A congenital wandering spleen with a large epithelial cyst: A case report

Lim, Youhok; Leng, Hour; Lee, Chi Hoon; Chhun, Vireak; Lee, Young Don

doi:10.1002/ccr3.6559

Clinical Case Reports

2022

DOI: 10.1002/ccr3.6559

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A congenital wandering spleen with a large epithelial cyst: A case report

Youhok Lim¹,

Hour Leng

Chi Hoon Lee³

et al.

Abstract: We present a case of a 21-year-old female patient who had a wandering spleen with a large cyst. The celiotomy was performed under the impression of torsion of the wandering spleen and leakage from the splenic cyst. The total splenectomy was performed instead of cystectomy and splenopexy.

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2024

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Totally laparoscopic partial splenectomy and gastropexy for a splenic cyst in a wandering spleen

Merchant,

Kotawala

2024

Journal of Minimal Access Surgery

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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.

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Totally laparoscopic partial splenectomy and gastropexy for a splenic cyst in a wandering spleen

Merchant,

Kotawala

2024

Journal of Minimal Access Surgery

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show abstract

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A congenital wandering spleen with a large epithelial cyst: A case report

Abstract: We present a case of a 21-year-old female patient who had a wandering spleen with a large cyst. The celiotomy was performed under the impression of torsion of the wandering spleen and leakage from the splenic cyst. The total splenectomy was performed instead of cystectomy and splenopexy.

Cited by 1 publication

References 19 publications

Totally laparoscopic partial splenectomy and gastropexy for a splenic cyst in a wandering spleen

Totally laparoscopic partial splenectomy and gastropexy for a splenic cyst in a wandering spleen

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