Laparoscopic partial splenectomy for congenital splenic cyst in a pediatric patient: Case report and review of literature
| Autor: | Eduardo Flores-Villalba, Ulises Garza-Luna, Ulises Garza-Serna, David Meléndez‑Martínez, Christian Ovalle-Chao, José Antonio Díaz-Elizondo |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Splenic cyst
medicine.medical_treatment Case Report Non-parasitic splenic cyst Splenic artery computer assisted tomography fenestration 0302 clinical medicine cystectomy spleen artery Pneumoperitoneum sclerotherapy Cyst Partial splenectomy child upper abdominal pain Invagination postoperative infection laparoscopic surgery abdominal radiography medicine.anatomical_structure female priority journal 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology pneumoperitoneum medicine.medical_specialty Splenectomy splenic vein Spleen Article splenectomy 03 medical and health sciences medicine.artery gastrointestinal stapler medicine follow up human splenomegaly percutaneous drainage business.industry decubitus oxidized regenerated cellulose spleen cyst medicine.disease school child Surgery 7 INGENIERÍA Y TECNOLOGÍA Splenic vein Laparoscopy abdominal pressure business |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Highlights • We present a rare case of a congenital splenic cyst that corresponds to less than 10% of non-parasitic splenic cyst. • We describe our laparoscopic approach management of a partial splenectomy • We review the literature on the different treatment options for NPSC based on recurrence and success rates. Non-parasitic splenic cysts (NPSC) are a rare condition that makes difficult to know their true incidence and represent 10% of all benign splenic cysts, they can be either congenital with the presence of epithelial lining that originate from invagination of the capsular mesothelial lining or post-traumatic with absence of epithelial lining. We present our management of a splenic congenital cyst in a pediatric patient. A 10-year-old female patient presented to the clinic complaining with a 3-week abdominal pain at the left upper quadrant. An ultrasound showed an enlarged spleen with a thinned walled cystic image on the lower pole of 5 cm. An abdominal CT confirmed the presence of a splenic cyst at the lower pole of the spleen of 5 cm in diameter. Three-port laparoscopic partial splenectomy was done isolating and dividing the lower splenic artery and vein and the lower pole of the spleen with a vessel sealing device. Management of a non-parasitic splenic cyst is controversial: cystectomy, fenestration, percutaneous drainage and sclerotherapy have been previously described, most of them aiming to preserve spleen function and avoiding overwhelming post-splenectomy infection. Partial splenectomy seems the most effective one in terms of preserving spleen function and avoiding recurrence. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|