Splenic Cysts and the Case of Mistaken Identity

Abstract

Endometriosis is a well-described pathology, with anatomic location of endometrial cell implantation extending both intraperitoneal and rarely extraperitoneal. Interestingly, previous reports indicated that the spleen enjoys immunity to endometriosis. Here, we present a patient with unremitting abdominal pain who, upon further workup, revealed multicystic disease of the spleen. The patient underwent an open splenectomy with pathology revealing intraparenchymal endometriosis likely due to seeding from traumatic splenorrhaphy. Two-week follow-up demonstrated resolution of symptoms and a well-healing incision with no postoperative complications.

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

“…He was hospitalized for ten days for the observation of abdominal drain production, which was around 100 cc in the first week after surgery and diminished in the second week. One month after surgery, he went for a follow-up visit and was doing well, and there were no signs of complications such as abdominal pain, recurrence, or infection at the surgical site [10] , [11] . When asked for his perspective on surgery, he said, “I'm happy that I'm getting better, and I should do the surgery earlier.”…”