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Journal of Hepato-Biliary-Pancreatic Surgery

, Volume 10, Issue 1, pp 118–120 | Cite as

Giant epithelial cyst of the accessory spleen

  • Masaki Mori
  • Taro Ishii
  • Toru Iida
  • Fumihiko Tanaka
  • Hajime Takikawa
  • Kota Okinaga
  • 32 Downloads

Abstract

Splenic cysts are uncommon, and cysts derived from the accessory spleen are rare. We report a case of a huge splenic cyst derived from the accessory spleen in the omentum, concomitant with multiple epithelial cysts of the primary spleen. Both serum and cystic fluid concentrations of carbohydrate antigen (CA)19-9 were markedly elevated. A huge monolocular cyst occupied the entire abdomen. A total of 7 l of aspirated cystic fluid was turbid and yellowish-brown. The cyst wall, which consisted of CA19-9-positive squamous epithelium, contained approximately 2 × 3 × 1 cm of splenic tissue. There was a separate multicystic 16 × 8-cm spleen in the normal position. The CA19-9 serum level returned to normal postoperatively.

Key words Splenic cyst   Accessory spleen   CA19-9 

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Copyright information

© Springer-Verlag Tokyo 2003

Authors and Affiliations

  • Masaki Mori
    • 1
  • Taro Ishii
    • 1
  • Toru Iida
    • 2
  • Fumihiko Tanaka
    • 3
  • Hajime Takikawa
    • 1
  • Kota Okinaga
    • 2
  1. 1.Department of Medicine, Teikyo University School of Medicine, Kaga, Itabashi-ku, Tokyo 173-8605, JapanJP
  2. 2.Department of Surgery, Teikyo University School of Medicine, Tokyo, JapanJP
  3. 3.Department of Pathology, Teikyo University School of Medicine, Tokyo, JapanJP

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