Abstract
Primary cyst of the spleen is a very rare case with an estimate incidence of 7 in 10,000 cases. This cyst is hard to diagnose that can easily lead to misdiagnose as other cysts in the abdomen. If the cyst is larger than 5 cm, it will start symptomatic, requiring surgery. In the past, the most common procedure for this case was total splenectomies which potentially increase the microbiological risks. This report presents our experience managing a giant mesothelial cyst of the spleen which was first misdiagnosed as a mesenteric cyst. A partial splenectomy was taken as the therapy choice where this technique has advantages in preserving the function of the spleen.
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