J Korean Surg Soc.
2005 Mar;68(3):247-248.
Spontaneous Rupture of a Primary Splenic Cyst Causing Hemoperitoneum
- Affiliations
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- 1Department of Surgery, University of Ulsan College of Medicine, Gangneung Asan Hospital, Republic of Korea. ypcho@gnah.co.kr
- 2Diagnostic Radiology, University of Ulsan College of Medicine, Gangneung Asan Hospital, Republic of Korea.
- 3Diagnostic Pathology, University of Ulsan College of Medicine, Gangneung Asan Hospital, Republic of Korea.
Abstract
- A 14-yr-old male presented with a hemoperitoneum caused by a spontaneous rupture of a primary splenic cyst. The laparotomy showed a ruptured spleen at the lower pole from one of the multiple cyst-like lesions, measuring approximately 2 cm in diameter. After the splenectomy, a microscopic examination confirmed the diagnosis of a primary splenic cyst lined with a mature, well-differentiated squamous epithelium. A hemoperitoneum caused by a spontaneous rupture of a primary splenic cyst is a rare but potentially lethal complication, because most patients with a splenic rupture present with some degree of hypovolemia.
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