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Bloodless Laparoscopic Partial Splenectomy Assisted by Bipolar Radiofrequency Excision Hemostatic Device
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Primary epithelial splenic cyst: A rare encounter.

Pooja Sharma Kala1, Sheenam Azad2, Trisha Sharma2

  • 1Department of Pathology, Government Doon Medical College, Dehradun, Uttarakhand, India.

Indian Journal of Pathology & Microbiology
|October 16, 2019
PubMed
Summary

Primary epithelial splenic cysts are rare, accounting for 10% of splenic cysts. This case highlights a 30-year-old female diagnosed with a primary epithelial splenic cyst after presenting with abdominal pain.

Keywords:
Epithelialprimarysplenic cyst

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Area of Science:

  • Surgical pathology
  • Abdominal imaging
  • Gastroenterology

Background:

  • Splenic cysts are uncommon, with parasitic cysts (Echinococcus granulosus) comprising 60% of primary splenic cysts.
  • Primary epithelial cysts represent a smaller subset, approximately 10% of all splenic cysts.
  • Accurate diagnosis is crucial as clinical presentations can be non-specific.

Observation:

  • A 30-year-old female presented with left upper abdominal pain and a sensation of heaviness.
  • Computed tomography (CT) imaging identified a multiloculated cyst within the spleen.
  • Serological tests for hydatid disease were negative, ruling out parasitic etiology.

Findings:

  • Histopathological evaluation confirmed the splenic cyst as a primary epithelial type.
  • The patient underwent a total splenectomy for diagnosis and management.
  • The negative hydatid serology supported a non-parasitic origin.

Implications:

  • This case underscores the importance of considering primary epithelial splenic cysts in the differential diagnosis of splenic lesions.
  • Accurate histopathological examination is essential for definitive diagnosis and appropriate patient management.
  • Further research into the etiology and optimal management of primary epithelial splenic cysts may be warranted.