Abstract ABDOMINAL masses are increasingly uncommon as childhood progresses. Occasionally, however, one is faced with an older child, otherwise healthy, who has an enormous but virtually asymptomatic left upper quadrant mass and no other finding. Many of these masses are splenic cysts. Three girls with such masses are presented below. Report of Cases Case 1.—Almost 9 years old, this girl had seemed in excellent health until it was noticed that she held herself "with her shoulders back and her tummy out" (Fig 1).1 Her abdomen began to protrude, and the left lower rib cage looked distorted. Trauma was denied.Inspection and palpation of the abdomen showed a very large, smooth, nontender left upper quadrant mass. Roentgenograms (Fig 2A and 2B) demonstrated striking displacement of the stomach, bowel, and left kidney.The mass was removed and was found to be a 1,400 cc cyst within the spleen; it was an epidermoid References 1. Gross, R. E.: Surgery of Infancy and Childhood , Philadelphia: W. B. Saunders Co., 1953, pp 565-566. 2. Fowler, R. H.: Cystic Tumors of Spleen , Int Abstr Surg 70:213-233, 1940. 3. Fowler, R. H.: Hydatid Cysts of Spleen , Int Abstr Surg 96:105-116, 1953. 4. Fowler, R. H.: Non-Parasitic Benign Cystic Tumors of Spleen , Int Abstr Surg 96:209-227, 1953. 5. McClure, R. D., and Altemeier, W. A.: Cysts of Spleen , Ann Surg 116:98-102, 1942.Crossref 6. Qureshi, M. A.; Hafner, C. D.; and Dorchak, J. R.: Nonparasitic Cysts of Spleen , Arch Surg 89: 570-574, 1964.Crossref 7. Tuqan, N. A., and Saleeby, G. W.: Primary Reticulum-Cell Sarcoma of Spleen , Radiology 72:868-871, 1959. 8. Forde, W. J., and Finby, N.: Splenic Cysts , Clin Radiol 12:49-54, 1961.Crossref 9. Allen, R. P., and Condon, V. R.: Epidermoid Cysts of Spleen in Children , Amer J Roentgen 86:534-539, 1961. 10. Hoffman, E.: Non-Parasitic Splenic Cysts , Amer J Surgery 93:765-770, 1957.Crossref 11. 11. Hampton, A. O., cited by Sweet, R. H.: Single True Cysts of Spleen , New Eng J Med 228:705-710, 1943.Crossref 12. O'Connor, J. F., and Neuhauser, E. B. D.: Total Body Opacification in Conventional and High Dose Intravenous Urography in Infancy , Amer J Roentgen Med 90:63-71, 1963.
American Journal of Diseases of Children – American Medical Association
Published: Mar 1, 1965