ArticleInternational journal of surgery case reports2026
Symptomatic large epithelial splenic cyst mimicking post-traumatic pseudocyst: a surgical case report.
Article in International journal of surgery case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Splenic cysts are uncommon lesions, broadly classified into true (epithelial-lined) and false (pseudocyst) categories. Secondary splenic cysts, often resulting from trauma, are typically presumed in patients with a history of blunt abdominal injury. Presentation of case: We present a case of a 34-year-old male with a large splenic cyst incidentally discovered more than a decade after remote abdominal trauma. Imaging and history favored a diagnosis of post-traumatic pseudocyst, leading to spleen-preserving cystectomy. Histopathological analysis unexpectedly revealed an epithelial-lined primary splenic cyst. Clinical discussion: This case emphasizes the limitations of imaging in differentiating cyst types and the importance of histopathology for accurate diagnosis. It also supports spleen-conserving surgical approaches when the cyst morphology permits. Conclusion: While trauma-based pseudocyst was suspected, histopathology confirmed an epithelial cyst. Spleen-preserving surgery with follow-up is a sound strategy in such cases.
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