Giant Splenic Cyst: A Case Report And Consolidated Review Of Literature With Radiographic Features

The spleen is a relative stranger to the world of cysts and tumors, which when discovered, are often incidental findings in otherwise asymptomatic individuals. Splenic cysts are far more common than solid lesions and can include congenital, inflammatory, vascular, post-traumatic, neoplastic, and parasitic types. Parasitic cysts in the spleen are usually caused by the larval forms of Echinococcus, a cyclophyllid tapeworm. However rare, it is important to recognize the splenic presentation of this uncommon entity to prevent life-threatening complications like anaphylaxis induced by traumatic or spontaneous cyst rupture. We report here a case of a giant dumbbell-shaped splenic cyst. Hydatid disease of the spleen should be considered in the differential of every patient presenting with a cystic lesion of the spleen in the endemic areas until proven otherwise.

Management of hypertension: focus on current treatment algorithms.

One of the main obstacles in the treatment of hypertension is the largely asymptomatic nature of the disease, even with marked elevation in systemic blood pressure. This disconnect between symptoms and long term adverse consequences has earned hypertension the designation, “silent killer”. Fortunately, the number and spectrum of agents available to treat patients with hypertension have expanded dramatically over the past 2 decades. Current treatment algorithms recognize that any given drug will likely have effect on more than one of the interrelated systems that regulate circulatory functions.