en Surgery Surgery Case Series Case Series <p style="margin: 0cm 0cm 0pt 161.6pt; text-indent: 0cm;"><font face="Times New Roman"><b><i><span style="color: blue; font-size: 10pt;">Background: </span></i></b><span style="font-size: 10pt;"><font color="#000000">Splenic cysts are known as rare clinical encounter. Classifying into primary (true) and secondary cysts (pseudocysts), true cysts contain cellular epithelial lining and subdivided into parasitic and non-parasitic cysts. This study aimed to determine the outcome of treatment in patients with splenic cyst.</font></span></font></p> <p style="margin: 0cm 0cm 0pt 161.6pt; text-indent: 0cm;"><font face="Times New Roman"><b><i><span style="color: blue; font-size: 10pt;">Methods:</span></i></b><span style="font-size: 10pt;"><font color="#000000"> All patients with splenic cyst who had been treated in Department of General Surgery of Ghaem and Omid teaching hospitals over a 24-year period were identified. The medical records of these 16 patients were reviewed.</font></span></font></p> <p style="margin: 0cm 0cm 0pt 161.6pt; text-indent: 0cm;"><font face="Times New Roman"><b><i><span style="color: blue; font-size: 10pt;">Results:</span></i></b><span style="font-size: 10pt;"><font color="#000000"> The study patients included 11 females (68.75%) and 5 males (31.25%) with average age of 39.8 years. Fifteen cases had true cyst including 11 parasitic cysts (hydatid) and only one pseudocyst. 37.5% of the splenic cysts had coexistent cysts in liver, pelvis, omentum and paracolic regions. Nine patients underwent total splenectomy and 5 cases partial splenectomy and 2 remaining cases received conservative medical treatment. The size of the cysts varied from 6 to 25 centimeter with average size of 14.3 centimeter. All patients with hydatid cysts received albendazole postoperative medical treatment with albendazole for 6 months. All patients recovered after treatment.</font></span></font></p> <p style="margin: 0cm 0cm 0pt 161.6pt; text-indent: 0cm;"><font face="Times New Roman"><b><i><span style="color: blue; font-size: 10pt;">Conclusion: </span></i></b><span style="font-size: 10pt;"><font color="#000000">Open splenectomy whether total or partial is effective and safe in patients with splenec cysts with or without hydatidosis. The outcome of treatment is good without recurrences.</font></span></font></p> splenic cysts, Open splenectomy, management 217 221 http://caspjim.com/browse.php?a_code=A-10-426-1&slc_lang=en&sid=1 Hamed Golmohammadzadeh Hamed.Golmohammadzadeh@gmail.com 10031947532846006027 10031947532846006027 No Endoscopic and Minimally Invasive surgery Research center, Mashhad University of Medical Sciences, Mashhad, IRAN Ghodratollah Maddah maddahgh@mums.ac.ir 10031947532846006028 10031947532846006028 Yes Endoscopic and Minimally Invasive surgery Research center, Mashhad University of Medical Sciences, Mashhad, IRAN Yavar shams hojjati shamsy901@mums.ac.ir 10031947532846006029 10031947532846006029 No Endoscopic and Minimally Invasive surgery Research center, Mashhad University of Medical Sciences, Mashhad, IRAN Abbas Abdollahi abdollahia@mums.ac.ir 10031947532846006030 10031947532846006030 No Surgical Oncology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. Hossein Shabahang shabahangh@mums.ac.ir 10031947532846006031 10031947532846006031 No Endoscopic and Minimally Invasive surgery Research center, Mashhad University of Medical Sciences, Mashhad, IRAN