Laparoscopic Splenectomy for a Congenital Epidermoid Cyst in a 15-Year-Old Child—Case Report
Splenic epidermoid cysts are rare benign congenital tumors. However, if the cyst is not completely removed, it can reoccur. Laparoscopic splenectomy in children is being conducted more often, but it is a therapeutic challenge in cases of a giant cyst. We report a case of a 15-year-old girl who prese...
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2024-10-01
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| author | Denitza Kofinova Yanko Pahnev Edmond Rangelov Ivan Vasilevski Olga Bogdanova Elena Ilieva Hristo Shivachev |
| author_facet | Denitza Kofinova Yanko Pahnev Edmond Rangelov Ivan Vasilevski Olga Bogdanova Elena Ilieva Hristo Shivachev |
| author_sort | Denitza Kofinova |
| collection | DOAJ |
| description | Splenic epidermoid cysts are rare benign congenital tumors. However, if the cyst is not completely removed, it can reoccur. Laparoscopic splenectomy in children is being conducted more often, but it is a therapeutic challenge in cases of a giant cyst. We report a case of a 15-year-old girl who presented with nausea, anorexia and abdominal pain. The ultrasound showed a giant well-defined hypoechoic cyst with diffuse internal echoes. Computed tomography revealed a cystic mass (92/124/102 mm) without contrast enhancement. Anti-Echinococcus ELISA IgG was negative, and serum tumor markers CA 19-9 79.1 U/mL (N < 34) and CA-125 39.6 U/ML (N < 35) were elevated. Before the operation, the girl was vaccinated for <i>Haemophilus influenzae</i>, <i>Pneumococci</i> and <i>Meningococci</i>. Laparoscopic splenectomy was performed. The patient’s postoperative course was uneventful. Histopathology indicated a cyst walled by multilayered squamous epithelium positive for cytokeratin AE1/AE3. The diagnosis epidermoid cyst was confirmed. |
| format | Article |
| id | doaj-art-2f8960c3322a444f8a43b92c74ba6116 |
| institution | DOAJ |
| issn | 2036-7414 2036-7422 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | MDPI AG |
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| series | Gastroenterology Insights |
| spelling | doaj-art-2f8960c3322a444f8a43b92c74ba61162025-08-20T02:55:33ZengMDPI AGGastroenterology Insights2036-74142036-74222024-10-0115490491110.3390/gastroent15040063Laparoscopic Splenectomy for a Congenital Epidermoid Cyst in a 15-Year-Old Child—Case ReportDenitza Kofinova0Yanko Pahnev1Edmond Rangelov2Ivan Vasilevski3Olga Bogdanova4Elena Ilieva5Hristo Shivachev6Department of Pediatric Surgery, University Multiprofile Hospital for Active Treatment and Emergency Medicine “N.I. Pirogov”, 1606 Sofia, BulgariaDepartment of Pediatric Surgery, University Multiprofile Hospital for Active Treatment and Emergency Medicine “N.I. Pirogov”, 1606 Sofia, BulgariaDepartment of Pediatric Surgery, University Multiprofile Hospital for Active Treatment and Emergency Medicine “N.I. Pirogov”, 1606 Sofia, BulgariaDepartment of Pediatric Surgery, University Multiprofile Hospital for Active Treatment and Emergency Medicine “N.I. Pirogov”, 1606 Sofia, BulgariaDepartment of General and Clinical Pathology, University Multiprofile Hospital for Active Treatment and Emergency Medicine “N.I. Pirogov”, 1606 Sofia, BulgariaDepartment of Radiology, University Multiprofile Hospital for Active Treatment and Emergency Medicine “N.I. Pirogov”, 1606 Sofia, BulgariaDepartment of Pediatric Surgery, University Multiprofile Hospital for Active Treatment and Emergency Medicine “N.I. Pirogov”, 1606 Sofia, BulgariaSplenic epidermoid cysts are rare benign congenital tumors. However, if the cyst is not completely removed, it can reoccur. Laparoscopic splenectomy in children is being conducted more often, but it is a therapeutic challenge in cases of a giant cyst. We report a case of a 15-year-old girl who presented with nausea, anorexia and abdominal pain. The ultrasound showed a giant well-defined hypoechoic cyst with diffuse internal echoes. Computed tomography revealed a cystic mass (92/124/102 mm) without contrast enhancement. Anti-Echinococcus ELISA IgG was negative, and serum tumor markers CA 19-9 79.1 U/mL (N < 34) and CA-125 39.6 U/ML (N < 35) were elevated. Before the operation, the girl was vaccinated for <i>Haemophilus influenzae</i>, <i>Pneumococci</i> and <i>Meningococci</i>. Laparoscopic splenectomy was performed. The patient’s postoperative course was uneventful. Histopathology indicated a cyst walled by multilayered squamous epithelium positive for cytokeratin AE1/AE3. The diagnosis epidermoid cyst was confirmed.https://www.mdpi.com/2036-7422/15/4/63laparoscopic splenectomyepidermoid cystchild |
| spellingShingle | Denitza Kofinova Yanko Pahnev Edmond Rangelov Ivan Vasilevski Olga Bogdanova Elena Ilieva Hristo Shivachev Laparoscopic Splenectomy for a Congenital Epidermoid Cyst in a 15-Year-Old Child—Case Report Gastroenterology Insights laparoscopic splenectomy epidermoid cyst child |
| title | Laparoscopic Splenectomy for a Congenital Epidermoid Cyst in a 15-Year-Old Child—Case Report |
| title_full | Laparoscopic Splenectomy for a Congenital Epidermoid Cyst in a 15-Year-Old Child—Case Report |
| title_fullStr | Laparoscopic Splenectomy for a Congenital Epidermoid Cyst in a 15-Year-Old Child—Case Report |
| title_full_unstemmed | Laparoscopic Splenectomy for a Congenital Epidermoid Cyst in a 15-Year-Old Child—Case Report |
| title_short | Laparoscopic Splenectomy for a Congenital Epidermoid Cyst in a 15-Year-Old Child—Case Report |
| title_sort | laparoscopic splenectomy for a congenital epidermoid cyst in a 15 year old child case report |
| topic | laparoscopic splenectomy epidermoid cyst child |
| url | https://www.mdpi.com/2036-7422/15/4/63 |
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