Giant Epidermoid Splenic Cyst

Abstract

Introduction: The splenic cysts are rare, with less than 1000 cases reported. Epidermoid cyst accounts for 2.5% of all splenic cysts and 10% of non-parasitic. It is more common in females and usually only cause symptoms when it reaches size> 5cm. It is advocated that these lesions result from the invagination of the splenic capsule’s peritoneal mesothelium with subsequent proliferation and squamous metaplasia.

Methods: The authors present a case of a woman aged 27, referred to the emergency room for epigastric pain and bloating the framework of post-prandial, with 2 months of evolution. Upper endoscopic study revealed extrinsic compression of the gastric greater curvature. In the imaging study was documented massive cystic formation in the medial aspect of the spleen, with regular walls and diameter of 14.5 cm, causing extrinsic compression of the gastric greater curvature. Submitted to total splenectomy, Discharged on the 3rd day, with a good postoperative evolution. The anatomopathological examination revealed an epidermoid cyst with 15 cm in greatest diameter.

Discussion: The present work aims to draw attention to the rarity of the entity in question, and epidermoid cyst of the spleen is considered in the differential diagnosis of abdominal swelling in young adults. The case presented transcends by high dimension and its late manifestation.

Keywords: splenic cyst, epidermoid cyst, splenectomy.