huge non- parasitic splenic cyst: a case report

Splenic cysts are unusual in everyday surgical practice. Primary splenic cyst is a relatively rare disease the majority of cases are classified as epithelial cyst that in some cases has a huge appearance. In the literature, only about 1000 cases of epithelial cysts of spleen have been reported. This case is a 10-year old boy who presented with unusual complaints such as mild abdominal discomfort and sensation of fullness in the left side of abdomen together with enlargement and asymmetry. Ultrasonic and radiological examination [IV-oral abdominal CT-scan], showed a simple cyst of spleen with a diameter of 20 cm pushing the left kidney posteriorly. Test for hydatid cyst was performed and after a successful splenectomy the patient was discharged. The pathologic examination, confirmed the diagnosis of epithelial cyst. Epithelial cysts of spleen are asymptomatic and discovered incidentally. Also they may be detected by presenting with unusual complaints or enlargement of the cyst and its complications like hemorrhage and rupture. Simple splenic cyst with more than 5 cm in diameter must be resected by surgical Intervention. Large cysts can damage spleen and increase risk of bleeding during partial splenectomy. Therefore in such cases total splenectomy is the best method of surgery

Trilateral retinoblastoma with suprasellar involvement: a case report

Trilateral Retinoblastoma [TRB] is a rare, but well recognized syndrome that have a hereditary base. These tumors usually occur in the pineal, parasellar, or suprasellar regions, often several years after successful management of ocular retinoblastoma [RB] without evidence of direct extension or distant metastasis. The first report of TRB was in 1971 and fewer than 50 cases of TRB with suprasellar involvement have been reported in the literature. Here we report a case of TRB with suprasellar involvement in a patient with bilateral retinoblastoma. The patient was a 2-year-old girl with red inflamed eye and vomiting during the last 15 days and lacrimation, leukocoria and proptosis from one week prior to admission. She was blind and deaf. Owing to special radiological signs, presence of calcification in the tumor, and limited number of differential diagnoses, diagnosis of TBR without pathological examination is possible. When TRB is detected in the brain CT-scan, It means that, the prognosis is very poor and survival rate will be less than 12 months. Because of poor prognosis of this syndrome, examination of the neonates and babies and checking the red reflexes and funduscopy in doubtful cases, at the time of birth are m and atory. Screening of the families of the patients with retinoblastoma and genetic counseling should be regarded necessary