Laparoscopic splenopexy and cystectomy for an enlarged wandering spleen and splenic cyst.

Abstract

Wandering spleen is an uncommon condition, which can present emergently in children. Similarly, nonparasitic splenic cysts are also rarely encountered. In this report, we describe a massive wandering spleen (22 cm in longitudinal dimension) with a pseudocyst (4.6 x 2 cm) in the inferior pole in an asymptomatic 16-year-old adolescent. Only 4 similar cases have been reported in the literature; 2 of them have been in the pediatric age group. These 2 conditions were diagnosed while she was being evaluated for dysmenorrhea, and she was referred for surgical consultation. The cyst was excised laparoscopically, and the spleen was placed into an extraperitoneal pouch. To date, there are no other reports describing laparoscopic cystectomy and splenopexy in a teenager.

• Authors: Prashant Upadhyaya, Shawn D St Peter, George W Holcomb 3rd
• Journal: Journal of pediatric surgery (J Pediatr Surg) Vol. 42 Issue 5 Pg. E23-7 (May 2007) ISSN: 1531-5037 [Electronic] United States
• PMID: 17502172 (Publication Type: Case Reports, Journal Article)

Topics

• Adolescent
• Cysts (diagnostic imaging, surgery)
• Diagnosis, Differential
• Female
• Humans
• Laparoscopy
• Splenic Diseases (diagnostic imaging, surgery)
• Tomography, X-Ray Computed
• Wandering Spleen (diagnostic imaging, surgery)