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Mesothelial splenic cyst--a case report.

V R Reddi1, M K Reddy, B Srinivas

  • 1Department of Pathology, Sri Venkateswara Institute of Medical Sciences, Andhra Pradesh, India. svims.nic.in!root

Annals of the Academy of Medicine, Singapore
|April 2, 1999
PubMed
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A rare true splenic cyst, typically seen in younger individuals, was diagnosed in a 26-year-old male. Pathological examination confirmed a mesothelial lining without squamous metaplasia.

Area of Science:

  • Surgical pathology
  • Abdominal imaging
  • Gastroenterology

Background:

  • Splenic cysts are uncommon, with true cysts of mesothelial origin being particularly rare in adults.
  • This case highlights a diagnostic challenge in evaluating left upper quadrant abdominal masses.

Observation:

  • A 26-year-old male presented with a year-long history of a left upper abdominal mass.
  • Ultrasonography identified a cystic lesion originating from the spleen's lower pole.

Findings:

  • Total splenectomy was performed, and pathological analysis confirmed a true splenic cyst.
  • The cyst exhibited a mesothelial lining, lacking squamous metaplasia, with varied epithelial cell types observed.

Implications:

Related Experiment Videos

  • This case expands the known age range for true splenic cysts.
  • Understanding the diverse clinicopathological features of splenic cysts is crucial for accurate diagnosis and management.