Search tips
Search criteria 


Logo of jrsocmedLink to Publisher's site
J R Soc Med. 1999 September; 92(9): 450–452.
PMCID: PMC1297354

Traumatic pseudocyst of the spleen.


Four patients with pseudocyst of the spleen gave histories of abdominal trauma. In one patient the pseudocyst had ruptured, necessitating emergency splenectomy 34 years after the original injury. In a second patient the pseudocyst was discovered incidentally, and was managed by spleen-preserving excision; and the third and fourth presented with abdominal pain and had splenectomy and spleen-preserving surgery, respectively. All patients with conservatively treated splenic injury are at risk of developing a pseudocyst of the spleen, and the lesion can be detected by computed tomography or ultrasound. When there are no symptoms the natural history is unknown; but if surgery is necessary, splenectomy can sometimes be avoided.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (513K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Images in this article

Click on the image to see a larger version.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Deva AK, Thompson JF. Delayed rupture of the spleen 5 1/2 years after conservative management of traumatic splenic injury. Aust N Z J Surg. 1996 Jul;66(7):494–495. [PubMed]
  • Leppäniemi A, Haapiainen R, Standertskjöld-Nordenstam CG, Taavitsainen M, Hästbacka J. Delayed presentation of blunt splenic injury. Am J Surg. 1988 Jun;155(6):745–749. [PubMed]
  • Foster RP. Delayed haemorrhage from the ruptured spleen. Br J Surg. 1970 Mar;57(3):189–192. [PubMed]
  • Benjamin CI, Engrav LH, Perry JF., Jr Delayed rupture or delayed diagnosis of rupture of the spleen. Surg Gynecol Obstet. 1976 Feb;142(2):171–172. [PubMed]
  • Taylor CR, Rosenfield AT. Limitations of computed tomography in the recognition of delayed splenic rupture. J Comput Assist Tomogr. 1984 Dec;8(6):1205–1207. [PubMed]
  • Schultz DA, Froelich JW. Delayed rupture of the spleen. A case report. Clin Nucl Med. 1985 Sep;10(9):642–645. [PubMed]
  • Pappas D, Mirvis SE, Crepps JT. Splenic trauma: false-negative CT diagnosis in cases of delayed rupture. AJR Am J Roentgenol. 1987 Oct;149(4):727–728. [PubMed]
  • Dang C, Schlater T, Bui H, Oshita T. Delayed rupture of the spleen. Ann Emerg Med. 1990 Apr;19(4):399–403. [PubMed]
  • Farhat GA, Abdu RA, Vanek VW. Delayed splenic rupture: real or imaginary? Am Surg. 1992 Jun;58(6):340–345. [PubMed]
  • Black JJ, Sinow RM, Wilson SE, Williams RA. Subcapsular hematoma as a predictor of delayed splenic rupture. Am Surg. 1992 Dec;58(12):732–735. [PubMed]
  • Clark OH, Lim RC, Jr, Margaretten W. Spontaneous delayed splenic rupture--case report of a five-year interval between trauma and diagnosis. J Trauma. 1975 Mar;15(3):245–249. [PubMed]
  • Sziklas JJ, Spencer RP, Rosenberg RJ. Delayed splenic rupture: a suggestion for "predictive monitoring". J Nucl Med. 1985 Jun;26(6):609–611. [PubMed]
  • Fabian TC, Mangiante EC, White TJ, Patterson CR, Boldreghini S, Britt LG. A prospective study of 91 patients undergoing both computed tomography and peritoneal lavage following blunt abdominal trauma. J Trauma. 1986 Jul;26(7):602–608. [PubMed]
  • Hertzanu Y, Mendelsohn DB. Delayed splenic rupture: a true entity. Clin Radiol. 1984 Sep;35(5):393–396. [PubMed]
  • Teneriello FL, Teneriello GF, Del Grande E, Della Casa U, Clazzer W, Borghese M, Anania F, Serracino Inglott F, Picchiotti R. Le cisti non parassitarie della milza. G Chir. 1997 Apr;18(4):222–228. [PubMed]
  • Pachter HL, Hofstetter SR, Elkowitz A, Harris L, Liang HG. Traumatic cysts of the spleen--the role of cystectomy and splenic preservation: experience with seven consecutive patients. J Trauma. 1993 Sep;35(3):430–436. [PubMed]
  • Feliciotti F, Sottili M, Guerrieri M, Paganini AM, Lezoche E. Conservative ultrasound-guided laparoscopic treatment of posttraumatic splenic cysts: report of two cases. Surg Laparosc Endosc. 1996 Aug;6(4):322–325. [PubMed]
  • Targarona EM, Martínez J, Ramos C, Becerra JA, Trías M. Conservative laparoscopic treatment of a posttraumatic splenic cyst. Surg Endosc. 1995 Jan;9(1):71–72. [PubMed]

Articles from Journal of the Royal Society of Medicine are provided here courtesy of Royal Society of Medicine Press