Large splenic epithelial cyst: A rare presentation

Hammouda, Seifeddine Ben; Mabrouk, Samiha; Bellalah, Ahlem; Maatouk, M.; Zakhama, Abdelfattah; Njim, Leïla

doi:10.1016/j.ijscr.2022.107201

Cited by 6 publications

(11 citation statements)

References 18 publications

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“…Secondary splenic cysts that are caused by infection, most often mononucleosis or tuberculosis [17] . True splenic cysts, on the other hand, make up just 20 % of all splenic cysts and can be brought on by a tumor (hemangioma and lymphangioma), an infection (most commonly hydatid disease), or a congenital condition (primary epithelial cysts) [1] . A single unilocular lesion with thin, smooth walls and no peripheral calcification characterizes a true cyst.…”

Section: Discussionmentioning

confidence: 99%

“…A splenic cyst is a rare illness, with a reported incidence of only 0.07–0.3 % [1] , [2] . Splenic cysts are classified as primary or secondary.…”

Section: Introductionmentioning

confidence: 99%

“…A splenic cyst is usually found incidentally and shows no symptoms until it grows to a significant size. In some cases, complications such as rupture, infection, or intracystic bleeding may occur [1] , [3] , [4] .…”

Section: Introductionmentioning

confidence: 99%

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Giant splenic cyst: A case series of rare and challenging cases from the last 22 years

Lukman¹,

Sulthana²,

Budiman³

et al. 2023

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

“…A splenic cyst is a rare illness, with a reported incidence of only 0.07–0.3 % [1] , [2] . Splenic cysts are classified as primary or secondary.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Giant splenic cyst: A case series of rare and challenging cases from the last 22 years

Lukman¹,

Sulthana²,

Budiman³

et al. 2023

International Journal of Surgery Case Reports

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“…Secondary cysts compromise 75% of all splenic cysts, with trauma being the most common cause [ 2 ]. Nevertheless, primary cysts are even less prevalent in the literature, with the parasitic variants occupying a larger proportion of them, while splenic epidermoid cysts (SECs) compromise the majority of NPSCs and only around 10% of all splenic cysts [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

“…SECs are usually diagnosed in adolescents and young adults, with a predilection for females. The cysts can be single or multiple and can be uni- or multi-locular [ 2 , 5 ]. Although most patients are asymptomatic, left upper-quadrant discomfort and fullness are the most common presenting symptoms.…”

Section: Discussionmentioning

confidence: 99%

A Large Splenic Epidermoid Cyst Initially Misdiagnosed as a Hydatid Cyst

Aloqaily,

Al Hayek,

Shaf\'ei

et al. 2023

Am J Case Rep

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Patient: Male, 22-year-old Final Diagnosis: Splenic epidermoid cyst Symptoms: Abdominal discomfort • abdominal distension Clinical Procedure: — Specialty: Gastroenterology and Hepatology Objective: Unusual clinical course Background: Splenic cysts are classified as either parasitic or non-parasitic cysts, with both types sharing similarities in their clinical presentation and imaging findings. Most splenic cysts are of parasitic origin, while non-parasitic splenic cysts are less common. Splenic epidermoid cysts (SECs) are a rare subtype of non-parasitic cysts and compromise only around 10% of them. Case Report: In this paper we present a case of 22-year-old man with no significant past clinical history, who presented with non-specific, vague symptoms, including persistent left upper-quadrant pain and discomfort for the last 2 years. A physical examination and extensive laboratory tests were inconclusive. Subsequently, the patient underwent multiple imaging studies including ultrasonography and computed tomography (CT) scan of the abdomen. His ultrasonographic findings were consistent with the diagnosis of hydatid cyst, which was further emphasized by its frequent occurrence in clinical practice, as our country is considered an endemic region. In light of this, he underwent laparoscopic splenectomy following percutaneous cyst drainage. The consequent histopathological examination revealed the diagnosis of splenic epidermoid cysts. Conclusions: When encountering splenic cysts in regions where parasitic infections are endemic, special attention is needed, as physical examination, laboratory tests, and imaging studies alone are insufficient to differentiate among the types of cysts. Histopathological examination remains the diagnostic tool of choice, particularly when imaging findings are inconclusive. Splenectomy, with either a laparoscopic or open approach, is the treatment of choice for splenic cysts to prevent recurrence as well as other potential catastrophic complications.

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