Abstract
Splenic cysts are rare clinical findings, detected due to derivative symptoms or as a random discovery in abdominal imaging. Although there still remains controversy as to their optimal treatment, bigger secondary cysts should be treated surgically. However, spontaneous regression may be observed in cysts with a diameter smaller than 4 cm. In these cases, expectant treatment is preferable. We report, herein, a single case of a splenic cyst in an adult woman, who reported minor symptoms despite the size of the lesion and who demonstrated a possible almost total regression of the cyst within a ten-year period, accompanying with review of the most recent literature.
Highlights
Cystic lesions of the spleen have been recognized with increasing frequency since the advent of CT scanning and ultrasound imaging [1]
Spontaneous regression may be observed in cysts with a diameter smaller than 4 cm
True cysts are characterized by a squamous epithelial lining, and many are considered congenital
Summary
Cystic lesions of the spleen have been recognized with increasing frequency since the advent of CT scanning and ultrasound imaging [1]. Eight years later (2005), the patient visited her physician, reporting a periodic continuation of the abdominal pain, whereas neither the character nor the frequency of episodes differed At this point, she was referred to the Attikon University Hospital for surgical treatment. For a more accurate description, an MRI scan was performed, which showed almost complete regression, with a remnant lesion of 1.8 × 1.4 cm and low T2 sign in the peripheral border (Figure 3), consistent with the pattern observed in the 2005 MRI (a comparative presentation of original and subsequent lesion is provided) Her last MRI examination in 2008 revealed the cyst dimensions equal to the last two radiographic images and a periodically regression of her nonspecific symptomatology, which proved that the presence of the cyst was responsible for her previous symptoms. Imply that former empirical treatment rules may not be applicable in all such cases after all
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