A large congenital splenic pseudocyst in an adolescent treated surgically after failed percutaneous drainage

Abstract

Symptomatic splenic cysts have historically been addressed using different surgical approaches. Percutaneous drainage, while desirable due to being less invasive than open or laparoscopic surgery, may not provide definitive treatment for every patient. We describe below an adolescent patient with a congenital splenic pseudocyst in which percutaneous drainage failed requiring subsequent laparoscopic marsupialization. The merits of each approach are discussed. Keywords: Spleen, Pseudocyst, Percutaneous drainage, Marsupialization