Oversized pseudocysts of the spleen: Report of two cases
Patient A was a 36 years old male with a history of abdominal injury in the past. He came to the emergency room with symptoms of abdominal pain and dyspepsia. The basic laboratory tests were non specific. The ultrasound examination showed a large, solitary, cystic mass of the spleen. The serological tests were negative for antiechinococcal antibodies. The patient was scheduled for CT control of the upper abdomen which revealed a solitary, smooth outlined splenic cyst, with signs of calcification. The cyst was occupying almost the entire splenic parenchyma, and particularly the splenic hilum, and it was 10.31 cm × 8.79 cm in size (). All data, so far, including the history of a past injury, supported the diagnosis of a SP.\nPatient A underwent a laparotomy and total splenectomy. The histologic examination showed a splenic pseudocyst with a thick, fibrotic wall, and sparse calcifications within the cystic wall, but lacking any epithelial elements. The liquid contained in the cyst was sent for a cytologic examination, which was negative for malignant cells or parasites. The patient underwent a full vaccination protocol, for avoidance of postoperative infections. Six months after the surgical procedure, no infections or other complications have been observed.