Ikeda Taro, Hosokawa Takashi, Goto Shunpei, Hashimoto Makoto, Nagasaki Eri, Masuko Takayuki
Department of Pediatric Surgery, Saitama Medical Center, Jichi Medical University, Saitama, Japan.
Department of Pediatric Surgery, Ibaraki Children's Hospital, Ibaraki, Japan.
J Surg Case Rep. 2022 Oct 20;2022(10):rjac483. doi: 10.1093/jscr/rjac483. eCollection 2022 Oct.
A 10-year-old girl with a wandering spleen with an enlarged cyst was successfully treated by laparoscopic-assisted partial splenectomy and splenopexy. The patient visited our hospital with a complaint of a lower abdominal mass. Abdominal computed tomography showed malposition of the spleen and the presence of a 10 cm diameter splenic cyst (SC) in the lower pole. In surgery, the navel was opened with an inverted Y-shaped incision. The SC was punctured and aspirated the contents of the cyst, the migrating spleen was pulled out of navel and the partial splenectomy was done. The residual spleen was laparoscopically fixed by creating an extraperitoneal pocket. Pathologically, the cyst was covered with a vitrified fibrotic capsule and was diagnosed as a pseudocyst. We considered it a traumatic cyst. The postoperative course was uneventful. This minimally invasive laparoscopic procedure was feasible and effective for treating wandering spleen with a large SC in a pediatric patient.
一名患有游走脾合并囊肿增大的10岁女孩通过腹腔镜辅助部分脾切除术和脾固定术成功治愈。该患者因下腹部肿块前来我院就诊。腹部计算机断层扫描显示脾脏位置异常，在下极有一个直径10厘米的脾囊肿（SC）。手术中，经脐做倒Y形切口。穿刺脾囊肿并吸出囊内容物，将游走脾从脐部拉出并进行部分脾切除术。通过创建腹膜外腔隙，在腹腔镜下将残留脾脏固定。病理检查显示，囊肿被玻璃样变的纤维性包膜覆盖，诊断为假性囊肿。我们认为这是一个创伤性囊肿。术后过程顺利。这种微创腹腔镜手术对于治疗小儿游走脾合并大的脾囊肿是可行且有效的。
