# A Huge Primary Congenital Splenic Cyst Diagnosed in a Middle‐Aged Female Patient: A Case Report

## TL;DR

A rare case of a large congenital splenic cyst is reported in a middle-aged woman, highlighting its uncommon presentation.

## Contribution

This report adds to the limited literature on primary congenital splenic cysts in middle-aged individuals.

## Key findings

- A huge primary congenital splenic cyst was diagnosed in a middle-aged female patient.
- The case emphasizes the importance of considering such cysts in differential diagnosis beyond middle age.

## Abstract

Splenic cysts are classified into primary (true) and secondary (pseudo or false) cysts. Primary non‐parasitic congenital splenic cysts are comparatively rare, particularly in the middle‐aged population. We present a rare case of a huge primary congenital splenic cyst, incidentally discovered in a female patient in her mid‐50s. This case report aims to highlight the uncommon presentation of primary congenital splenic cysts in middle age and emphasizes the necessity of considering primary congenital splenic cysts in the differential diagnosis even in patients beyond middle age.

Gross appearance of a splenic cyst showing the smooth external surface (left) and trabeculated inner wall (right).