RESUMO
INTRODUCTION: Non-parasitic splenic cysts are rare condition and are mostly asymptomatic. They are usually found on abdominal US or CT investigation. The indications for operative treatement are exesive size and complications. MATERIALS AND METHODS: 18-years old women was admitted with a history of pain in the left upper abdominal quadrant. US and CT revealed 70/40 mm multilocular splenic cyst, negative serologic tests for E. granulosus. We performed spleen-sparing laparoscopic excision of the cyst in typical supine position using Harmonic scalpel. No intra- and postoperative complications were observed. DISCUSSION: Symptomatic and complicated spleen cysts are surgically treated. Total splenectomy, which traditionally was the procedure of choice, recently has been changed to more conservative approaches. Several spleen-concerving surgical methods have been proposed - deroofing, partial splenectomy, fenestration, excision, etc.
