Updates in Surgery

, Volume 71, Issue 4, pp 751–753 | Cite as

Conservative laparoscopic approach in a large splenic epidermoid cyst

  • Théophile GuilbaudEmail author
  • François Portier
  • Antoine Camerlo
Letter to the Editor

Dear Editor,

Splenic epidermoid cyst constitutes approximately 10% of total cysts and they are encountered more commonly in young patients [ 1]. Splenic cysts are rarely symptomatic, and they are detected in most cases by incidental imaging studies. The most common symptoms are nonspecific such as left upper abdominal mass, followed by left upper abdominal pain and epigastric pain. Recently, the rate of newly diagnosed cases is increased due to the latest developments in diagnostic techniques; nevertheless, only a few cases have been reported in the literature so far [ 2]. Traditionally, a surgical treatment is recommended for symptomatic cysts larger than 5 cm [ 3]. We herein report a case of a large splenic epidermoid cyst, which was managed by conservative laparoscopic approach. A 21-year-old female presented a weight loss with chief complaints of dull pain, discomfort, and feeling of fullness in the left upper abdomen, which had been present since the past 1 year. Pain was...


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Research involving human participants and/or animals

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (Institutional and National) and with the Helsinki Declaration of 1964 and later versions.

Informed consent

Informed consent was obtained from all patients for being included in the study.


  1. 1.
    Morgenstern L (2002) Nonparasitic splenic cysts: pathogenesis, classification, and treatment. J Am Coll Surg 194:306–314CrossRefGoogle Scholar
  2. 2.
    Matsumoto S, Mori T, Miyoshi J, Imoto Y, Shinomiya H, Wada S et al (2015) Huge splenic epidermoid cyst with elevation of serum CA19-9 level. J Med Invest 62:89–92CrossRefGoogle Scholar
  3. 3.
    Losanoff JE, Richman BW, Jones JW (2003) Hand assisted laparoscopic surgery of splenic cysts. J Laparoendosc Adv Surg Tech A 13:339–340CrossRefGoogle Scholar
  4. 4.
    Strauch GO (1979) Preservation of splenic function in adults and children with injured spleens. Am J Surg 137:478–483CrossRefGoogle Scholar
  5. 5.
    Dan D, Bascombe N, Harnanan D, Hariharan S, Naraynsingh V (2010) Laparoscopic management of a massive splenic cyst. Asian J Surg 33:103–106CrossRefGoogle Scholar

Copyright information

© Italian Society of Surgery (SIC) 2018

Authors and Affiliations

  1. 1.Department of Digestive SurgeryHôpital EuropéenMarseilleFrance
  2. 2.Department of RadiologyHôpital EuropéenMarseilleFrance

Personalised recommendations