Unusual pseudocyst in a wandering spleen

Area of Science:

• Medicine
• Radiology
• Pathology

Background:

• Splenic pseudocysts are uncommon lesions, typically arising from trauma, infection, or infarction.
• Symptomatic pseudocysts usually cause left hypochondrium pain, but presentation is atypical in wandering spleens.

Observation:

• A 50-year-old patient presented with a large cystic mass in the pelvic region.
• The mass was identified as a wandering spleen, a rare anatomical variation.

Findings:

• Imaging was crucial for diagnosing the cystic mass within the wandering spleen.
• Histopathology confirmed the presence of a pseudocyst in the wandering spleen.

Implications:

• This case underscores the importance of advanced imaging in diagnosing splenic abnormalities, especially in rare anatomical variants.
• Successful surgical management (splenectomy) was achieved following accurate diagnosis.
• Understanding pseudocyst formation in wandering spleens aids in clinical management and diagnosis.