Definitive Spleen-Preserving Laparoscopic Excision of a Pediatric Splenic Epithelial Cyst: A Case Report
Sethi Daksh, Dhaigude Piyush, Neema Aayush, John Suviraj, Khetan Mukund, Kalhan Sudhir
Asian Journal of Case Reports in Surgery · pp. 374–379 · Published 30 Apr 2026
10.9734/ajcrs/2026/v9i1788Abstract
Background: Non-parasitic splenic cysts are rare in children. Symptomatic or large cysts require surgical intervention. Spleen-preserving approaches are preferred to maintain immunologic function and minimize postoperative complications. Case Presentation: A 14-year-old boy presented with severe left upper abdominal pain requiring intravenous analgesics. Imaging revealed a 7-cm cyst in the posterior upper pole of the spleen. The patient underwent laparoscopic, spleen-preserving complete excision of the cyst. The procedure was uneventful. Histopathology confirmed a benign epithelial cyst. Recovery was rapid, with discharge on postoperative day two. At 1 year follow-up, the patient remained asymptomatic with no recurrence. Conclusions: Laparoscopic complete excision offers a definitive, spleen-preserving treatment for pediatric splenic epithelial cysts. It minimizes recurrence, preserves splenic function, and allows rapid recovery, making it the preferred approach for symptomatic or large cysts.
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