Laparoscopic Dome Resection for Splenic Cyst in a One-Year-Old Girl

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  • Yagi Yuma
    Division of Pediatric Surgery, Children’s Medical Center, Showa University Northern Yokohama Hospital Department of Surgery, Kanagawa Children’s Medical Center Division of Pediatric Surgery, Department of Surgery, Showa University School of Medicine
  • Sugiyama Akihide
    Division of Pediatric Surgery, Children’s Medical Center, Showa University Northern Yokohama Hospital Division of Pediatric Surgery, Department of Surgery, Showa University School of Medicine
  • Kawano Shinya
    Division of Pediatric Surgery, Children’s Medical Center, Showa University Northern Yokohama Hospital Division of Pediatric Surgery, Department of Surgery, Showa University School of Medicine
  • Fukunaga Natsu
    Division of Pediatric Surgery, Children’s Medical Center, Showa University Northern Yokohama Hospital Division of Pediatric Surgery, Department of Surgery, Showa University School of Medicine
  • Yoshizawa Jyoji
    Division of Pediatric Surgery, Department of Surgery, Showa University School of Medicine Division of Pediatric Surgery, Children’s Medical Center, Showa University Koto Toyosu Hospital
  • Watarai Yu
    Division of Pediatric Surgery, Department of Surgery, Showa University School of Medicine
  • Nemoto Tetsuo
    Department of Pathology, Showa University Northern Yokohama Hospital

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Other Title
  • 幼児期に診断された脾囊胞に対し腹腔鏡下天蓋切除術を行った1例
  • ヨウジキ ニ シンダン サレタ ヒノウホウ ニ タイシ フククウキョウ カ テンガイ セツジョジュツ オ オコナッタ 1レイ

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Abstract

<p>A one-year-old girl was referred to our hospital with fever and convulsions. After the convulsions stopped, she was diagnosed as having febrile convulsions and admitted to the pediatric unit for fever work up. A suspicious splenic cyst was found by US, CT, and MRI as a cystic lesion of 7 cm diameter near her left kidney. Definitive surgery was performed laparoscopically, and the splenic origin of the cyst was confirmed. As a splenic preservative surgery, the ceiling of the cyst was excised with an ultrasonic coagulating device. The postoperative histopathological diagnosis was epithelial cyst. No relapse was seen for a year after the operation. We reviewed the case reports in Japan to evaluate the management of splenic cysts. In infants, large splenic cysts that can be symptomatic are rare, but treatment should be considered if they exceed 5 cm.</p>

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