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Related Concept Videos

Gallbladder01:17

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The gallbladder is a small, pear-shaped organ that plays a crucial role in our digestive system. Measuring about 10 cm in length, it is comparable in size to a kiwi fruit and is located in a hollow area on the lower surface of the liver. The gallbladder's primary function is to store and concentrate bile, a fluid produced by the liver that aids in digestion.
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Related Experiment Video

Updated: Sep 22, 2025

Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions
02:09

Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions

Published on: December 20, 2024

384

Large splenic epithelial cyst: A rare presentation.

Seifeddine Ben Hammouda1, Samiha Mabrouk1, Ahlem Bellalah1

  • 1Department of Pathology, Fattouma Bourguiba University Hospital, Monastir 5000, Tunisia; Faculty of Medicine, University of Monastir, Monastir 5000, Tunisia.

International Journal of Surgery Case Reports
|May 20, 2022
PubMed
Summary

Splenic epithelial cysts (SEC) are rare, non-parasitic splenic lesions often found incidentally. This case highlights laparoscopic partial splenectomy as a spleen-preserving surgical approach for SEC diagnosis and treatment.

Keywords:
CystEpidermoidEpithelialSpleenSplenectomy

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Area of Science:

  • Surgical Pathology
  • Abdominal Imaging
  • Minimally Invasive Surgery

Background:

  • Splenic cysts are uncommon, frequently linked to parasitic infections.
  • Splenic epithelial cyst (SEC) represents the most prevalent primary non-parasitic splenic cyst type.
  • The exact pathogenesis of SEC remains unclear, and these cysts are often asymptomatic, discovered incidentally.

Purpose of the Study:

  • To present a case of incidentally discovered primary SEC in an 18-year-old male.
  • To discuss the diagnostic and therapeutic considerations for SEC.

Main Methods:

  • Incidental discovery of a solitary splenic cystic lesion via renal ultrasound in a patient presenting with upper urinary tract infection symptoms.
  • Laparoscopic partial splenectomy performed for the splenic lesion.
  • Histopathological examination confirming the diagnosis of primary (epidermoid) epithelial splenic cyst.

Main Results:

  • A solitary cystic lesion in the spleen was incidentally identified.
  • Histopathological examination confirmed the diagnosis of a primary SEC.
  • Laparoscopic partial splenectomy was successfully performed.

Conclusions:

  • Preoperative diagnosis of SEC can be suggested by imaging modalities like ultrasonography, CT, or MRI, but histopathology is definitive.
  • Laparoscopic spleen-preserving surgery is considered the gold standard for SEC treatment, despite potential recurrence risks.
  • Surgical treatment strategies for SEC are individualized based on cyst characteristics and patient factors.