logo
Medical news
of the North Caucasus
Scientific journal
Mass media registration certificate dated December 7, 2006.
Series ПИ #ФС 77-26521.
Federal service for surveillance over non-violation of the legislation in the sphere of mass communications and protection of cultural heritage.
ISSN 2073-8137
rus
русский
eng
english

Site search



Correspondence address
310 Mira Street, Stavropol, Russia, 355017

Tel
+7 865 2352511, +7 865 2353229.

E-mail
medvestnik@stgmu.ru

Percutanious sclerotization of non -parasitic splenic cysts

[Surgery]
Fikret Nabievich Nasirov; Alexander Givievich Natroshvili; Aleksandr Shulutko; Oleg Olegovich Yasnogorodsky; Andrey Yurievich Moiseev;

The spleen plays a key role in the immune system, so its removal is recommended only if it is not possible to preserve the organ. In this regard, minimally invasive interventions have begun to be used more often, for example, percutaneous sclerosis, which is fraught with frequent relapses. Percutaneous sclerosis in combination with superselective arterial embolization of the vascular pedicle of the cyst cannot be considered the optimal method either, since expensive equipment is required and the method is accompanied by radiation exposure. The aim of this work is to demonstrate the possibilities of navigational minimally invasive treatment of nonparasitic spleen cysts. A small experience of the authors has shown that, with strict adherence to certain rules, percutaneous aspiration of the contents of the cavity of nonparasitic spleen cysts and irrigation with 96-degree ethyl alcohol followed by constant active aspiration is an effective way of sclerosing them.

Download

References:
1. Vasil’chenko M. I., Simonenko A. V., Zelenin D. A. Kista selezenki. Klinicheskaya medicina. – Сlinical medicine. 2012;8:34-35. (In Russ.).
2. Kubyshkin V. A., Ionkin D. A. Opuholi i kisty selezenki. M.: Medpraktika-M, 2007. (In Russ.).
3. Puchkov K. V., Ivanov V. V., Poddubnyj I. V. Laparoskopicheskaya splenehktomiya: hirurgicheskaya taktika i tekhnicheskie aspekty. M.: Medpraktika, 2007. (In Russ.).
4. Hansen M. B, Moller A. C. Splenic cysts. Surg. Laparosc. Endosc. & Percut. Techn. 2004;14(6):316-322. https://doi.org/10.1097/01.sle.0000148463.24028.0c
5. Reddi V. R., Reddi M. K., Srinivas B., Sekhar C. C., Ramesh O. Mesothelial splenic cysts – a case report. Ann. Acad. Med. Singapore. 1998;27(6):880-882.
6. Morgenstern L. Nonparasitic splenic cysts: pathogenesis,classification and treatment. J. Am. Coll. Surg. 2002;3:306-314. https://doi.org/10.1016/S1072-7515(01)01178-4
7. Williams R. J., Glazer G. Splenic cysts: changes in diagnosis, treatment and aetiological concepts. Ann. R. Coll. Surg. Engl. 1993;75(2):87-89.
8. Macheras A., Misiakos E. P., Liakakos T., Mpistarakis D., Fotiadis C., Karatzas G. Non-parasitic splenic cysts: a report of three cases. World. J. Gastroenterol. 2005;11(43):6884-6887. https://doi.org/10.3748/wjg.v11.i43.6884
9. Kapp J., Lewis T., Glasgow S., Khalil A., Anjum A. Spleen preserving management of a non-parasitic splenic cyst in pregnancy. Ann. R. Coll. Surg. Engl. 2016;98(7):e114-117. https://doi.org/10.1308/rcsann.2016.0165
10. Aparício D. J., Leichsenring C., Rodrigues Â. R., Alves A. C. Laparoscopic upper pole splenectomy of the simple splenic cyst. BMJ Case Rep. 2013;2013:bcr2013200438. https://doi.org/10.1136/bcr-2013-200438
11. Gezer H. Ö., Oğuzkurt P., Temiz A. [et al.]. Spleen Salvaging Treatment Approaches in Non-parasitic Splenic Cysts in Childhood. Indian J. Surg. 2015;78(4):293-298. https://doi.org/10.1007/s12262-015-1373-x
12. Cianci P., Tartaglia N., Altamura A. [et al.]. A recurrent epidermoid cyst of the spleen: report of a case and literature review. World J. Surg. Oncol. 2016;14:98. https://doi.org/10.1186/s12957-016-0857-x
13. Garza-Serna U., Ovalle-Chao C., Martinez D., Flores-Villalba E., Diaz-Elizondo J. A., Garza-Luna U. J. Laparoscopic partial splenectomy for congenital splenic cyst in a pediatric patient: Case report and review of literature. Int. J. Surg. Case Rep. 2017;33:44-47. https://doi.org/10.1016/j.ijscr.2017.02.013
14. Al Khafaji B., Younis M. U. Laparoscopic splenic cyst fenestration-a viable spleen preserving option. J. Surg. Case Rep. 2017;2017(8):rjx154. https://doi.org/10.1093/jscr/rjx154
15. Krasniqi A. S., Spahija G. S., Hashani S. I. [et al.]. Subtotal resection and omentoplasty of the epidermoid splenic cyst: a case report. Cases J. 2009;2:6382. https://doi.org/10.4076/1757-1626-2-6382
16. Mun S. W., Lim T. J., Hwang E. H., Lee Y. J., Jeon U. B., Park J. H. A Case of Post-Traumatic Pseudocyst in the Spleen Successfully Treated with Alcohol Sclerotherapy. Pediatr. Gastroenterol. Hepatol. Nutr. 2015;18(4):276-279. https://doi.org/10.5223%2Fpghn.2015.18.4.276
17. S. S., Lotov A. N., Kondrashin S. A., Musaev G. H., SHiryaev A. A. Lechenie pacientov s neparazitarnymi kistami selezenki. Annaly hirurgicheskoj gepatologii. – Annals of surgical Hepatology. 2008;2:36-43. (In Russ.).

Keywords: non-parasitic splenic cyst, percutaneous drainage, ultrasonography, percutaneous sclerotization


Founders:
Stavropol State Medical Academy
Pyatigorsk State Research Institute of Balneotherapeutics
Pyatigorsk State Pharmaceutical Academy