Pediatric Splenic Cystectomy Using an Infrared Contact Coagulator

Abstract

Splenic cyst in children is a relatively uncommon disease, which is usually treated by splenectomy, although it is important to consider the possibility of postperative infection. A 14 years old female case was treated by cystectomy using an Infrared Contact Coagulator (I. C. C.) preserving the spleen. She had abdominal pain, but no other complaint or contributory history. The preoperative diagnosis was established on the basis of characteristic radiographic findings. In particular echogram, CTscan and MRI were useful. Cystectomy without splenectomy using the I.C.C. was effective to control splenic bleeding. This useful instrument will probably be used increasingly in pediatric and general surgery.