ArticleBMC surgery2019
Laparoscopic fenestration for a large ruptured splenic cyst combined with an elevated serum carbohydrate antigen 19-9 level: a case report.
Article in BMC surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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18 citing papers in PubMed, 23 citations in OpenAlex.
- Molecular Imaging of Pancreatic Duct Adenocarcinoma Using [Molecular imaging and biology · 2026Article
- Unexpected CA 19-9 Elevation in a Patient With a Splenic Epithelial Cyst: A Diagnostic Challenge.Cureus · 2025Article
- Minimally invasive surgery for giant splenic cysts.Journal of minimal access surgery · 2025Article
- An Isolated Hydatid Cyst of the Spleen with High Serum Levels of CA 19-9-A Meaningful Association or Just a Challenge for Diagnosis? A Case Report.Medicina (Kaunas, Lithuania) · 2025Article
- Splenic cyst deroofing complicated with B lymphoma.World journal of surgical oncology · 2024Article
- Laparoscopic partial splenectomy for a giant splenic pseudocyst with elevated CA19-9: a case report.Annals of medicine and surgery (2012) · 2024Article
- Ruptured large hepatic cyst with elevated serum and ascites CA19-9 level.Journal of surgical case reports · 2024Article
- Significantly Elevated CA 19-9 after COVID-19 Vaccination and Literature Review of Non-Cancerous Cases with CA 19-9 > 1000 U/mL.Journal of clinical medicine · 2024Article
- Abrupt elevation of tumor marker levels in a huge splenic epidermoid cyst, a case report.Frontiers in oncology · 2024Article
- Article
- Carbohydrate antigen 19-9-producing splenic cyst: a case report.Radiology case reports · 2022Article
- Two cases of non-parasitic splenic cysts and spleen-preserving therapy.Annals of the Royal College of Surgeons of England · 2021Article
- Symptomatic Giant Primary Nonparasitic Splenic Cyst Treated with Laparoscopic Decapsulation: A Case Report and Literature Review.The American journal of case reports · 2020Review
- Sclerotherapy using polidocanol foam for a giant splenic cyst.Radiology case reports · 2020Article
- Tumour biomarkers: association with heart failure outcomes.Journal of internal medicine · 2020Article
- Carbohydrate antigen 19-9 elevation without evidence of malignant or pancreatobiliary diseases.Scientific reports · 2020Article
- Massive splenic cyst in pregnancy: case report.BMC pregnancy and childbirth · 2020Article
- Spontaneous rupture of a non-parasitic splenic cyst.BMJ case reports · 2019Article
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Authors and funding
14 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNon-parasitic splenic cysts are associated with elevated serum carbohydrate antigen (CA) 19-9 levels. We report a case in which a 23-year-old female exhibited a large ruptured splenic cyst and an elevated serum CA19-9 level. CASE PRESENTATION: The patient, who experienced postprandial abdominal pain and vomiting, was transferred to our hospital and was found to have a large splenic cyst during an abdominal computed tomography (CT) scan. On physical examination, her vital signs were stable, and she demonstrated rebound tenderness in the epigastric region. An abdominal CT scan revealed abdominal fluid and a low-density region (12 × 12 × 8 cm) with enhanced margins in the spleen. The patient's serum levels of CA19-9 and CA125 were elevated to 17,580 U/mL and 909 U/mL, respectively. A cytological examination of the ascitic fluid resulted in it being categorized as class II. Finally, we made a diagnosis of a ruptured splenic epidermoid cyst and performed laparoscopic splenic fenestration. The patient's postoperative course was uneventful, and she was discharged on postoperative day 5. The cystic lesion was histopathologically diagnosed as a true cyst, and the epithelial cells were positive for CA19-9. Follow-up laboratory tests performed at 4 postoperative months showed normal CA19-9 (24.6 U/L) and CA125 (26.8 U/L) levels. No recurrence of the splenic cyst was detected during the 6 months after surgery.
conclusionLaparoscopic fenestration of a ruptured splenic cyst was performed to preserve the spleen, after the results of abdominal fluid cytology and MRI were negative for malignancy.
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