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Introduction: Splenic cysts are quite rare. In this publication, authors focus on presenting their own observations related to the management of patients with such lesions. Aim: To evaluate the effectiveness of laparoscopic procedures in the case of patients with splenic cysts. Material and methods: The study included patients treated surgically for cystic lesions located in the spleen at the 2nd Department of General, Gastroenterological and Oncological Surgery of the Medical University of Bialystok over the years 2017-01.2020. Results: All patients were referred for elective excision of the spleen lesion (the size of the lesions ranged from 7 to 15 cm -- based on CT examination). In all cases, excision of the anterior wall of the cyst was performed with the help of advanced surgical tools. The duration of the procedure ranged between 65 and 100 minutes. No significant blood loss was observed. No postoperative complications were found. Conclusions: In conclusion, sparing laparoscopic surgery for cystic lesions of the spleen seem to be safe and rarely associated with complications or relapses. Extending the scope of the procedure to total splenectomy should also not pose a major problem. [ABSTRACT FROM AUTHOR]

Non vital teeth with periapical cysts do not respond to routine root canal therapy alone. Conventional RCT (root canal therapy) should be combined with conservative management of cysts or surgical management. Contemporary options for non-surgical management are repeated intra canal dressing with Ca (OH)2, aspiration and decompression techniques. Repeated intra canal dressing with Ca(OH)2 and Iodoform (Metapex) was advocated in 15 of our patients for a period of eight years from 2011-2019. The healing of the lesions was excellent with respect to bone formation, reestablishment of periodontal ligament and reduction in tooth mobility on follow up of six months to one and a half years. This case series gives insight of successful non-surgical management of periapical cysts. We reiterate the effectiveness of non-surgical management of periapical cysts as it was well observed in our case series. The promising prognosis of non-surgical management of periapical cysts can render the surgical options antediluvian. [ABSTRACT FROM AUTHOR]

Splenic epidermoid cysts are rare non-parasitic true cysts affecting the spleen. We report a five-year-old child who presented with an abdominal lump associated with pain of 15 days. Ultrasonography of the abdomen showed a huge cystic lesion of obscure origin. At laprotomy a huge unilocular cyst involving upper part of spleen containing pultaceous fluid was seen and its removal necessitated splenectomy. Histopathological indings were consistent with splenic epidermoid cyst. Thus histopathology helped in elucidating the aetiology and diagnosis. [ABSTRACT FROM AUTHOR]

Solitary or true pancreatic cyst is a very rare pathologic condition; only a few cases are reported in literature. We report a case of a 22-year-old woman with a symptomatic true pancreatic cyst located in proximity to the pancreatic head, duodenum, vena cava, biliary tree, and right kidney, which was enucleated through a laparoscopic approach. Laparoscopic ultrasound imaging allowed the surgeon to better identify the morphology of the cyst and its relationship with the adjacent structures. The treatment is briefly reviewed and discussed. [Copyright &y& Elsevier]

Congenital true pancreatic cysts are quite rare in the children. Fetus, which shows an intraabdominal cystic mass in ultrasound (US) performed during the antenatal examination, was delivered at a gestational age of 37 weeks. As a result of the histopatho­logical examination, pancreas-originated cystic mass with the dimensions of 8x5x1cm, which has been totally excised during the operation was reported to be a congenital true pancreatic cyst. This rarely seen entity, which has been diagnosed during the neonatal period before the occurrence of any clinical signs and which has been successfully treated, was presented along with the literature. [ABSTRACT FROM AUTHOR]