Post-traumatic Pseudocyst of the Spleen: A Report of a Rare Case

Splenic pseudocysts are multifactorial in etiology, with trauma being the most common causative factor, wherein an intrasplenic hematoma forms and subsequently liquefies. They can also develop as a result of infections - both local and systemic - through an inflammatory process and tissue necrosis. Pancreatitis-induced splenic pseudocysts, although exceedingly rare, arise either from the direct extension of pancreatic inflammation, enzymatic autodigestion of the pancreas, or the close anatomical relationship between the pancreas and spleen. Splenic pseudocysts are diagnosed by demonstrating their size, location, and internal septations or calcifications on imaging modalities such as computed tomography (CT) and magnetic resonance imaging. Although less sensitive than CT at discerning subtle details, ultrasonography plays a major role in initial and longitudinal monitoring, particularly due to its lack of radiation exposure, which is beneficial for certain patient populations, including pregnant or pediatric patients.

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Publication Details

Journal
Cureus
Published
2025-04-16
DOI
https://doi.org/10.7759/cureus.82386
Primary Topic
Abdominal Trauma and Injuries
Type
article
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article

Post-traumatic Pseudocyst of the Spleen: A Report of a Rare Case

Alexander Mecheri Antony, Aravind Kumar
Cureus
Abdominal Trauma and Injuries
article

Post-traumatic Pseudocyst of the Spleen: A Report of a Rare Case

Alexander Mecheri Antony, Aravind Kumar
article en

Abstract

Splenic pseudocysts are multifactorial in etiology, with trauma being the most common causative factor, wherein an intrasplenic hematoma forms and subsequently liquefies. They can also develop as a result of infections - both local and systemic - through an inflammatory process and tissue necrosis. Pancreatitis-induced splenic pseudocysts, although exceedingly rare, arise either from the direct extension of pancreatic inflammation, enzymatic autodigestion of the pancreas, or the close anatomical relationship between the pancreas and spleen. Splenic pseudocysts are diagnosed by demonstrating their size, location, and internal septations or calcifications on imaging modalities such as computed tomography (CT) and magnetic resonance imaging. Although less sensitive than CT at discerning subtle details, ultrasonography plays a major role in initial and longitudinal monitoring, particularly due to its lack of radiation exposure, which is beneficial for certain patient populations, including pregnant or pediatric patients.

CureusVol. 17(4)
Sree Balaji Dental College and Hospital (IN)
Gender equality
Openalex Percentile: Top 87%
Abdominal Trauma and Injuries
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