A Huge Non- parasitic Splenic Cyst: A Case Report

Splenic cysts are unusual in everyday surgical practice. Primary splenic cyst is a relatively rare disease, the majority of cases are classified as epithelial cyst that in some cases has a huge appearance. In the literature, only about 1000 cases of epithelial cysts of spleen have been reported. Case Report: This case is a 10-year old boy who presented with unusual complaints such as mild abdominal discomfort & sensation of fullness in the left side of abdomen together with enlargement and asymmetry. Ultrasonic & radiological examination (IV-oral abdominal CT-scan), showed a simple cyst of spleen with a diameter of 20 cm pushing the left kidney posteriorly. Test for hydatid cyst was performed and after a successful splenectomy the patient was discharged. The pathologic examination, confirmed the diagnosis of epithelial cyst.Case Report: Epithelial cysts of spleen are asymptomatic & discovered incidentally. Also they may be detected by presenting with unusual complaints or enlargement of the cyst and its complications like hemorrhage & rupture. Simple splenic cyst with more than 5 cm in diameter must be resected by surgical Intervention. Large cysts can damage spleen and increase risk of bleeding during partial splenectomy. Therefore in such cases total splenectomy is the best method of surgery.