TITLE:
Robotic Removal of a Hypogastric Splenic Cyst. A Case Report and Review of Literature
AUTHORS:
Petros Hirides, Savas Hirides, Aggelos Margeths, Pericles Chrysoheris, Fotios Antonakopoulos, Konstantinos M. Konstantinidis
KEYWORDS:
Splenic Cyst, Hypogastric Cyst, Ovarian Cyst, Robotic Surgery, Cystectomy
JOURNAL NAME:
Surgical Science,
Vol.5 No.6,
June
25,
2014
ABSTRACT: Background: Splenic cysts
are infrequent findings in everyday medical practice. They are usually
associated with nonspecific symptoms and the diagnosis is incidental. In most
instances they are located in the left subcostal region, except for cases of
huge sized cysts which can extend to the whole abdomen or pelvis. Aim: To
present a case of a large hypogastric splenic cyst in a nulliparous woman,
managed with robotic cystectomy. Review of the literature is included. Case: A
19-year-old woman, presented to the gynecologic department with a painless,
palpable mass in the lower abdomen. Ultrasonography revealed a pelvic cystic
mass, originally misdiagnosed for an ovarian cyst. Serum biomarkers andβ-hCG were negative. Definite
diagnosis was made during explorative laparoscopy where the cyst was found to
originate from the spleen. The surgery setup was changed from a lower to upper
abdominal procedure. A robotically-assisted cystectomy was performed without
concurrent splenectomy, and the splenic cavity was filled with an omental
patch. There was no blood loss and the operation time was 163 minutes. Recovery
was uneventful and there was no recurrence for a period of 16 months
postoperatively. Conclusions: Pelvic splenic cysts are rare, and may be
incidental findings during routine abdominal ultrasound scans. Modern minimally
invasive approaches such as robotic surgery offer safe and efficient
alternatives to standard techniques.