Traumatic rupture of a giant congenital splenic cyst presenting as peritonitis. Radiol Case Rep 2017 Jun;12(2):401-404
Date
05/12/2017Pubmed ID
28491197Pubmed Central ID
PMC5417624DOI
10.1016/j.radcr.2017.01.001Scopus ID
2-s2.0-85011629079 (requires institutional sign-in at Scopus site) 4 CitationsAbstract
Splenic cysts are uncommon, with large cysts and complications being rare. We describe a 6-year-old patient who initially presented 1 day after falling onto her abdomen at the playground with worsening abdominal pain and distention. An ultrasound of the abdomen demonstrated free abdominal fluid in all four quadrants. A subsequent contrast-enhanced computed tomography scan of the abdomen and pelvis was performed which showed a large splenic cyst with open communication to the peritoneal cavity. A congenital primary cyst was confirmed on pathology after partial splenectomy was performed. Although the majority of splenic cysts are asymptomatic, rupture can lead to acute peritoneal signs and mimic other significant causes of abdominal pain such as viscous injury or acute appendicitis.
Author List
Tassopoulos A, Wein M, Segura AAuthors
Annette D. Segura MD Adjunct Assistant Professor in the Pathology department at Medical College of WisconsinMelissa Wein MD Assistant Professor in the Radiology department at Medical College of Wisconsin
