RESUMO
Congenital splenic cyst (CSC) is a rare condition, and only a few cases with prenatal diagnosis and no associated malformation have been reported. Spontaneous regression is possible in case of mild CSC (under 40 mm), but enlargement or secondary complications may lead to surgical treatment. We report, herein, two cases of isolated mild CSC with complete spontaneous postnatal regression.
Assuntos
Cistos/diagnóstico , Diagnóstico Pré-Natal , Esplenopatias/diagnóstico , Adulto , Cistos/congênito , Cistos/diagnóstico por imagem , Cistos/embriologia , Diagnóstico Diferencial , Feminino , Humanos , Recém-Nascido , Masculino , Gravidez , Resultado da Gravidez , Segundo Trimestre da Gravidez , Esplenopatias/congênito , Esplenopatias/diagnóstico por imagem , Esplenopatias/embriologia , UltrassonografiaRESUMO
Twisting of the spleen on its pedicle, due to the lack of the normal fixation elements, is a rare pathological condition in childhood. The revised literature reports 11 cases under the age of 10 years. We present three new cases treated at the Clínica Infantil "La Paz" (Madrid) during a period of 15 years. Ages of the three patients were 18 months, 15 months and a newborn, operated upon at 10 days. It is important to point out that only two cases of the 11 reported in the literature were younger than 12 months of age. This article also presents the embriological study of this malformation and discusses its clinic, diagnostic and treatment.