International journal of surgery case reports · 2026
Symptomatic large epithelial splenic cyst mimicking post-traumatic pseudocyst: a surgical case report.
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Thor Sze Mun, Keng Cambo, Pretorius Casper F, Atanasov Georgi D
Аннотация
INTRODUCTION: Splenic cysts are uncommon lesions, broadly classified into true (epithelial-lined) and false (pseudocyst) categories. Secondary splenic cysts, often resulting from trauma, are typically presumed in patients with a history of blunt abdominal injury.
PRESENTATION OF CASE: We present a case of a 34-year-old male with a large splenic cyst incidentally discovered more than a decade after remote abdominal trauma. Imaging and history favored a diagnosis of post-traumatic pseudocyst, leading to spleen-preserving cystectomy. Histopathological analysis unexpectedly revealed an epithelial-lined primary splenic cyst.
CLINICAL DISCUSSION: This case emphasizes the limitations of imaging in differentiating cyst types and the importance of histopathology for accurate diagnosis. It also supports spleen-conserving surgical approaches when the cyst morphology permits.
CONCLUSION: While trauma-based pseudocyst was suspected, histopathology confirmed an epithelial cyst. Spleen-preserving surgery with follow-up is a sound strategy in such cases.
PRESENTATION OF CASE: We present a case of a 34-year-old male with a large splenic cyst incidentally discovered more than a decade after remote abdominal trauma. Imaging and history favored a diagnosis of post-traumatic pseudocyst, leading to spleen-preserving cystectomy. Histopathological analysis unexpectedly revealed an epithelial-lined primary splenic cyst.
CLINICAL DISCUSSION: This case emphasizes the limitations of imaging in differentiating cyst types and the importance of histopathology for accurate diagnosis. It also supports spleen-conserving surgical approaches when the cyst morphology permits.
CONCLUSION: While trauma-based pseudocyst was suspected, histopathology confirmed an epithelial cyst. Spleen-preserving surgery with follow-up is a sound strategy in such cases.