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Mesothelial splenic cyst

S Kuwabara¹, H Hohjoh, M Nakano

¹Department of Internal Medicine, Tokyo Medical College, Japan.

Internal Medicine (Tokyo, Japan)

|August 1, 1993

Summary

A large calcified splenic cyst caused thrombocytopenia in a young woman. Surgical removal confirmed the cyst originated from mesothelial cells, resolving the low platelet count.

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Area of Science:

Pathology
Radiology
General Surgery

Background:

Splenomegaly can present with abdominal masses and cytopenias.
Calcified splenic lesions require thorough histopathological evaluation.

Observation:

A 29-year-old female presented with thrombocytopenia and a palpable abdominal mass.
Computed tomography revealed splenomegaly with a large, calcified cystic lesion.

Findings:

The spleen was surgically removed.
Pathological examination identified a monolocular cyst with a mesothelial origin.

Implications:

Mesothelial splenic cysts are rare causes of splenomegaly and thrombocytopenia.
Surgical excision is curative for symptomatic mesothelial splenic cysts.