Abstract
Giant Primary Epithelial Splenic Cyst in an Adolescent Girl – Report of Successful Management of a Rare Case
Highlights
Splenic cysts are very rare lesions in surgical practice
Splenic cysts are very unusual in daily surgical practice and less than 1000 cases have been reported in literature till date
Ultrasonography and CT scan of the abdomen confirmed the clinical diagnosis of a giant splenic cyst and the patient underwent laparotomy with splenectomy
Summary
Splenic cysts are very rare lesions in surgical practice These can be parasitic (hydatid), caused by the parasite Echinococcus granulosus, or nonparasitic [1,2]. There was a large, smooth surfaced, firm lump palpable involving the left hypochondrium, epigastrium, left lumbar region and reaching almost upto the umbilicus (Figure 1). It was moving with respiration and the upper limit was not reachable. Abdominal ultrasonography revealed a giant splenic unilocular cystic lesion. Computed tomography confirmed the splenic localization of the noncalcified single large cyst with dimensions of 22 x 17 x 15 cm with thin, compressed rim of normal parenchyma posterolaterally (Figure 2). The patient is on regular follow up for last one year and doing very well
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