Definitive Spleen-Preserving Laparoscopic Excision of a Pediatric Splenic Epithelial Cyst: A Case Report
Sethi Daksh
Institute of Minimal Access, Metabolic and Bariatric Surgery, Sir Ganga Ram Hospital, New Delhi, India.
Dhaigude Piyush
*
Institute of Minimal Access, Metabolic and Bariatric Surgery, Sir Ganga Ram Hospital, New Delhi, India.
Neema Aayush
Institute of Minimal Access, Metabolic and Bariatric Surgery, Sir Ganga Ram Hospital, New Delhi, India.
John Suviraj
Institute of Minimal Access, Metabolic and Bariatric Surgery, Sir Ganga Ram Hospital, New Delhi, India.
Khetan Mukund
Institute of Minimal Access, Metabolic and Bariatric Surgery, Sir Ganga Ram Hospital, New Delhi, India.
Kalhan Sudhir
Institute of Minimal Access, Metabolic and Bariatric Surgery, Sir Ganga Ram Hospital, New Delhi, India.
*Author to whom correspondence should be addressed.
Abstract
Background: Non-parasitic splenic cysts are rare in children. Symptomatic or large cysts require surgical intervention. Spleen-preserving approaches are preferred to maintain immunologic function and minimize postoperative complications.
Case Presentation: A 14-year-old boy presented with severe left upper abdominal pain requiring intravenous analgesics. Imaging revealed a 7-cm cyst in the posterior upper pole of the spleen. The patient underwent laparoscopic, spleen-preserving complete excision of the cyst. The procedure was uneventful. Histopathology confirmed a benign epithelial cyst. Recovery was rapid, with discharge on postoperative day two. At 1 year follow-up, the patient remained asymptomatic with no recurrence.
Conclusions: Laparoscopic complete excision offers a definitive, spleen-preserving treatment for pediatric splenic epithelial cysts. It minimizes recurrence, preserves splenic function, and allows rapid recovery, making it the preferred approach for symptomatic or large cysts.
Keywords: Laparoscopic splenic cystectomy, pediatric splenic epithelial cyst, spleen-preserving surgery, minimally invasive surgery