Large epidermoid cyst of the spleen causing massive splenomegaly: A case report

Splenic cysts are uncommon and are classified as primary cysts or secondary cysts based on the presence or absence of an intact epithelial lining, respectively. Epidermoid cysts have an epithelial lining of stratified squamous epithelium and have been reported in normal and intra-pancreatic accessor...

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Main Authors: Deshan Mario Gomez, Sivasuriya Sivaganesh
Format: Article
Language:English
Published: SAGE Publishing 2024-03-01
Series:SAGE Open Medical Case Reports
Online Access:https://doi.org/10.1177/2050313X241239530
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author Deshan Mario Gomez
Sivasuriya Sivaganesh
author_facet Deshan Mario Gomez
Sivasuriya Sivaganesh
author_sort Deshan Mario Gomez
collection DOAJ
description Splenic cysts are uncommon and are classified as primary cysts or secondary cysts based on the presence or absence of an intact epithelial lining, respectively. Epidermoid cysts have an epithelial lining of stratified squamous epithelium and have been reported in normal and intra-pancreatic accessory spleens. An 18-year-old girl presented with a symptomatic, uncomplicated splenic cyst causing massive splenomegaly and symptoms due to mass effect. Peripheral cytopaenias and lymphoproliferative neoplasm were excluded. Preoperative computed tomography was suggestive of a large splenic cyst causing massive splenomegaly and marked loco-regional pressure effects. Open splenectomy was performed and histology confirmed an epidermoid cyst with no features of malignancy. Splenic epidermoid cysts are a rare cause of massive splenomegaly. Surgical intervention is recommended due to symptoms and the risk of complications.
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spelling doaj.art-791b47cf8e7a4466a5fbbe688a6dcfc22024-03-14T01:03:19ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2024-03-011210.1177/2050313X241239530Large epidermoid cyst of the spleen causing massive splenomegaly: A case reportDeshan Mario Gomez0Sivasuriya Sivaganesh1The University Surgical Unit, National Hospital of Sri Lanka, Colombo, Sri LankaDivision of HPB Surgery, Department of Surgery, Faculty of Medicine, University of Colombo, Colombo, Sri LankaSplenic cysts are uncommon and are classified as primary cysts or secondary cysts based on the presence or absence of an intact epithelial lining, respectively. Epidermoid cysts have an epithelial lining of stratified squamous epithelium and have been reported in normal and intra-pancreatic accessory spleens. An 18-year-old girl presented with a symptomatic, uncomplicated splenic cyst causing massive splenomegaly and symptoms due to mass effect. Peripheral cytopaenias and lymphoproliferative neoplasm were excluded. Preoperative computed tomography was suggestive of a large splenic cyst causing massive splenomegaly and marked loco-regional pressure effects. Open splenectomy was performed and histology confirmed an epidermoid cyst with no features of malignancy. Splenic epidermoid cysts are a rare cause of massive splenomegaly. Surgical intervention is recommended due to symptoms and the risk of complications.https://doi.org/10.1177/2050313X241239530
spellingShingle Deshan Mario Gomez
Sivasuriya Sivaganesh
Large epidermoid cyst of the spleen causing massive splenomegaly: A case report
SAGE Open Medical Case Reports
title Large epidermoid cyst of the spleen causing massive splenomegaly: A case report
title_full Large epidermoid cyst of the spleen causing massive splenomegaly: A case report
title_fullStr Large epidermoid cyst of the spleen causing massive splenomegaly: A case report
title_full_unstemmed Large epidermoid cyst of the spleen causing massive splenomegaly: A case report
title_short Large epidermoid cyst of the spleen causing massive splenomegaly: A case report
title_sort large epidermoid cyst of the spleen causing massive splenomegaly a case report
url https://doi.org/10.1177/2050313X241239530
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AT sivasuriyasivaganesh largeepidermoidcystofthespleencausingmassivesplenomegalyacasereport