Laparoscopic spleen-preserving dome resection for a giant primary epithelial splenic cyst

2021 ◽  
Vol 14 (9) ◽  
pp. e245635
Author(s):  
Neil Robert Lowrie ◽  
Monica Jane Londahl ◽  
Konrad Klaus Richter
Keyword(s):  
Laparoscopic Surgery ◽  
Female Patient ◽  
Current Literature ◽  
Young Female ◽  
Splenic Cyst ◽  
Surgical Practice ◽  
Spleen Preserving ◽  
Splenic Cysts ◽  
Surgical Technical ◽  
Epithelial Cysts

Non-parasitic splenic cysts are rare and are seldom diagnosed outside the paediatric surgical practice. Giant true primary epithelial cysts greater than 14 cm in diameter are even rarer. Laparoscopic surgery is preferable; however, bleeding, splenectomy and recurrence are recognised risks. Here, we report a young female patient with a 21 cm symptomatic primary splenic cyst. The patient underwent a spleen-preserving laparoscopy and was followed up for 2 years when she had an MRI of the abdomen. Surgical, technical and perioperative treatment aspects are discussed here, in the context of the current literature.

scholarly journals Total Splenectomy due to an Unexpected “Complication” after Successful Extended Laparoscopic Partial Decapsulation of a Giant Epidermoid Splenic Cyst: A Case Report

2011 ◽  
Vol 2011 ◽  
pp. 1-7 ◽  
Author(s):  
Michail Pitiakoudis ◽  
Petros Zezos ◽  
Anastasia Oikonomou ◽  
Prodromos Laftsidis ◽  
Georgios Kouklakis ◽  
...  
Keyword(s):  
Young Female ◽  
Splenic Cyst ◽  
Epithelial Lining ◽  
Abdominal Ct ◽  
Spleen Preserving ◽  
Splenic Cysts ◽  
Surgical Options ◽  
Total Splenectomy ◽  
Splenic Vessels ◽  
Laparoscopic Techniques

Splenic cysts are rare entities and are classified as true cysts or pseudocysts based on the presence of an epithelial lining. Congenital nonparasitic true cysts can be epidermoid, dermoid, or endodermoid, present at a young age, and are commonly located in the upper pole of the spleen. Surgical treatment is recommended for symptomatic, large (more than 5 cm), or complicated cysts. Depending on cyst number, location, relation to hilus, and the major splenic vessels, the surgical options include aspiration, marsupialization, cystectomy, partial cystectomy (decapsulation), and partial or complete splenectomy. Laparoscopic techniques have now become the standard approach for many conditions, including the splenic cysts, with emphasis on the spleen-preserving minimally invasive operations. We present the successful extended partial laparoscopic decapsulation of a giant epidermoid splenic cyst in a young female patient that, although asymptomatic, was unfortunately followed by complete splenectomy five days later due to a misinterpreted abdominal CT suggesting splenic postoperative ischemia.

scholarly journals Spleen preserving management of a non-parasitic splenic cyst in pregnancy

2016 ◽  
Vol 98 (7) ◽  
pp. e114-e117 ◽  
Author(s):  
J Kapp ◽  
T Lewis ◽  
S Glasgow ◽  
A Khalil ◽  
A Anjum
Keyword(s):  
Case Reports ◽  
Splenic Cyst ◽  
Fetal Mortality ◽  
First Line ◽  
Spleen Preserving ◽  
Splenic Cysts ◽  
Laparoscopic Cystectomy ◽  
Total Splenectomy ◽  
Theoretical Risk ◽  
In Pregnancy

Non-parasitic splenic cysts are rare entities. In pregnancy, they are rarer still, with as few as seven cases reported in the literature. There is little consensus regarding the optimal management of this condition in pregnancy. Although small, the theoretical risk of intrapartum splenic rupture is associated with a fetal mortality rate as high as 70%. The authors of at least three case reports advocate total splenectomy as first-line management of splenic cyst in pregnancy. Paradoxically, spleen conserving surgery is the recognised gold standard treatment for symptomatic splenic cysts in non-pregnant patients. We present a case of a large maternal splenic cyst that was treated successfully with a laparoscopic cystectomy.

scholarly journals Giant splenic cyst and solid pseudopapillary tumour of the pancreas managed with distal pancreatectomy and splenectomy

2020 ◽  
Vol 102 (4) ◽  
pp. e1-e3
Author(s):  
R Hajjar ◽  
M Plasse ◽  
F Vandenbroucke-Menu ◽  
F Schwenter ◽  
H Sebajang
Keyword(s):  
Distal Pancreatectomy ◽  
Histopathological Examination ◽  
Immunohistochemical Analysis ◽  
Young Female ◽  
Splenic Cyst ◽  
Large Size ◽  
Solid Pseudopapillary Tumour ◽  
Splenic Cysts ◽  
Pancreatic Tumour ◽  
The Right

Solid pseudopapillary tumours of the pancreas and giant splenic cysts are very rare entities, and their coexistence in a young female patient has not been previously reported in the literature. We present the case of a 27-year-old woman who presented with abdominal pain and two masses on abdominal imaging. A mass located in the right upper quadrant was biopsied, and histological and immunohistochemical analysis showed a solid pseudopapillary tumour of the pancreas. A giant cystic splenic lesion was also noted. The patient underwent a distal pancreatectomy and splenectomy in our referral centre. Margins were negative on histopathological examination. Negative surgical margins were achieved with distal pancreatectomy and splenectomy despite the large size of the pancreatic tumour. The management of solid pseudopapillary tumours of the pancreas is often challenging and the concomitant presence of a giant splenic cyst poses additional challenges to the surgical management of such tumours.

scholarly journals Laparoscopic fenestration surgery of a large primary splenic cyst

2020 ◽  
Vol 7 (11) ◽  
pp. 3815
Author(s):  
Harsh Bhomaj ◽  
Aditya Prasad Padhy ◽  
Pran Singh Pujari
Keyword(s):  
Preoperative Evaluation ◽  
Cystic Mass ◽  
Splenic Cyst ◽  
Spleen Preserving ◽  
Splenic Cysts ◽  
Left Hypochondrium ◽  
Contrast Enhanced ◽  
Laparoscopic Fenestration ◽  
Fenestration Surgery ◽  
Enhanced Computed Tomography

Splenomegaly is a major and perhaps the only concern pertaining to spleen for surgeons. Splenic cysts are rare presentations as splenomegaly, with about 800 cases reported so far. Presenting a case report of a 19 years old boy presented with a mass in the abdomen below the rib cage on the left side since 1 year. No other associated complaints. On clinical evaluation a soft cystic mass of size 10×10 cm approximately, was felt extending upto and just above the umbilicus, occupying the left hypochondrium, epigastrium, left lumbar and part of umbilical region. On contrast enhanced computed tomography (CECT) abdomen and pelvis, a well-defined, rounded cystic swelling arising from the spleen and abutting the surrounding structures was noted. Clinically diagnosing it as a primary splenic cyst and after thorough preoperative evaluation the patient was planned for laparoscopic fenestration surgery of the cyst. Surgery involved aspirating, deroofing of the cyst with omental packing of the cyst cavity. This surgery is a novel minimally invasive spleen preserving approach to such types of splenic cysts. This approach carries the least morbidity and recurrence rate among its other options.

scholarly journals Giant complex non-parasitic splenic cyst in a young boy: is laparoscopic spleen-preserving surgery safe?

2021 ◽  
Author(s):  
Alessandro Boscarelli ◽  
Marta Miglietta ◽  
Flora-Maria Murru ◽  
Sonia Maita ◽  
Maria-Grazia Scarpa ◽  
...  
Keyword(s):  
Abdominal Mass ◽  
Splenic Cyst ◽  
Spleen Preserving ◽  
Splenic Parenchyma ◽  
Splenic Cysts ◽  
Mesothelial Cyst ◽  
Histopathological Studies ◽  
Cyst Lining ◽  
Cyst Content ◽  
Safe Treatment Option

Abstract Non-parasitic splenic cysts are an uncommon finding in pediatric patients. We report on a 14-year-old male presenting with a giant abdominal mass. Imaging documented a giant splenic cyst, and preoperative blood tests revealed high levels of CA125. Minimally invasive unroofing of the cyst was performed. Notably, the cyst content was hematic, but histopathological studies described a mesothelial cyst lining. To date, no recurrence has been noted. Laparoscopic spleen-preserving surgery appears to be a valid and safe treatment option in children with complex non-parasitic splenic cyst to preserve the splenic parenchyma.

Refractory Ascites as the Only Presenting Symptom of Chronic Calcified Constrictive Pericarditis: A Diagnostic Challenge

2014 ◽  
Vol 17 (1) ◽  
pp. 42
Author(s):  
Shi-Min Yuan
Keyword(s):  
Computed Tomography ◽  
Liver Cirrhosis ◽  
Female Patient ◽  
Constrictive Pericarditis ◽  
Delayed Diagnosis ◽  
Young Female ◽  
Refractory Ascites ◽  
Diagnostic Challenge ◽  
Massive Ascites ◽  
History Of

Extracardiac manifestations of constrictive pericarditis, such as massive ascites and liver cirrhosis, often cover the true situation and lead to a delayed diagnosis. A young female patient was referred to this hospital due to a 4-year history of refractory ascites as the only presenting symptom. A diagnosis of chronic calcified constrictive pericarditis was eventually established based on echocardiography, ultrasonography, and computed tomography. Cardiac catheterization was not performed. Pericardiectomy led to relief of her ascites. Refractory ascites warrants thorough investigation for constrictive pericarditis.

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