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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 .
Journal of Clinical and Diagnostic Research : JCDR
|September 16, 2016
Summary
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.

