Laparoscopic mucosectomy for gastric duplication cysts that communicated with the spleen in a 10‐year‐old girl: A case report

• Published in: Asian journal of endoscopic surgery Vol. 14; no. 3; pp. 586 - 589
• Main Authors: Kohara, Yuichiro, Zuo, Shogo, Sawai, Toshio, Kanehiro, Hiromichi, Sho, Masayuki
• Format: Journal Article
• Language: English
• Published: Kyoto, Japan John Wiley & Sons Australia, Ltd 01.07.2021; Wiley Subscription Services, Inc
• Subjects: Case reports; Cysts; Digestive system; digestive system abnormalities; Laparoscopy; Spleen; splenectomy
• ISSN: 1758-5902; 1758-5910
• DOI: 10.1111/ases.12896

We report a case of laparoscopic mucosectomy for gastric duplication cysts that communicated with the spleen. A 10‐year‐old girl visited a local hospital with a chief complaint of intermittent left abdominal pain that had lasted for about 2 months. We diagnosed two gastric duplication cysts by ultrasonography and planned a laparoscopic extirpation. The elliptical masses were found in the splenic hilum and were 5 and 3 cm in diameter. The bigger one communicated with the spleen, so cystectomy could not be performed. Considering the risk of hemorrhage and the patient's age, we performed a mucosectomy rather than a partial splenectomy. The patient had an uneventful postoperative course. We histologically diagnosed gastric duplication cysts. Laparoscopic mucosectomy is a useful procedure for gastric duplication cysts that communicate with the spleen.