Non-parasitic Splenic Cyst

Abstract

A 19-year-old woman presented to our outpatient clinic with localized left upper quadrant (LUQ) pain since 5 months earlier. Intermittent attacks of abdominal pain that progressed to a constant pain and eventually led to shortness of breath were reported.

She had no complaints of fever, weight loss, dyspnea, nausea, vomiting, and altered bowel habits. There was no history of abdominal trauma or surgery. Her medical history was negative and physical examination was unremarkable. All laboratory tests were normal and serological test had no evidence of parasitic infection with echinococcusgranulosus.

Plain abdominal radiography was normal. Ultrasound examination showed splenomegaly and hypoechoic well defined intrasplenic cystic lesion.

Computed tomography revealed a cystic mass-like lesion measuring about 25×13×12cm with internal septa in the spleen with a rim of remaining splenic parenchyma, which displaced pancreatic tail and body to the right side with mild pressure effect on the stomach (figure 1).