Splenic epidermoid cyst - a rare entity

Abstract

C Splenic epidermoid cysts are relatively uncommon. Most often, they are asymptomatic, but they may present with abdominal discomfort, predominantly at young ages. We are reporting a rare case of 12-years-old female child with history of dull intermittent pain, tender palpable mass in left hypochondrium on physical examination. Ultrasonography (USG) of abdomen showed large cyst in upper pole of spleen, and an X ray of chest revealed slightly raised left hemidiaphragm. Axial sections taken on computerized tomography of abdomen showed a large well defined cystic mass near upper pole of spleen, with a thin septum in it. On laparotomy, open total splenectomy was performed. Sections from cystic wall were processed and histopathological examination revealed fibrous tissue covered by stratified squamous epithelium. Although, now-a-days emphasis is being laid on minimal invasive operative procedures which preserve spleen. This case report favours total splenectomy, considering postoperative outcome. The final diagnosis always depends upon histopathological examination.

Keywords: Spleen; Total splenectomy; True splenic cyst.

[Table/Fig-1]:

CT (abdomen) demonstrating a large cystic mass (white arrow head) of splenic origin.

[Table/Fig-2]:

Gross photograph depicting a larger cyst (white arrow head) and part of normal spleen at one side (black arrow head).

[Table/Fig-3]:

Showing dense fibrous tissue (black arrow head) underneath the stratified squamous epithelium (white arrow head). H&E(40x)