Giant Pseudocysts of the Spleen: A Rare Sequela of Traumatic Splenic Injury

Cormican, Michael T.; Thompson, Peter; Bernstein, Sarah M.; Dougherty, Stacy D.; Dente, Christopher J.; Morse, Bryan C.

doi:10.1177/000313481708300116

Cited by 1 publication

(1 citation statement)

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“…Unfortunately, this method is accompanied by an unacceptable rate of recurrence. [ 13 ] A more aggressive approach with total splenectomy and cystectomy is evident in the literature, especially for relatively large cysts [ 8 , 10 ]. Although not typical, the downside of total splenectomy is the risk of overwhelming post-splenectomy infection, the need for attention to the risks of infection and routine immunization [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

A splenic pseudocyst following laparoscopic sleeve gastrectomy: a case report

Alqahtani

Almayouf

Billa³

et al. 2023

Journal of Surgical Case Reports

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This is the first report of a patient presenting with a splenic pseudocyst following laparoscopic sleeve gastrectomy (LSG). A 26-year-old male with no chronic medical illnesses who underwent LSG presented with vague abdominal pain. An abdominal contrast-enhanced computed tomography revealed a 15 cm well-circumscribed cyst originating from the spleen. Intraoperatively, the findings were significant for a superficial cyst located at the lower pole of the spleen. A laparoscopic spleen-preserving procedure was conducted, specifically marsupialization and packing with omentum. The postoperative period was uneventful, and the patient was discharged on Day 2 postoperatively. The patient was free from complaints at outpatient follow-up clinics. Follow-up visits at the outpatient clinic were free from complaints. Pathology confirmed a splenic pseudocyst, and cytology was unremarkable. Since dissection during LSG is close to the spleen, infarction could occur, predisposing to pseudocyst formation. Marsupialization is an excellent surgical option when applied to appropriate splenic cyst types.

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