Splenic cyst in a wandering spleen: laparoscopic treatment with preservation of splenic function.
BACKGROUND
Wandering spleen and splenic cyst are rare benign congenital conditions that can both cause severe complications related to torsion or trauma.


METHODS
A 14-year-old girl presented a mobile 10-cm-long abdominal mass in the left lower quadrant associated with mild abdominal pain. The diagnosis of an 8-cm-long nonparasitic cyst in a wandering spleen was confirmed by computerized tomography and negative serum indirect hemagglutination titer for hydatid disease. Laparoscopic unroofing of the cyst and splenopexy in a vycril mesh was performed.


RESULTS
No problems were encountered during laparoscopic surgery. Postoperative course was uneventful, and at a 1-year follow-up, the spleen is viable and maintains a normal position in the phrenorenal angle.


CONCLUSIONS
In the child, treatment of wandering spleen associated with a cyst should aim at the prevention of vascular accidents and at conservation of the spleen. We achieved these goals with unroofing and splenopexy through laparoscopic surgery.
Falchetti
Diego
D
Department of Pediatric Surgery, Spedali Civili, 25100 Brescia, Italy.
Torri
Fabio
F
Dughi
Sergio
S
Porto
Celeste
C
Manciana
Alessandro
A
Boroni
Giovanni
G
Ekema
George
G
D000293:Adolescent; D003560:Cysts / Q000151:congenital / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D013158:Splenic Diseases / Q000151:congenital / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed