title: Splenic cyst during pregnancy.
abstract: BACKGROUND
  Splenic cyst during pregnancy is rare and may result in spontaneous rupture during the third trimester, which increases perinatal morality.
  
  
  METHODS
  We present a 27-year-old healthy Caucasian female who presented at 18 weeks gestation with left flank pain, early satiety and weight loss. Imaging studies demonstrated a large complex multiloculated splenic cyst. The patient underwent a successful laparoscopic splenectomy and delivered a healthy child at term without complication.
  
  
  CONCLUSIONS
  Spontaneous rupture of a splenic cyst during the third trimester incurs a perinatal mortality rate as high as 70%. Surgical management includes open or laparoscopic splenectomy or fenestration and preservation of the spleen.
  
  
  CONCLUSIONS
  Laparoscopic splenectomy during the second trimester appears to be safe and offers definitive management of a large symptomatic splenic cyst during pregnancy.
authors.affiliation: University of Michigan Health Systems, 2210 Taubman Center, 1500 E Medical Center Drive, SPC 5343, Ann Arbor, MI 48109-5343, United States. Electronic address: ovarban@med.umich.edu.
authors.forename: Oliver
authors.initials: O
authors.lastname: Varban
keywords: Laparoscopy; Pregnancy; Splenic cyst