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Updated: Jun 6, 2026
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Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions
Published on: December 20, 2024
[Post-traumatic pseudocyst of the spleen]
1Chirurgická klinika 3. LF UK a FNKV, Praha 10. kosrod@seznam.cz
Summary
Post-traumatic splenic pseudocysts are rare but can become symptomatic. This case highlights the successful surgical resection of a giant pseudocyst, emphasizing CT scan diagnosis and surgical management for large splenic cysts.
Area of Science:
- Trauma Surgery
- Gastroenterology
- Radiology
Background:
- Post-traumatic splenic pseudocysts are rare, accounting for over 75% of non-parasitic splenic cysts.
- They originate from splenic hematomas and lack an epithelial lining, often presenting with symptoms.
- These pseudocysts can reach large diameters, exceeding 15 cm.
Observation:
- A 53-year-old female presented with left hypochondrium pain following trauma.
- Imaging revealed a giant post-traumatic splenic pseudocyst (156 x 135 x 148 mm) with significant splenic parenchyma reduction.
- Surgical intervention involved pseudocyst extirpation and splenectomy via laparotomy.
Findings:
- Computed tomography (CT) scans are effective for diagnosing post-traumatic splenic pseudocysts.
- Giant pseudocysts or those in the splenic hilum necessitate surgical resection.
- The patient experienced successful recovery and was discharged six days post-surgery.
Implications:
- Surgical management, including partial splenectomy, is crucial for definitive treatment of large splenic cysts while preserving spleen function.
- Organ-preserving surgeries are recommended for smaller cysts to mitigate sepsis risks.
- Minimally invasive techniques like percutaneous drainage and laparoscopic fenestration show high failure rates for these conditions.
