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Giant epithelial cyst of the accessory spleen
Author(s) -
Mori Masaki,
Ishii Taro,
Iida Toru,
Tanaka Fumihiko,
Takikawa Hajime,
Okinaga Kota
Publication year - 2003
Publication title -
journal of hepato‐biliary‐pancreatic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.63
H-Index - 60
eISSN - 1868-6982
pISSN - 0944-1166
DOI - 10.1007/s10534-002-0821-9
Subject(s) - spleen , anatomy , cyst , pathology , biology , medicine
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 71 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.