Abstract
Introduction: splenic cysts are uncommon findings whose treatment is usually surgical if more than five centimeters. case report: A case of a self resolving symptomatic large non parasitic splenic cyst is reported. conclusion: Even if general guidelines prescribe a surgical treatment for >5 cm splenic cyst, sometimes a wait-and-see strategy could be adopted, with the consent of the patient and keeping an eye on his/ her general conditions.
Highlights
Splenic cysts are uncommon findings whose treatment is usually surgical if more than five centimeters
Open or laparoscopic splenectomy remains the treatment of choice in particular for large cysts, even if less invasive procedures, such as partial splenectomy, marsupialization or simple drainage, are gaining popularity as they allow maintaining splenic function
Conservative non-surgical treatment has been proposed for cysts whose size is less than 4 cm, whereas larger lesions would require an operative approach to avoid complications such as rupture or infection, as they are supposed to be unlikely to regress spontaneously
Summary
A 42-year-old female (anesthetist by profession) presented with sudden onset of upper left abdominal pain, left loin pain and left lower chest pain, without any history of trauma, even minimal. She did not complain of any urinary or bowel symptom and had never seen blood in her urine or stools. After an in-depth discussion with the patient, she was adamant that she would like to avoid any surgery, even laparoscopic. For this reason we agreed to adopt a wait-and-see strategy. A recent ultrasound scan confirmed the absence of any splenic cyst
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