Epidermoid cyst of the spleen presenting as a generalized peritonitis

D. H. Panossian, N. Wang, C. D. Reeves, Douglas Weeks

Research output: Contribution to journalArticle

33 Citations (Scopus)

Abstract

In this report we reviewed 159 cases of epidermoid cyst of the spleen reported since 1929 and we added one case of our own with a unique clinical presentation. In these cases, the patient's age at presentation ranged from newborn to 51 years, with a mean age of 17.7 years. Female-to-male ratio was 2.0 to 1.0. Patients with this lesion usually present with asymptomatic abdominal mass and/or abdominal pain. Only in rare reports has there been infection (4 cases) or rupture (4 cases) of the cyst. In our case, the patient presented with an acute surgical abdomen and diffuse peritonitis. As in three of the previously reported cases associated with infection, Salmonella group organisms were cultured from the cyst abscess. Splenectomy is the surgical treatment of choice and the initial antibiotic regime should include Salmonella coverage.

Original languageEnglish (US)
Pages (from-to)295-298
Number of pages4
JournalAmerican Surgeon
Volume56
Issue number5
StatePublished - 1990
Externally publishedYes

Fingerprint

Epidermal Cyst
Peritonitis
Spleen
Cysts
Acute Abdomen
Salmonella Infections
Splenectomy
Salmonella
Abscess
Abdominal Pain
Rupture
Newborn Infant
Anti-Bacterial Agents
Infection
Therapeutics

ASJC Scopus subject areas

  • Surgery

Cite this

Panossian, D. H., Wang, N., Reeves, C. D., & Weeks, D. (1990). Epidermoid cyst of the spleen presenting as a generalized peritonitis. American Surgeon, 56(5), 295-298.

Epidermoid cyst of the spleen presenting as a generalized peritonitis. / Panossian, D. H.; Wang, N.; Reeves, C. D.; Weeks, Douglas.

In: American Surgeon, Vol. 56, No. 5, 1990, p. 295-298.

Research output: Contribution to journalArticle

Panossian, DH, Wang, N, Reeves, CD & Weeks, D 1990, 'Epidermoid cyst of the spleen presenting as a generalized peritonitis', American Surgeon, vol. 56, no. 5, pp. 295-298.
Panossian DH, Wang N, Reeves CD, Weeks D. Epidermoid cyst of the spleen presenting as a generalized peritonitis. American Surgeon. 1990;56(5):295-298.
Panossian, D. H. ; Wang, N. ; Reeves, C. D. ; Weeks, Douglas. / Epidermoid cyst of the spleen presenting as a generalized peritonitis. In: American Surgeon. 1990 ; Vol. 56, No. 5. pp. 295-298.
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