Abstract
Nonparasitic splenic cysts are rare clinical lesions of the spleen. The management
has entailed partial or total splenectomy via an open approach. Recently, laparoscopic
approaches have been developed. In this report, we describe laparoscopic marsupialization
of a giant splenic cyst (diameter > 15 cm).A 15-year-old Indian child presented with
a four and a half year history of mass in upper left quadrant associated with left
upper quadrant pain which increased since 2 days. Physical examination revealed a
large, nontender left upper quadrant mass with minimal movement on respiration. Computed
tomography scan confirmed a cyst arising from the spleen, measuring 20 x 15 cm suggestive
of a primary splenic cyst. Echinococcus and Entamoeba histolytica serologies were negative. Laparoscopic exploration was performed. three liters of
brown fluid were aspirated and intraoperative cytology confirmed a nonparasitic cyst.
The cyst wall was excised, preserving the spleen. The patient's recovery was uneventful,
and he was discharged, tolerating a regular diet on postoperative day 3. At follow-up,
the patient was asymptomatic and showed no evidence of recurrence. Non-parasitic splenic
cysts are rare lesions. Laparoscopic marsupialization is safe and effective and should
be considered the treatment of choice even for giant splenic cyst.
Keywords:
laparoscopic - marsupialization - giant splenic cyst
