Splenic Cyst

11 min read

A splenic cyst is a fluid-filled sac that develops in the spleen. It is a rare condition, and the exact cause is unknown. Splenic cysts can be either true cysts or pseudocysts. True cysts are lined with a membrane and contain fluid, while pseudocysts are not lined with a membrane and contain solid material. Splenic cysts can range in size from a few millimeters to several centimeters.

Diagnosis

Splenic cysts are usually diagnosed with imaging tests such as ultrasound, CT scan, or MRI. These tests can help determine the size and location of the cyst. In some cases, a biopsy may be necessary to confirm the diagnosis.

Complications

Splenic cysts can cause complications such as pain, infection, and bleeding. If the cyst is large, it can cause the spleen to become enlarged, which can lead to abdominal pain and discomfort. In rare cases, the cyst can rupture, which can cause internal bleeding.

Prognosis

The prognosis for splenic cysts depends on the size and type of the cyst. Small cysts may not require treatment and can be monitored with imaging tests. Larger cysts may require surgical removal. In some cases, the cyst may need to be drained or removed with a procedure called laparoscopy.

Take the Splenic Cyst Assessment

Symptoms

Common Symptoms

The most common symptom of a splenic cyst is abdominal pain. This pain may be sharp or dull and can range from mild to severe. Other symptoms may include:

  • Nausea
  • Vomiting
  • Loss of appetite
  • Weight loss
  • Fever
  • Fatigue

Less Common Symptoms

Less common symptoms of a splenic cyst include:

  • Pain in the upper left side of the abdomen
  • Pain that radiates to the left shoulder
  • Pain that worsens when lying down
  • Pain that worsens with deep breathing
  • Pain that worsens with movement

When to See a Doctor

If you experience any of the symptoms of a splenic cyst, it is important to see a doctor. Your doctor will be able to diagnose the condition and recommend the best course of treatment.

Causes

Genetic Factors

Genetic factors may play a role in the development of splenic cysts. Certain genetic conditions, such as autosomal dominant polycystic kidney disease, can increase the risk of developing splenic cysts.

Infections

Infections, such as malaria, can cause the spleen to become inflamed, leading to the formation of cysts. Other infections, such as amebiasis, can also cause splenic cysts.

Trauma

Trauma to the spleen can cause the formation of cysts. This can occur due to a direct injury to the spleen, such as a car accident or a fall, or due to a medical procedure, such as a biopsy.

Congenital Abnormalities

Congenital abnormalities, such as congenital cystic disease of the spleen, can increase the risk of developing splenic cysts.

Other Causes

Other potential causes of splenic cysts include tumors, parasitic infections, and certain medications.

Getting a Diagnosis

Ultrasound

Ultrasound is a non-invasive imaging test that uses sound waves to create images of the internal organs. It is often used to diagnose splenic cysts because it is relatively inexpensive and does not involve radiation. During the test, a technician will apply a gel to the skin and use a handheld device called a transducer to send sound waves into the body. The sound waves will bounce off the organs and create an image on a computer screen.

Computed Tomography (CT) Scan

A CT scan is an imaging test that uses X-rays to create detailed images of the body. During the test, the patient will lie on a table and a scanner will rotate around the body to take multiple images. The images are then combined to create a detailed 3-dimensional image of the organs. CT scans are more detailed than ultrasounds and can help to determine the size and shape of the cyst.

Magnetic Resonance Imaging (MRI)

An MRI is an imaging test that uses a powerful magnet and radio waves to create detailed images of the body. During the test, the patient will lie on a table and a scanner will take multiple images of the organs. The images are then combined to create a detailed 3-dimensional image of the organs. MRI scans are more detailed than CT scans and can help to determine the size and shape of the cyst.

Biopsy

In some cases, a biopsy may be necessary to confirm the diagnosis. During a biopsy, a sample of tissue is taken from the cyst and examined under a microscope. This can help to determine if the cyst is benign or malignant.

Questions for Your Doctor

Symptoms

Discuss any symptoms you may be experiencing, such as abdominal pain, nausea, or vomiting. Your doctor may also want to know if you have any other medical conditions that could be related to the cyst.

Diagnosis

Your doctor will likely want to know how the cyst was diagnosed. This could include imaging tests such as an ultrasound, CT scan, or MRI. Your doctor may also want to know if any biopsies were taken.

Treatment Options

Your doctor will likely discuss treatment options with you. Depending on the size and type of cyst, treatment could include medications, surgery, or a combination of both. Your doctor will also discuss the risks and benefits of each option.

Follow-up Care

Your doctor will likely want to monitor your condition over time. This could include regular imaging tests or blood tests to check for any changes in the cyst. Your doctor may also want to discuss lifestyle changes that could help reduce the risk of complications.

Questions

Be sure to ask your doctor any questions you may have about your condition. This could include questions about the risks and benefits of treatment options, the long-term outlook, or any other concerns you may have.

Treatment

Observation

In some cases, a splenic cyst may be small and cause no symptoms. In these cases, the cyst may be monitored with regular imaging tests, such as ultrasound or CT scans. This allows the doctor to track the size of the cyst and look for any changes that may indicate a need for further treatment.

Drainage

If the cyst is causing pain or other symptoms, it may need to be drained. This is done with a procedure called percutaneous aspiration. During this procedure, a needle is inserted into the cyst and the fluid is drained. This can provide relief from symptoms, but the cyst may fill up again and require further treatment.

Surgery

In some cases, surgery may be necessary to remove the cyst. This is usually done with a laparoscopic procedure, which involves making small incisions in the abdomen and using a camera to view the cyst. The cyst is then removed and the spleen is repaired. Surgery is usually reserved for larger cysts or those that are causing significant symptoms.

Medication

In some cases, medications may be used to reduce the size of the cyst. These medications can include antibiotics, anti-inflammatory drugs, or other medications. These medications can help reduce the size of the cyst and reduce symptoms, but they may not be effective in all cases.

Conclusion

Treatment for a splenic cyst depends on the size and type of cyst, as well as the patient's overall health. In some cases, observation may be all that is needed. In other cases, drainage, surgery, or medications may be necessary. It is important to talk to your doctor about the best treatment option for you.

Drugs & Medications

Medication

In some cases, medication may be prescribed to reduce the size of the cyst. This is usually done with antibiotics, anti-inflammatory drugs, or corticosteroids. These medications can help reduce the size of the cyst and reduce the risk of infection.

Surgery

In some cases, surgery may be necessary to remove the cyst. This is usually done if the cyst is large or if it is causing symptoms. The type of surgery used will depend on the size and location of the cyst. In some cases, the entire spleen may need to be removed.

Drainage

In some cases, the cyst may need to be drained. This is usually done with a needle or catheter. The fluid is then sent to a lab for testing to determine if the cyst is benign or malignant.

Watchful Waiting

In some cases, the cyst may be small and not causing any symptoms. In these cases, the doctor may recommend watchful waiting. This means that the patient will be monitored closely to make sure the cyst does not grow or cause any symptoms.

Diet

What to Eat

A healthy diet for splenic cyst should include plenty of fruits and vegetables, whole grains, lean proteins, and healthy fats. Eating a variety of foods from each food group can help ensure that you get all the nutrients you need. Some specific foods that may be beneficial for people with splenic cysts include:

  • Berries: Blueberries, strawberries, and other berries are high in antioxidants, which can help reduce inflammation.
  • Leafy greens: Spinach, kale, and other leafy greens are high in vitamins and minerals, as well as fiber.
  • Fish: Salmon, tuna, and other fatty fish are high in omega-3 fatty acids, which can help reduce inflammation.
  • Nuts and seeds: Almonds, walnuts, and other nuts and seeds are high in healthy fats and fiber.
  • Legumes: Beans, lentils, and other legumes are high in fiber and protein.

What to Avoid

In addition to eating a healthy diet, it is important to avoid certain foods that can increase inflammation and worsen symptoms of a splenic cyst. These include:

  • Processed foods: Processed foods are high in sugar, sodium, and unhealthy fats, which can increase inflammation.
  • Refined carbohydrates: White bread, pasta, and other refined carbohydrates can cause blood sugar spikes, which can worsen inflammation.
  • Saturated and trans fats: Saturated and trans fats are found in fried foods, processed meats, and other unhealthy foods, and can increase inflammation.
  • Alcohol: Alcohol can increase inflammation and worsen symptoms of a splenic cyst.

Conclusion

Eating a healthy diet can help reduce the risk of developing a splenic cyst and can help manage symptoms if you already have one. Eating plenty of fruits and vegetables, whole grains, lean proteins, and healthy fats, and avoiding processed foods, refined carbohydrates, saturated and trans fats, and alcohol can help reduce inflammation and improve symptoms.

Lifestyle

Stay Hydrated

Staying hydrated is important for everyone, but it is especially important for those with a splenic cyst. Drinking plenty of water can help reduce the risk of infection and can help reduce the size of the cyst. It is recommended that you drink at least 8 glasses of water a day.

Eat a Healthy Diet

Eating a healthy diet is important for everyone, but it is especially important for those with a splenic cyst. Eating a balanced diet that is rich in fruits, vegetables, and lean proteins can help reduce the size of the cyst and can help reduce the risk of infection. Avoiding processed foods and sugary drinks can also help.

Exercise Regularly

Exercising regularly can help reduce the size of the cyst and can help reduce the risk of infection. It is important to talk to your doctor before starting any exercise program, as some exercises may be too strenuous for those with a splenic cyst. Low-impact exercises such as walking, swimming, and yoga are all good options.

Get Plenty of Rest

Getting plenty of rest is important for everyone, but it is especially important for those with a splenic cyst. Getting enough sleep can help reduce the size of the cyst and can help reduce the risk of infection. Aim for at least 8 hours of sleep a night.

Manage Stress

Stress can have a negative impact on your health, so it is important to manage your stress levels. Taking time for yourself, practicing relaxation techniques, and talking to a therapist can all help reduce stress levels. Reducing stress can help reduce the size of the cyst and can help reduce the risk of infection.

See Your Doctor Regularly

It is important to see your doctor regularly to monitor the size of the cyst and to make sure that it is not causing any complications. Your doctor may recommend lifestyle changes or medications to help manage your condition.