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J Korean Surg Soc. 2005 Mar;68(3):247-248. English. Case Report.
Cho YP , Jung SM , Kang GH , Han MS , Jang HJ , Kim YH , Kwak JH , Choi YB .
Department of Surgery, University of Ulsan College of Medicine, Gangneung Asan Hospital, Republic of Korea. ypcho@gnah.co.kr
Diagnostic Radiology, University of Ulsan College of Medicine, Gangneung Asan Hospital, Republic of Korea.
Diagnostic Pathology, University of Ulsan College of Medicine, Gangneung Asan Hospital, Republic of Korea.
Abstract

A 14-yr-old male presented with a hemoperitoneum caused by a spontaneous rupture of a primary splenic cyst. The laparotomy showed a ruptured spleen at the lower pole from one of the multiple cyst-like lesions, measuring approximately 2 cm in diameter. After the splenectomy, a microscopic examination confirmed the diagnosis of a primary splenic cyst lined with a mature, well-differentiated squamous epithelium. A hemoperitoneum caused by a spontaneous rupture of a primary splenic cyst is a rare but potentially lethal complication, because most patients with a splenic rupture present with some degree of hypovolemia.

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