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.

journal_name

Ann R Coll Surg Engl

authors

Kapp J,Lewis T,Glasgow S,Khalil A,Anjum A

doi

10.1308/rcsann.2016.0165

subject

Has Abstract

pub_date

2016-09-01 00:00:00

pages

e114-7

issue

7

eissn

0035-8843

issn

1478-7083

journal_volume

98

pub_type

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