Chaya Shwaartz, MD, David J Berler, MD, Celia M Divino, MD, FACS, Scott Q Nguyen, MD, FACS, Linda P Zhang, MD, FACS, Edward H Chin. Icahn School of Medicine at Mount Sinai
This is the case of a 14-year-old female with no past medical or surgical history who presented in the ambulatory setting with a complaint of left upper quadrant pain. She was ultimately found to have a large splenic cyst on cross sectional imaging. Because of the cyst's size, location, and the patient's symptoms, she underwent uncomplicated laparoscopic partial splenectomy, the video of which we include. Nonparasitic, congenital splenic cysts are a rare entity, and excision is generally recommended for cysts greater than 5cm in size on cross sectional imaging or in the presence of symptoms. Because of the higher rate of mortality from overwhelming post-splenectomy infections (OPSI) in the pediatric population, partial splenectomy is advisable in such patients, as it yields immunologic benefits. Furthermore, in the majority of cases, partial splenectomy is feasible and safe, particularly for cysts located on the anterior surface of the spleen. Such cysts are typically more amenable to laparoscopic excision.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 80634
Program Number: V059
Presentation Session: Friday Exhibit Hall Video Presentations Session 1 (Non CME)
Presentation Type: EHVideo