Laparoscopic Resection of a Large Symptomatic Splenic Cyst: A Case Report

Splenic cysts are a rare clinical finding, often discovered incidentally during imaging for unrelated conditions. These cysts can be congenital or acquired and may present with symptoms such as vague abdominal pain. This case report describes a 25-year-old female with no significant personal medical history but a family history indicative of a predisposition to lymphoma. She presented with epigastric pain, nausea, and anorexia. Upon examination, a palpable mass was detected in the left upper quadrant. Advanced diagnostic imaging, including computed tomography and magnetic resonance imaging, identified a large benign cystic lesion at the splenic hilum. The patient underwent laparoscopic removal of the cyst, and histopathology confirmed it to be a benign epithelial splenic cyst. The patient experienced an unremarkable postoperative recovery and significant relief from symptoms. This case highlights the importance of advanced imaging in accurately identifying and managing splenic cysts and demonstrates the effectiveness of minimally invasive surgery for such conditions.