Laparoscopic Partial Cystectomy for Post-Traumatic Splenic Pseudocyst

“…If the bleeding occurs deeper in the pulp but is contained by the splenic tissue, a hematoma may develop. 6,7 Concerning the above reported case; no reason could be found to explain the pseudocyst's growth. The hematic contents thereafter undergo changes through the processes of absorption and metabolic degradation, and thus acquire a serous aspect, later developing into a pseudocyst.…”

Section: Discussionmentioning

confidence: 81%

“…If such bleeding is superficial or severe enough, delayed capsule rupture may occur (delayed rupture of the spleen). 1,6,7 Small cysts may remain asymptomatic or even be reabsorbed by the organism. A pseudocapsule then appears owing to compression of the subjacent tissues and the sclerotic tissue reaction.…”

Section: Discussionmentioning

confidence: 99%

Posttraumatic Splenic Cysts and Partial Splenectomy: Report of a Case

et al. 2001

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Nonparasitic splenic cysts are uncommon, with only around 800 cases described in the literature. Posttraumatic splenic pseudocysts constitute most such cases and require surgical treatment when symptomatic or voluminous. Recent studies have provided a better understanding of splenic tissue function and the consequent risks of complete resection of the spleen. Hence surgeons should make every possible effort to preserve splenic tissue. Several spleen-conserving surgical treatments have been proposed, especially for treatment of splenic posttraumatic pseudocysts. The authors report the case of a 13-year-old girl who had a posttraumatic splenic cyst with progressive growth. The diameter of the cyst at surgery was 15 cm, and partial splenectomy was performed. The most common spleen-conserving surgical techniques are briefly reviewed.

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Necrotic mass after transurethral resection of a bladder tumor: novel management with robotic partial cystectomy

et al. 2007

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A 76-year-old female with a history of high-grade transitional cell carcinoma (TCC) of the bladder presented with persistent nocturia and urge incontinence and was diagnosed with a necrotic bladder lesion. Cystoscopy revealed a 4 cm area of necrosis, ulceration, calcification, and fat. Transurethral biopsy confirmed the lesion to be benign, and two attempts to re-epithelialize the area of necrosis with cold scraping of exudate failed. Decision was then made to proceed with removal of necrotic lesion with bladder preservation. With the aid of concomitant cystoscopic visualization of the necrotic lesion, a robotic partial cystectomy with bladder reconstruction was performed. The patient tolerated the procedure, had an uneventful post-operative course, and remains asymptomatic and disease-free at last follow-up of 6 months. To our knowledge, this case represents the first report of a necrotic lesion as a complication of transurethral resection of a bladder tumor (TURBT) and the first description of a robotic partial cystectomy for the management of either benign or malignant bladder disease.

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Laparoscopic Partial Cystectomy for Post-Traumatic Splenic Pseudocyst

Cited by 5 publications

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Post Traumatic Splenic Cysts

Post Traumatic Splenic Cysts

Posttraumatic Splenic Cysts and Partial Splenectomy: Report of a Case

Necrotic mass after transurethral resection of a bladder tumor: novel management with robotic partial cystectomy

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