Romanian Medical Journal (Dec 2023)

Splenic mesothelial cyst: a case report

  • Ugur Kesici,
  • Mustafa Ayvazoglu,
  • Yigitcan Celik,
  • Orhan Yalcin

DOI
https://doi.org/10.37897/RMJ.2023.4.9
Journal volume & issue
Vol. 70, no. 4
pp. 192 – 194

Abstract

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Splenic cyst was first described by Andral in 1929. Splenic cysts are divided into 2 groups as parasitic and non-parasitic. Splenic mesothelial cyst (SMC) is a rare form of splenic cysts, and its incidence is not known exactly. It is frequently observed in children and young adults. In this case report, a 21-year-old male patient who underwent laparoscopic splenectomy with a diagnosis of symptomatic splenic cyst is discussed. Total splenectomy was decided because of the splenic cyst localization in the splenic hilus. Laparoscopic splenectomy was performed to the patient. SMC is a rare primary splenic cyst and is usually asymptomatic. It is often detected incidentally by imaging modalities. Symptomatic cysts with a size of more than 5 cm should be treated. Spleen sparing techniques are accepted as the current treatment option. In this case report, a young adult patient who underwent laparoscopic splenectomy for symptomatic SMC is discussed in the light of the literature.

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