A Giant Epidermoid Cyst of the Spleen and Mini Review of Literature

S. N. Jatal *

Jatal Hospital and Research Centre, Latur, India.

Sudhir Jatal

Jatal Hospital and Research Centre, Latur, Tata Hospital, Mumbai, India.

Sachin Ingle

Department of Pathology, MIMSR Medical College, Latur, India.

*Author to whom correspondence should be addressed.


Abstract

Splenic cysts are rare. They may be congenital, neoplastic, vascular, inflammatory and post traumatic in origin and may contribute to 30-40% of the total splenic lesion. Epidermoid cysts are primary congenital cysts that contains an epithelial lining. Epidermoid cyst are congenital cysts contribute approximately 10% of total splenic cysts. They are encountered more commonly in children and young adults. Congenital splenic cysts are usually asymptomatic and they are discovered incidentally on radiography investigation. Splenic epidermoid cysts are true cysts, as they possess inner epithelial lining of stratified squamous epithelium. Splenic epidermoid cysts also known as splenic epithelial cysts or primary splenic cysts are usually unilocular.

We are reporting a rare case of a 18 years old male patient with history of dull aching pain and palpable mass in left hypochondrium on physical examination. CT abdomen showed a large well defined cystic mass in the spleen. On laparotomy, open total splenectomy was performed.

Keywords: Splenic epidermoid cyst, epithelial cyst, total splenectomy, true splenic cyst


How to Cite

Jatal , S. N., Sudhir Jatal, and Sachin Ingle. 2023. “A Giant Epidermoid Cyst of the Spleen and Mini Review of Literature”. Asian Journal of Research in Surgery 6 (2):161-66. https://journalajrs.com/index.php/AJRS/article/view/148.

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References

Gray TT, Patel V, Timpone M, Felux K. Primary splenic epidermoid cyst: A case report. Cureus. 2022;14(3): e22799. DOI: 10.7759/cureus.22799. PMID: 35382206; PMCID: PMC8976451.

Vo QD, Monnard E, Hoogewoud HM, Epidermoid cyst of the spleen Available:https://casereports.bmj.com/content/2013/bcr-2013-009707

Dante J. DI Marzio Jr., DO Bryn Mawr. Pennsylvani, Epidermoid cyst of the spleen: Report of case and review of literature, Nov.'Journal of AOkvol. 79/no. 1979;3.

Rana AP, Kaur M, Singh P, Malhotra S, Kuka AS. Splenic epidermoid cyst - A rare entity. J Clin Diagn Res. 2014;8(2):175-6. DOI: 10.7860/JCDR/2014/6901.4050. Epub 2014 Feb 3. PMID: 24701525; PMCID: PMC3972553.

Vijay Shankar S, Usha R. Epidermoid cyst of spleen. Online J Health Allied Scs. 2010;9(1):13

Available:http://www.ojhas.org/issue33/2010-1-13.htm Open Access Archives: Available:http://cogprints.org/view/subjects/OJHAS.html and

Samarakoon LB, Si Min Goh S, Cheong YL, Ong LY. Massive splenic epidermoid cyst in a child treated with laparoscopic partial splenectomy – Case report and review of literature. Proceedings of Singapore Healthcare. 2019;28(1):61-64. DOI:10.1177/2010105818782523

Anand Utpal, Bhadani, Punam, Kumar, Ramesh, Priyadarshi, Rajeev John, Aaron. A giant epidermoid cyst of spleen: A differential diagnosis for cystic neoplasm of pancreas. Medical Journal Armed Forces India; 2021.

DOI:10.1016/j.mjafi.2021.04.006.

Desai MB, Kamdar MS, Bapat R, Modhe JM, Medhekar ST, Kokal KC, Abraham P. Splenic cysts: (Report of 2 cases and review of the literature). J Postgrad Med. 1981;27(4):251-2. PMID: 7338833.

Vuyyuru S, Kharbutli B. Epidermoid cyst of the spleen, a case report. Int J Surg Case Rep. 2017;35:57-59.

DOI: 10.1016/j.ijscr.2017.04.014. Epub 2017 Apr 18. PMID: 28441587; PMCID: PMC5406525.

Salvadi VK, Vaidyula SS, Sude NS, Karanam VPK. Laparoscopic Management of splenic epidermoid Cyst. Int J Med Rev Case Rep. 2022;6(1):13-15. DOI:10.5455/Ijmrcr.laparoscopicmanagementofsplenicepidermoidcyst.