Abstract
Splenic cysts are rare. Most true (congenital) splenic cysts are epithelial in origin and have embryonic inclusion of epithelial cells from adjacent structures. Congenital spleen cysts are also called epidermoid or epithelial cysts. They form when there is an invagination of the mesothelium-lined splenic capsule during development. The lining is pluripotential and may undergo metaplastic changes and fluid accumulation with resultant cyst expansion. We present our own clinical case of the true spleen cysts in twins. Both patients did’t have any complains. In one of the twins, the lesion was up to 85.0 mm in diameter, localized in the spleen gates and squeezed the spleen vascular pedicle, which necessitated the surgical treatment. In the second twin, the cyst also localized in the spleen gates, however, it was of minor dimensions and, there was no growth at dynamic monitoring at the present time.
Highlights
We present our own clinical case of the true spleen cysts in twins
The cyst localized in the spleen gates, it was of minor dimensions and, there was no growth at dynamic monitoring at the present time
У второго близнеца киста также локализовалась в воротах селезенки, однако она имела незначительные размеры и при динамическом наблюдении роста ее в настоящее время не отмечено
Summary
При ультразвуковом исследовании киста селезенки определяется как четко очерченное жидкостное образование, в тонкой эхоплотной капсуле, имеющее чаще всего анэхогенное содержимое. При компьютерной томографии киста обычно определяется как гиподенсное очаговое образование, имеющее четкие контуры. Селезенка в размерах не увеличена (S = 30 см2), имеет четкие ровные контуры, структура паренхимы неоднородна за счет наличия в области ворот округлого образования, деформирующего контур селезенки, размерами 25,5 × 24,1 мм, с четкими ровными контурами, по структуре анэхогенного однородного
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