Abstract
A 34-year-old woman visited our hospital for treatment of a huge splenic cyst with epigastric pain. She had been diagnosed with Gaucher’s disease (Type 1) at 3 years of age and had been receiving enzyme replacement therapy (ERT) from 15 years of age. Abdominal MRI showed a low-intensity area, 30 cm in diameter, with a well-defined border on T1-weighted images. The patient underwent laparoscopic fenestration of the huge splenic cyst for relief of worsening epigastric pain caused by the cyst. The cyst contained 2,500 ml of brownish-red fluid. The patient recovered satisfactorily and was discharged on postoperative day 11. Gaucher’s disease is an extremely rare metabolic disease; only about 6,000 patients are registered in the International Collaborative Gaucher Group Gaucher Registry. An extremely rare case of a huge symptomatic splenic cyst treated by laparoscopic fenestration in a patient with Gaucher’s disease is described.
Similar content being viewed by others
References
Beutler E, Grabowski GA. Gaucher disease. In: Scriver CR, Beaudet AL, Sly WS, Valle D, editors. Metabolic and molecular bases of inherited disease. New York: McGraw-Hill; 2001. p. 3635.
Gaucher PCE. De l’epithelioma primitif de la rate, hypertrophie idiopathique de la rate sans leucemie. Paris: BIUM; 1882 (Academic thesis).
Linari S, Castaman G. Clinical manifestations and management of Gaucher disease. Clin Cases Miner Bone Metab. 2015;12:157–64.
Rose JS, Grabowski GA, Barnett SH, et al. Accelerated skeletal deterioration after splenectomy in Gaucher type 1 disease. AJR Am J Roentqenol. 1982;139:1202–4.
Walker W. Splenectomy in childhood: a review in England and Wales, 1960–1964. Br J Surg. 1976;63:36–43.
Salky B, Kreel I, Gelernt I, et al. Splenectomy for Gaucher’s disease. Ann Surg. 1979;190:592–4.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
Kyohei Abe, Hiroaki Shiba, Junichi Shimada, Shinji Onda, Taro Sakamoto and Katsuhiko Yanaga declare that they have no conflict of interest.
Human rights
All procedures followed have been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments.
Informed consent
Informed consent was obtained from all patients for being included in the study.
Rights and permissions
About this article
Cite this article
Abe, K., Shiba, H., Shimada, J. et al. Laparoscopic fenestration for a huge symptomatic splenic cyst in a patient with Gaucher’s disease. Clin J Gastroenterol 11, 217–219 (2018). https://doi.org/10.1007/s12328-018-0820-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12328-018-0820-1