Elective Laparoscopic Splenectomy for Giant Cyst: Differential Diagnostics Issues, A Case Report

Abstract

Laparoscopic splenectomy is increasingly being advocated as the standard of care in cases where the removal of spleen is necessary for diagnostic and therapeutic purposes. Symptomatic Splenic cysts (SCs) represent a rare incidental finding, which requires surgical treatment, due to high risk of spontaneous rupture. The finding of a splenic lesion often creates apprehension among clinicians because of the many diagnostic hypotheses available and the same difficulties to confirm them. In fact, the known fragility of the spleen excludes the possibility of performing partial biopsies or ago-biopsies. So, we present the case of a 20-year-old male presented to hematology department for a giant SC, with suspicious lymphoproliferative disorder, in order to investigate about differential diagnostics issues, supporting laparoscopy to improve the post-surgical outcome of the patient