Totally laparoscopic partial splenectomy and gastropexy for a splenic cyst in a wandering spleen.
Journal
Journal of minimal access surgery
ISSN: 0972-9941
Titre abrégé: J Minim Access Surg
Pays: India
ID NLM: 101228183
Informations de publication
Date de publication:
19 Jan 2024
19 Jan 2024
Historique:
received:
18
07
2023
accepted:
31
10
2023
medline:
19
1
2024
pubmed:
19
1
2024
entrez:
19
1
2024
Statut:
aheadofprint
Résumé
With only seven reported cases until 2019 as noted by Lim et al., cases of a wandering spleen (WS) accompanied by splenic cyst (SC) are exceptionally rare. Furthermore, both entities are notoriously 'silent' until they present as an emergency with complications, often warranting total splenectomy. Management of SC in a WS eventually depends on its clinical presentation, disease type and functional reservoir of the spleen. However, it is desirable to operate electively and perform a spleen salvage with splenic reposition surgery. Our case describes the first totally laparoscopic partial splenectomy and intraperitoneal fixation of the spleen by means of gastropexy for a large non-parasitic SC in a WS. Partial splenectomy instead of just a cystectomy tackles the risk of cyst recurrence, and a gastropexy over other splenic repositioning techniques would allow the spleen to remain as an intraperitoneal organ.
Identifiants
pubmed: 38240265
doi: 10.4103/jmas.jmas_212_23
pii: 01413045-990000000-00034
doi:
Types de publication
Journal Article
Langues
eng
Informations de copyright
Copyright © 2024 Copyright: © 2024 Journal of Minimal Access Surgery.
Références
Lim Y, Leng H, Lee CH, Chhun V, Lee YD. A congenital wandering spleen with a large epithelial cyst:A case report. Clin Case Rep 2022;10:e6559.
Steinberg R, Karmazyn B, Dlugy E, Gelber E, Freud E, Horev G, et al. Clinical presentation of wandering spleen. J Pediatr Surg 2002;37:E30.
Fonseca AZ, Ribeiro M Jr.. Contrucci O Torsion of a wandering spleen treated with partial splenectomy and splenopexy. J Emerg Med 2013;44:e33–6.
Ikeda T, Hosokawa T, Goto S, Hashimoto M, Nagasaki E, Masuko T. Successful laparoscopic-assisted partial splenectomy and splenopexy with umbilical approach to wandering spleen with an enlarged cyst in a pediatric patient. J Surg Case Rep 2022;2022 rjac483.
Cianci P, Tartaglia N, Altamura A, Fersini A, Vovola F, Sanguedolce F, et al. Arecurrent epidermoid cyst of the spleen:Report of a case and literature review. World J Surg Oncol 2016;14:98.