Sclerotherapy using polidocanol foam for a giant splenic cyst

• Main Authors: Hiraku Funakoshi, MD, MPH, PhD, Shogo Shirane, MD, Joe Toda, MD
• Format: Article
• Language: English
• Published: Elsevier 2020-09-01
• Series: Radiology Case Reports
• Subjects: Polidocanol; Sclerotherapy; Splenic cyst
• Online Access: http://www.sciencedirect.com/science/article/pii/S1930043320302971

Nonparasitic splenic cysts often cause nonspecific symptoms such as pain or early satiety. As it is relatively rarer than hepatic cysts, no established treatment exists for splenic cysts. A 24-year-old woman with a complaint of abdominal discomfort was referred to our hospital. Computed tomography revealed an 11-cm diameter splenic cyst, thought to be the cause of her symptom. Sclerotherapy was performed using polidocanol foam, administered at a volume of 40 mL through a catheter, under local anesthesia. After 2 sessions, the cyst measured 5 cm in diameter, 3 months after the first treatment. Sclerotherapy using polidocanol foam can treat large splenic cysts. It can be performed using local anesthesia and a single puncture, reducing sclerosant use.