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Laparoscopic splenectomy for recurrent splenic cyst after laparoscopic marsupialization
Nobumi Tagaya1, Kiyoshige Hamada, Keiichi Kubota
1Second Department of Surgery, Dokkyo University School of Medicine, Mibu, Tochigi, Japan. tagaya@dokkyomed.ac.jp
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
|December 1, 2007
Summary
Laparoscopic splenectomy was performed for a recurrent splenic cyst in a 24-year-old woman. This spleen hemangioma required spleen removal due to recurrence after initial cyst marsupialization.
Area of Science:
- Surgical Gastroenterology
- Minimally Invasive Surgery
- Abdominal Imaging
Background:
- Recurrent splenic cysts can necessitate further intervention.
- Laparoscopic marsupialization is a treatment option for splenic cysts.
- Surgical management of splenic hemangiomas with cystic components presents challenges.
Observation:
- A 24-year-old woman presented with a large palpable left upper quadrant mass.
- Previous laparoscopic marsupialization for a splenic cyst was performed 62 months prior.
- Imaging revealed a large, recurrent cystic splenic lesion occupying most of the spleen.
Findings:
- Laparoscopic splenectomy was successfully performed for the recurrent splenic cyst.
- Histopathology confirmed the splenic lesion as a hemangioma with cyst formation.
- The cyst wall was composed of fibrous tissue and stratified cuboidal/squamous epithelium.
Implications:
- Laparoscopic splenectomy is a viable option for recurrent splenic cysts.
- Post-surgical surveillance with imaging is crucial after splenic cyst treatment.
- This case highlights the importance of monitoring splenic lesions post-intervention.
