2016, Number 1
Treatment of splenic cyst greater than 10 cm by total laparoscopic splenectomy. A case report
Estavillo PM, Luna MJ, Cuevas OVJ, Luna AFJ
Full text
Language: Spanish
References: 7
Page: 34-37
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ABSTRACT
Introduction: The splenic cyst is rare, with about 800 cases reported in the world literature, those have been classified based on the absence or presence of an epithelial lining, etiology, pathogenesis, real or primary cysts, with real cell boundary or epithelium coating, secondary or false cysts, without a real cell boundary or without epithelial lining, recently, surgical treatment options include partial splenectomy, total splenectomy, percutaneous drainage, sclerosis, packaging with omentum; however, when the cyst is dependent of the vascular thread, or › 5 cm we should make total splenectomy with the goal of eradicating the breakdown potential or secondary development of infection and hemoperitoneum, managed with small laparoscopic invasion and making possible an excellent recovery. Case report: Male 10 years old with abdominal pain in the left upper quadrant of varying intensity, radiating to left shoulder, not associated with other symptoms and splenomegaly in the abdominal ultrasound splenic cyst was found in the lower pole of spleen. Scan of the abdomen reporting cystic lesion covering spleen dependent of the splenic hilum, laparoscopic total splenectomy was performed, the patient was discharged after six days, nine months follow up, with favorable evolution. Conclusions: We believe that the total splenectomy is an option in children for the treatment of splenic cysts larger than 10 cm and adhered to the splenic thread as this eradicates potential rupture with secondary development of infection and hemoperitoneum, managed by low invasion laparoscopy, it makes an excellent recovery possible.REFERENCES