Oversized pseudocysts of the spleen: Report of two cases
Patient B was a 39 years old female with a history of ulcerative colitis. She came to the emergency room complaining for a painful mass in her left upper abdomen. The basic laboratory tests were in this case not specific as well. The ultrasound examination showed a solitary, cystic mass of the spleen of great size (). The serological tests were negative for antiechinococcal antibodies. The findings of the CT control revealed a solitary, smooth outlined cyst, with signs of calcification, occupying most of the splenic parenchyma (). The cyst was measured 7 cm × 7 cm. The possible diagnosis, so far, was a SP of unknown origin, since there was no obvious history of infarction, infection or injury in the past.\nPatient B underwent a laparotomy with a total splenectomy, as well. The histologic examination described a splenic cyst with a thick, fibrotic wall, but without epithelial elements. Calcifications were also observed within the cystic wall, but in a lower density compared to patient A. The cytologic examination of the cystic liquid was negative for malignant cells or parasites. Full vaccination was performed according to protocol. One year after surgery, no adverse events such as infection or other complications have been observed.