Epidermoid cyst of the spleen manifested as an abdominal abscess

We have reported a case of epidermoid cyst of the spleen, an uncommon congenital anomaly that usually occurs as an asymptomatic abdominal mass. The diagnosis of splenic cyst may be established by ultrasonography. Uncomplicated cysts should be resected, while infected cysts should be drained and resected after resolution of the infection. Splenic salvage should be achieved when possible.