# Uncommon Presentation of a Giant Splenic Epidermoid Cyst: A Report of a Rare Case

## TL;DR

A rare case of a large splenic epidermoid cyst in a young woman was diagnosed and successfully treated with surgery.

## Contribution

This paper presents a rare clinical case of a giant primary splenic epidermoid cyst with a successful laparoscopic treatment outcome.

## Key findings

- A 23-year-old woman presented with left-sided abdominal pain and was found to have an 18 × 15 × 12 cm splenic cyst.
- Laparoscopic splenectomy was performed and resulted in full recovery.
- Primary splenic epidermoid cysts are rare and often difficult to diagnose preoperatively.

## Abstract

Primary splenic epidermoid cysts are extremely rare and typically discovered incidentally. The symptoms are variable, from an asymptomatic abdominal mass to severe abdominal pain. It is difficult to diagnose a primary splenic epidermoid cyst using imaging tests preoperatively, as it can appear similar to other cyst types. We report a 23-year-old woman who presented with left-sided abdominal pain. An advanced computed tomography (CT) scan revealed an 18 × 15 × 12 cm complicated splenic cyst, which was ultimately treated with a laparoscopic splenectomy, and the patient achieved a full recovery.