied with anorexia and vomiting. Fetus was normal in sonography. Exploratory laprotomy with splenectomy was performed. Splenomegaly (200х130х90mm) with a cyst without any adhesion and inflammation was detected. Histopathology examination showed epidermoid cyst of spleen. (140х10х90mm). Though splenic epidermoid cyst is an uncommon entity, it should be considered in the differential diagnosis of an abdominal mass in a young individual. An attempt should be made to preserve the spleen provided there is adequate parenchyma otherwise splenectomy is the rule.http://beat.sums.ac.ir/article_44236_4111a49cdc99819331d0924d89ba8636.pdfSplenic epidermoid cystPregnancy
spellingShingle Majid Forouzesh
Laleh Ghanbarzadegan
Masoomeh Rahimi
Leila Ghahramani
Splenic Epidermoid Cyst during Pregnancy; Case Report and Review of the Literature
Bulletin of Emergency and Trauma
Splenic epidermoid cyst
Pregnancy
title Splenic Epidermoid Cyst during Pregnancy; Case Report and Review of the Literature
title_full Splenic Epidermoid Cyst during Pregnancy; Case Report and Review of the Literature
title_fullStr Splenic Epidermoid Cyst during Pregnancy; Case Report and Review of the Literature
title_full_unstemmed Splenic Epidermoid Cyst during Pregnancy; Case Report and Review of the Literature
title_short Splenic Epidermoid Cyst during Pregnancy; Case Report and Review of the Literature
title_sort splenic epidermoid cyst during pregnancy case report and review of the literature
topic Splenic epidermoid cyst
Pregnancy
url http://beat.sums.ac.ir/article_44236_4111a49cdc99819331d0924d89ba8636.pdf
work_keys_str_mv AT majidforouzesh splenicepidermoidcystduringpregnancycasereportandreviewoftheliterature
AT lalehghanbarzadegan splenicepidermoidcystduringpregnancycasereportandreviewoftheliterature
AT masoomehrahimi splenicepidermoidcystduringpregnancycasereportandreviewoftheliterature
AT leilaghahramani splenicepidermoidcystduringpregnancycasereportandreviewoftheliterature