Laparoscopy of a traumatic rupture of a dysontogenetic splenic cyst. A case report.
The role of laparoscopy in the stepped approach to the diagnosis and treatment of blunt abdominal trauma has not yet been fully elucidated. Despite the use of a variety of imaging modalities, it can still be difficult to make a proper evaluation in cases where there are questionable abdominal injuries. In particular, when there is a discrepancy between a bland clinical picture and the results of diagnostic imaging procedures, laparoscopy should be given preference over laparotomy, provided the patient's circulatory situation is stable. Herein we describe a case in which laparoscopy allowed the detection and treatment of a traumatic rupture of a dysontogenetic splenic cyst that had mimicked a rupture of the spleen on both the ultrasound (US) and computed tomography (CT) images.
Marusch
F
F
Dept. of Surgery, Carl Thiem Hospital, Thiemstrasse 111, D-03048 Cottbus, Germany. marusch-cottbus@t-online.de
Koch
A
A
Zippel
R
R
Muth
C P
CP
Gastinger
I
I
D000007:Abdominal Injuries / Q000175:diagnosis / Q000601:surgery*; D000293:Adolescent; D001265:Athletic Injuries / Q000175:diagnosis / Q000601:surgery; D003560:Cysts / Q000175:diagnosis / Q000601:surgery; D003937:Diagnosis, Differential; D005538:Football / Q000293:injuries; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D013158:Splenic Diseases / Q000175:diagnosis / Q000601:surgery; D013161:Splenic Rupture / Q000175:diagnosis / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography; D014949:Wounds, Nonpenetrating / Q000175:diagnosis / Q000601:surgery