A Large Primary Splenic Cyst in Adolescent Female: A Case Report

Cysts arising from spleen are rarely seen, with their discovery usually being incidental radiological findings done for some other cause or on autopsies. Hereby we present a case of one of the largest reported primary epithelial cyst of spleen. In present study a 14-year-old female presented with abdominal pain since 3-5days& abdominal distension since 2 month, with no other significant complaints. On examination, a large lump was palpable in upper abdomen. CECT scan revealed a well-defined cystic lesion of 15.2x18.1x21.5 cm arising from the spleen with internal septations. Open laparotomy was performed and huge splenic cyst measuring 29x22x15 cm was resected. Histopathological examination was diagnostic of Primary epithelial splenic cyst