Laparoscopic splenectomy for recurrent splenic cyst after laparoscopic marsupialization.

We describe laparoscopic splenectomy for recurrent splenic cyst after laparoscopic marsupialization. The patient was a 24-year-old woman with a 20-cm palpable mass in the left upper quadrant. She had undergone laparoscopic marsupialization for splenic cyst 62 months previously. Abdominal ultrasonography and computed tomography revealed a huge cystic lesion of the spleen, and magnetic resonance imaging demonstrated multiple cystic lesions occupying almost the entire spleen. We performed laparoscopic splenectomy for the recurrent splenic cyst. The operation took 170 minutes. Histologic examination of the resected spleen revealed a hemangioma with cyst formation. The cyst wall consisted of fibrous tissue, covered by stratified cuboid or squamous epithelium. The patient had no abdominal symptoms during 13 months of follow-up. Postoperative follow-up examination by ultrasound or computed tomography is required after surgical treatment for splenic cyst to exclude the possibility of recurrence after preservation of the spleen.