Splenic epidermoid cyst - a rare entity.
C Splenic epidermoid cysts are relatively uncommon. Most often, they are asymptomatic, but they may present with abdominal discomfort, predominantly at young ages. We are reporting a rare case of 12-years-old female child with history of dull intermittent pain, tender palpable mass in left hypochondrium on physical examination. Ultrasonography (USG) of abdomen showed large cyst in upper pole of spleen, and an X ray of chest revealed slightly raised left hemidiaphragm. Axial sections taken on computerized tomography of abdomen showed a large well defined cystic mass near upper pole of spleen, with a thin septum in it. On laparotomy, open total splenectomy was performed. Sections from cystic wall were processed and histopathological examination revealed fibrous tissue covered by stratified squamous epithelium. Although, now-a-days emphasis is being laid on minimal invasive operative procedures which preserve spleen. This case report favours total splenectomy, considering postoperative outcome. The final diagnosis always depends upon histopathological examination.
Assistant Professor, Department of Surgery, Guru Gobind Singh Medical College , Faridkot, India .
Amrit Pal Singh
AP
Rana
Assistant Professor, Department of Pathology, Guru Gobind Singh Medical College , Faridkot, India .
Manjit
M
Kaur
Assistant Professor, Department of Surgery, Guru Gobind Singh Medical College , Faridkot, India .
Parvinder
P
Singh
Assistant Professor, Department of Surgery, Guru Gobind Singh Medical College , Faridkot, India .
Satish
S
Malhotra
Assistant Professor, Department of Surgery, Guru Gobind Singh Medical College , Faridkot, India .
Amarjit Singh
AS
Kuka
Spleen; Total splenectomy; True splenic cyst