Experience with Benign Splenic Disease

Abstract

Purpose : In the ongoing effort to improve patient treatment, a deeper understanding of the symptomatology, physical signs and management options of rare splenic, non-traumatic, benign diseases is extremely important. Patients and Methods : The records of eight consecutive patients with benign splenic conditions, other than injury and abscess, were reviewed retrospectively in order to analyse the clinical presentation, diagnostic methodology and therapeutic procedures applied in these rare conditions.

Of the eight patients, three were diagnosed with splenic hydatid cyst, two with pseudocysts, one with splenic epider-moid cyst, one with wandering spleen and one with infraction of an ectopic spleen with situs inversus of other intraabdominal organs.

Results : Upper abdominal pain was the most common presenting symptom and a tender palpable mass in the left upper abdominal quadrant, the predominant clinical finding. Pre-operative CT scanning confirmed the diagnosis in six patients, but failed to reveal the splenic pathology in the remaining two cases. Seven patients underwent splenectomy while saving splenic parenchyma was feasible in only one patient (12,5%).

Conclusions : Splenic, non-traumatic, benign diseases have vague clinical presentation and may create diagnostic difficulties. Although spleen saving intervention can be applied in selected cases, splenectomy would be required in most patients.

Key Words:

• Splenic pseudokyst
• hydatidosis
• ectopic spleen
• benign splenic disease
• splenectomy

Additional information

Notes on contributors

J. Melissas

Dr J. Melissas, M.D. Associate Professor of Surgery 16 Sifaki Street Heraklion 71409, Greece Tel.: [phone] Fax: [phone] E-mail: [email protected]