title: Spleen preserving management of a non-parasitic splenic cyst in pregnancy.
abstract: Non-parasitic splenic cysts are rare entities. In pregnancy, they are rarer still, with as few as seven cases reported in the literature. There is little consensus regarding the optimal management of this condition in pregnancy. Although small, the theoretical risk of intrapartum splenic rupture is associated with a fetal mortality rate as high as 70%. The authors of at least three case reports advocate total splenectomy as first-line management of splenic cyst in pregnancy. Paradoxically, spleen conserving surgery is the recognised gold standard treatment for symptomatic splenic cysts in non-pregnant patients. We present a case of a large maternal splenic cyst that was treated successfully with a laparoscopic cystectomy.
authors.affiliation: University College London , UK.
authors.forename: J
authors.initials: J
authors.lastname: Kapp
authors.affiliation: Epsom and St Helier University Hospitals NHS Trust , UK.
authors.forename: T
authors.initials: T
authors.lastname: Lewis
authors.affiliation: Epsom and St Helier University Hospitals NHS Trust , UK.
authors.forename: S
authors.initials: S
authors.lastname: Glasgow
authors.affiliation: Epsom and St Helier University Hospitals NHS Trust , UK.
authors.forename: A
authors.initials: A
authors.lastname: Khalil
authors.affiliation: Epsom and St Helier University Hospitals NHS Trust , UK.
authors.forename: A
authors.initials: A
authors.lastname: Anjum
mesh_terms: D000328:Adult; D003560:Cysts / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis* / Q000601:surgery; D013154:Spleen / Q000000981:diagnostic imaging / Q000601:surgery; D013158:Splenic Diseases / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed
keywords: Maternal splenic cyst; Minimally invasive; Non-parasitic splenic cyst; Pregnancy; Splenic cyst