Abstract
The patient was a 60-year-old female. Patient chiefly complained of persistent epigastralgia and left back pain. Abdominal ultrasound examination and contrast computed tomography (CT) examination revealed a cystic lesion of about 60 mm in diameter at the lower pole of the spleen. Considering the Patient's medical history, it was diagnosed as a post-traumatic splenic pseudocyst. Based on previous CT findings, it was decided that treatment was necessary because the splenic cyst showed an increasing tendency and symptomatology. Thus, percutaneous drainage was performed initially. Immediately after the procedure, symptomatic improvement and splenic cyst reduction were obtained ; however, laparoscopic deroofing of splenic cyst was still performed for curative purpose because recurrence of symptoms and re-expansion of splenic cyst were observed after drain removal. Pathological examination diagnosed the condition as splenic pseudocyst. After that, the course was good, and the patient was discharged on the ninth day after surgery, after which there has been no recurrence. Percutaneous drainage, which was considered to be less invasive to the splenic pseudocyst, caused a relapse, but laparoscopic deroofing of splenic cyst could be a curative treatment. This procedure is minimally invasive and can preserve the spleen, and it seems to be an effective treatment for splenic cyst.
