Management of cyst by laparoscopic splenectomy in a tertiary hospital: case report

José A. Bautista-Sánchez, General Surgery, Hospital Regional de Alta Especialidad de Ixtapaluca, Ixtapaluca, State of Mexico, Mexico
Cristina Grado-Limas, General Surgery, Hospital Regional de Alta Especialidad de Ixtapaluca, Ixtapaluca, State of Mexico, Mexico
Omar E. Valencia-Ledezma, Research Unit, Hospital Regional de Alta Especialidad de Ixtapaluca, Ixtapaluca, State of Mexico, Mexico
Carlos A. Castro-Fuentes, Research Unit, Hospital Regional de Alta Especialidad de Ixtapaluca, Ixtapaluca, State of Mexico, Mexico

Splenic cyst is rare, approximately 800 cases reported in the literature. A 33-year-old woman with abdominal pain of 2-weeks’ duration in the left hypochondrium underwent tomography, which reported a complex splenic cyst with a volume of 1786 mL. Therefore, percutaneous ultrasound drainage was performed, and 1600 mL was drained. Laparoscopic splenectomy was scheduled, which was performed without complications. The laparoscopic approach has proven to be an effective technique for the definitive treatment of splenic cysts with minimal bleeding with prompt recovery of the patient.

Keywords: Splenic cyst. Percutaneous drainage. Laparoscopy. Ultrasound.