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Published on: March 31, 2023
Splenic Epidermoid Cyst in a Five-Year-Old Child
Sumit Grover1, Bhavna Garg2, Neena Sood3
1Assistant Professor, Department of Pathology, Dayanand Medical College & Hospital , Ludhiana, Punjab, India .
Insights
Splenic epidermoid cysts are rare spleen conditions. Histopathology confirmed this diagnosis in a child with an abdominal mass, necessitating spleen removal.
Area of Science:
- Pediatric Surgery
- Pathology
- Radiology
Background:
- Splenic epidermoid cysts are uncommon non-parasitic true cysts.
- Diagnosis can be challenging due to their rarity and varied presentation.
Observation:
- A five-year-old child presented with a significant abdominal lump and pain.
- Abdominal ultrasonography revealed a large cystic lesion of unknown origin.
- Surgical exploration (laparotomy) identified a large, unilocular splenic cyst with pultaceous fluid.
Findings:
- The cyst involved the upper portion of the spleen.
- Splenectomy was required for complete cyst removal.
- Histopathological examination confirmed the diagnosis of a splenic epidermoid cyst.
Implications:
- Histopathology is crucial for accurate diagnosis of splenic epidermoid cysts.
- This case highlights the importance of considering rare pathologies in pediatric abdominal masses.
- Surgical management, including splenectomy, may be necessary for large symptomatic cysts.
Abstract:
Splenic epidermoid cysts are rare non-parasitic true cysts affecting the spleen. We report a five-year-old child who presented with an abdominal lump associated with pain of 15 days. Ultrasonography of the abdomen showed a huge cystic lesion of obscure origin. At laprotomy a huge unilocular cyst involving upper part of spleen containing pultaceous fluid was seen and its removal necessitated splenectomy. Histopathological findings were consistent with splenic epidermoid cyst. Thus histopathology helped in elucidating the aetiology and diagnosis.
