Abstract

Spelenomegaly in a child can present a difficult diagnostic problem. Portal hypertension, leukemia, infection, lipidosis, and lymphoma are the most frequent causes. 1 Epithelial cysts are rare; they compose approximately 10% of the nonparasitic benign cysts of the spleen. 2 The diagnosis seldom is confirmed preoperatively. Percutaneous aspiration of the cyst and selective abdominal angiography are reported to be of major diagnostic value. 3.9 In one case to be reported, splenic aspiration prior to splenoportography lead to the presumptive preoperative diagnosis.

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