Primary Epithelial Splenic Cyst in a Boy: Laparoscopic Management

Sudhir Jatal

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

S. N. Jatal *

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

Supriya Jatal

MGM Hospital & College, Navi Mumbai, India.

Rupesh P. Gundawar

Krushna Surgical Pathology, Latur, India.

*Author to whom correspondence should be addressed.


Splenic cysts are a rare condition, with an incidence of only 0.07%, and there have been approximately 800 reported cases in the English literature to date. These cysts can be classified as primary or secondary, depending on whether they have an epithelial lining. They can also be categorized as parasitic or non-parasitic in origin. Primary cysts are also known as true, congenital epithelial, or epidermoid cysts and account for about 10% of all benign, non-parasitic splenic cysts.    

They are the most common type of splenic cyst in children. Typically, splenic cysts are asymptomatic and are often discovered incidentally during imaging studies or during surgery.

Symptoms associated with splenic cysts are generally related to the size of the cyst. When these cysts grow large, they may cause sensations of fullness in the left abdomen, splenomegaly (enlargement of the spleen), local or referred pain, or in rare cases, thrombocytopenia (low platelet count). Complications can also arise, such as infection, rupture, and haemorrhage.

The preoperative diagnosis of primary splenic cysts is typically made using imaging techniques like ultrasonography, CT scans, and MRI scans. However, a careful histopathological evaluation, along with immunostaining to confirm the presence of an epithelial lining, is essential to arrive at a definitive diagnosis.

We would like to present the case of a 13-year-old boy who came to us with an abdominal lump and associated pain that had persisted for one month. Ultrasonography and a CT scan of the abdomen revealed a unilocular cyst measuring 8x7x6 cm, originating from the upper pole of the spleen. To address this, we performed a partial cystectomy, marsupialization, and omentoplasty to manage the condition.

Keywords: Splenic cyst, primary epithelial cyst, epidermoid cyst

How to Cite

Jatal, Sudhir, S. N. Jatal, Supriya Jatal, and Rupesh P. Gundawar. 2023. “Primary Epithelial Splenic Cyst in a Boy: Laparoscopic Management”. Asian Journal of Research in Surgery 6 (2):292-97.


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Ingle SB, Hinge Ingle CR, Patrike S. Epithelial cysts of the spleen: a minireview. World J Gastroenterol. 2014 Oct 14; 20(38):13899-903. DOI: 10.3748/wjg.v20.i38.13899

PMID: 25320525; PMCID: PMC4194571

Kala PS, Azad S, Sharma T, Acharya S. Primary epithelial splenic cyst: A rare encounter. Indian J Pathol Microbiol [serial online] 2019 [cited 2023 Sep 28];62:605-7. Available:

Nowak B, Fielding GA, Pachter HL. Treatment of splenic cysts. Laparosc Surg. LS Laparoscopic surgery USA. 2021;5:11. DOI: 10.21037/ls-19-147

Youssef A Sleiman, Ali Bohlok, Melody El-Khoury, Pieter Demetter, Marc Zalcman, Issam El Nakadi, Splenic epithelial cyst mistaken with Hydatid cyst: A case report, International Journal of Surgery Case Reports. Available:

Gray TT, Patel V, Timpone M, Felux K. Primary Splenic Epidermoid Cyst: A Case Report. Cureus. 2022 Mar 3;14(3):e22799. DOI: 10.7759/cureus.22799

PMID: 35382206; PMCID: PMC8976451.

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

Jonuzi Asmir, Zvizdic Zlatan, Sefic Pasic Irmina, Bukvić M, Amira Mešić, Glavaš Sanjin, Misanovic Verica. A rare primary epithelial splenic cyst in a 12-year-old boy: A case report and Review of Literature; 2021. DOI: 10.38207/JMCRCS/2021/0211166

Seifeddine Ben Hammouda, Samiha Mabrouk, Ahlem Bellalah, Mezri Maatouk, Abdelfatteh Zakhama, Leila Njim, Large splenic epithelial cyst: A rare presentation, International Journal of Surgery Case Reports. Available:

Dilip Dan, Nigel Bascombe, Dave Harnanan, Seetharaman Hariharan, Vijay Naraynsingh, Laparoscopic Management of a Massive Splenic Cyst, Asian Journal of Surgery. Available:

Daga G, Mittal V, Singh R J, Sood N. Epithelial cyst of the spleen. J Indian Assoc Pediatr Surg [serial online] 2011 [cited 2023 Sep 28];16:18-20. Available:

Tejero-Pintor FJ, Cuesta-De la Llave C, Rodriguez-Lopez M, Bailon-Cuadrado M, Pacheco-Sánchez D. Laparoscopic hemi-splenectomy: A valid option in selected cases such as epidermoid cyst, Ann R Coll Surg Engl. 2019;101:e73–e75. DOI: 10.1308/rcsann.2018.0205