Huge Non-parasitic Mesothelial Splenic Cyst in a Child: A Case Report and Literature Review
Imed Krichen, K. Maazoun, Murad Kitar, Naglaa M. Kamal, Ubaidullah Khan, Mostafa YL Khalif, Abouelkheir T. Rasha, Haifa Assiri, Kawthar A. Bokari
Abstract
BACKGROUND: Splenic cysts are one of the relatively rare conditions in pediatric surgery practice. Primary non-parasitic splenic cysts are even more scarce. CASE PRESENTATION: A 13-years-old female patient presented with chronic left hypochondrial pain of 2 months duration. Abdominal ultrasonography and computed tomography revealed huge 18 cm × 14 cm × 10 cm splenic cyst. Deroofing of the cyst was done which was complicated by secondary infection. Subsequently, the patient was re-operated on and partial splenectomy done with good outcome at 6 months follow up. CONCLUSION: Partial splenectomy is the best management strategy for huge non-parasitic splenic cysts in children. There is also less recurrence rate of splenic cysts with preservation of splenic functions.