Laparoscopic management of a ruptured giant epidermoid splenic cyst

Epidermoid splenic cysts are uncommon lesions of the spleen. They are known to become symptomatic as a consequence of enlargement, infection, or rupture, the latter being an exceedingly rare complication traditionally treated with open splenectomy. We herein report a unique case of a giant epidermoid splenic cyst that ruptured spontaneously and was successfully treated with the laparoscopic approach.

Laparoscopic surgery may be considered an initial treatment option in cases of very large epidermoid cysts even when rupture occurs.