Symptomatic Giant Primary Nonparasitic Splenic Cyst Treated with Laparoscopic Decapsulation: A Case Report and Literature Review
| Autor: | Salah Termos, Fahad Alabdulghani, Feras Othman, Mohammad Alhunaidi, Ali AlJewaied, Socrates Mathew Parayil, Afaq Mahmoud Alkhalil |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty Splenic cyst Adolescent Decapsulation medicine.medical_treatment Splenectomy Spleen Young Adult Epithelial Cyst medicine Humans Primary Nonparasitic Splenic Cyst Cyst Laparoscopy Splenic Diseases Tumor marker PNSC medicine.diagnostic_test Cysts business.industry Articles General Medicine Perioperative medicine.disease Surgery Food intolerance medicine.anatomical_structure Female Neoplasm Recurrence Local business |
| Zdroj: | The American Journal of Case Reports |
| ISSN: | 1941-5923 |
| DOI: | 10.12659/ajcr.927893 |
| Popis: | Patient: Female, 22-year-old Final Diagnosis: Primary nonparasitic splenic cyst Symptoms: Abdominal pain • mass in abdomen Medication: — Clinical Procedure: Laparoscopic decapsulation of giant splenic cyst. Specialty: Surgery Objective: Rare disease Background: Primary nonparasitic splenic cysts (PNSC) are unusual epithelial fluid lesions of the spleen. They are considered congenital cysts and are often discovered incidentally in young people. Larger cysts can be symptomatic and are traditionally managed with splenectomy. This report is of a woman with a large symptomatic PNSC that was managed surgically by laparoscopic decapsulation. Case Report: A 22-year-old Lebanese woman presented with left upper-quadrant pain, left pleuritic pain, food intolerance, and significant weight loss. Investigations showed a 20×17×15 cm cystic lesion in the spleen. Secondary causes were ruled out and tumor marker and hydatid serology were unremarkable. Laparoscopic decapsulation of the cyst with spleen preservation was performed with no perioperative complications. The patient’s 3-year follow-up visit revealed no clinical or radiological recurrence. Conclusions: True congenital splenic cysts are rare clinical findings. Generally, they do not have malignant potential. The development of minimally invasive techniques has shifted the trend toward splenic salvaging procedures. Literature review revealed an acceptable recurrence rate with near-total rather than partial unroofing. Laparoscopic decapsulation can be a safe and adequate therapeutic option in selected cases. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|