Splenic cysts have been classified as âtrueâ or âpseudoâ cysts based on the presence or absence of an epithelial lining. True cysts have a
cellular lining that can be caused by congenital events or parasitic infection (Echinococcus). Pseudocysts have no cellular lining and may
be of hemorrhagic, serous, inflammatory, or degenerative origin. The congenital nonparasitic cysts of the spleen are rarely met in the clinical
practice, and it constitutes approximately 10% of all splenic cysts. They are also called true, congenital, epidermoid or epithelial cysts.
We present a case of the giant epithelial cyst of the spleen, which was diagnosed before surgery as pseudocys A vague history of trauma to abdomen was present. On
examination, she had pallor and all vital parameters were stable. In the area of the left hypochondrium, a mass measuring 10-15 cm with
smooth surface and cystic consistency was palpated. The laboratory investigations showed picture of thrombocytopenia (81Ã103), leuopenia
(2.6Ã103) and anaemia (Hb=8.2 gm%).
Last date updated on July, 2014