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Laparoscopic spleen-preserving dome resection for a giant primary epithelial splenic cyst
  1. Neil Robert Lowrie1,
  2. Monica Jane Londahl2 and
  3. Konrad Klaus Richter1,2
  1. 1Department of Surgery, Southland Hospital, Invercargill, New Zealand
  2. 2Southland Hospital Campus, School of Medicine, University of Otago, Dunedin, New Zealand
  1. Correspondence to Professor Konrad Klaus Richter; konradklaus.richter{at}


Non-parasitic splenic cysts are rare and are seldom diagnosed outside the paediatric surgical practice. Giant true primary epithelial cysts greater than 14 cm in diameter are even rarer. Laparoscopic surgery is preferable; however, bleeding, splenectomy and recurrence are recognised risks. Here, we report a young female patient with a 21 cm symptomatic primary splenic cyst. The patient underwent a spleen-preserving laparoscopy and was followed up for 2 years when she had an MRI of the abdomen. Surgical, technical and perioperative treatment aspects are discussed here, in the context of the current literature.

  • surgery
  • general surgery

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  • Contributors KKR and NRL conceived of the idea for publication in a case report. NRL conducted literature review and acquired data and knowledge. ML acquired additional data and knowledge for inclusion in the article. NRL drafted the article in the first instance. ML and KKR revised and edited the article. All authors approved the final version for publication and all authors agree to be accountable for the article.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.