Splenic cysts are uncommon lesions, often discovered incidentally during imaging studies. Recurrent splenic cysts pose a clinical challenge due to their potential for complications such as rupture, haemorrhage or infection. Management options range from observation and percutaneous drainage to partial or total splenectomy. Laparoscopic deroofing has emerged as a minimally invasive, spleen-preserving approach with favourable outcomes, although recurrence remains a concern, particularly in incompletely excised cysts. This report presents a rare case of recurrent non-parasitic splenic cyst that was successfully managed by laparoscopic deroofing. This case highlights the clinical utility of laparoscopic deroofing as a safe, spleen-conserving minimal invasive surgical option for recurrent splenic cysts. It offers reduced morbidity, faster recovery and lower risk of post-splenectomy complications. While the risk of recurrence persists, meticulous surgical technique and careful patient selection can optimise the outcomes. A literature review supports laparoscopic deroofing as an effective strategy in managing selected cases of recurrent splenic cysts with low complication and recurrence rates.
Patil et al. (Fri,) studied this question.