Pediatr Gastroenterol Hepatol Nutr.  2015 Dec;18(4):276-279. 10.5223/pghn.2015.18.4.276.

A Case of Post-Traumatic Pseudocyst in the Spleen Successfully Treated with Alcohol Sclerotherapy

• Mun SW
• Lim TJ
• Hwang EH
• Lee YJ
• Jeon UB
• Park JH

• KMID: 2383306
• DOI: http://doi.org/10.5223/pghn.2015.18.4.276

Abstract

This report details a case of post-traumatic pseudocyst in the spleen that was successfully treated with sclerotherapy using ethanol. A sixteen-year-old boy visited our hospital for a follow-up examination of a splenic cyst. He had experienced blunt trauma to the abdomen three years prior to presentation. An abdominal computed tomography scan revealed a large cyst of the lower pole of the spleen. The cyst was 6.8x9.5x7.0 cm and conservative management was tried. A follow-up ultrasonographic examination three years later revealed that the size of the cyst was unchanged and another treatment was needed to prevent complications. One session of sclerosis with ethanol (90 mL of 99% ethanol) percutaneously was applied to the cyst. A follow-up after four months revealed that the cyst had completely resolved.

Keyword

Spleen; Cysts; Sclerotherapy

MeSH Terms

Abdomen
Ethanol
Follow-Up Studies
Humans
Male
Sclerosis
Sclerotherapy*
Spleen*
Ethanol

Figure

• 

  Fig. 1 Axial (A) and coronal (B) computed tomography scan show a low-density, non-enhancing cystic mass (6.8×9.5×7.0 cm) (arrows) located in the inferior pole of the spleen, which does not contain an enhancing solid portion.

• 

  Fig. 2 (A) Initial abdominal ultrasonograph showed a huge cystic mass (8.05×6.46 cm) in the inferior pole of the spleen. After puncturing the cyst using ultrasound-guidance, a contrast medium was injected through a pig-tail catheter. (B) The cyst did not have contact with any other space.

• 

  Fig. 3 The resolving process of the cyst demonstrated through the ultrasonographic findings (A) at 10 days and (B) four months after sclerotherapy.

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