A Case of Giant Splenic Cyst Trea with Percutaneous Ethanol Ablation Therapy

Lee, Joon Wook; Lee, Seung Su; Park, Young Min; Bae, Si Hyun; Shin, Je Hyun; Byun, Byung Hun; Choi, Jong Young; Yoon, Seung Kew; Lee, Young Sok; Lee, Chang Don; Cha, Sang Bok; Chung, Kyu Won; Sun, Hee Sik; Park, Doo Ho

Abstract

Congenital non-parasitic splenic cysts comprise approximately 10% of all splenic cysts. Clinical manifestations in patients with splenic cyst are often nonspecific and ultrasound or CT is useful for its diagnosis. Total splenectomy has been the major way of treatment. However, currently, spleen-saving procedures are strongly recommended because of the immunological role of the spleen. One of such procedures, the percutaneous treatment with sclerosing agents has already been reported with a good result. In this report, we present a case of a 12X17 cm sized giant congenital splenic cyst treated with percutaneously using ethanol as a sclerosing agent. Seven-times of injections (total 140mL, 20mL/time, every 3 days) into the cystic cavity through the inserted catheter were performed for 3 weeks. After the treatment, the size of cyst decreased markedly in 8 months. On the basis of these results, we may conclude that the percutaneous ethanol ablation therapy is an alternative to surgical treatment for splenic cyst.