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Splenic cyst in a wandering spleen: laparoscopic treatment with preservation of splenic function
Diego Falchetti1, Fabio Torri, Sergio Dughi
1Department of Pediatric Surgery, Spedali Civili, 25100 Brescia, Italy.
Background:
Wandering spleen and splenic cyst are rare benign congenital conditions that can both cause severe complications related to torsion or trauma.
Case Report:
A 14-year-old girl presented a mobile 10-cm-long abdominal mass in the left lower quadrant associated with mild abdominal pain. The diagnosis of an 8-cm-long nonparasitic cyst in a wandering spleen was confirmed by computerized tomography and negative serum indirect hemagglutination titer for hydatid disease. Laparoscopic unroofing of the cyst and splenopexy in a vycril mesh was performed.
Results:
No problems were encountered during laparoscopic surgery. Postoperative course was uneventful, and at a 1-year follow-up, the spleen is viable and maintains a normal position in the phrenorenal angle.
Conclusions:
In the child, treatment of wandering spleen associated with a cyst should aim at the prevention of vascular accidents and at conservation of the spleen. We achieved these goals with unroofing and splenopexy through laparoscopic surgery.
