Giant mesothelial cyst of the spleen

Giant splenic cyst: A case series of rare and challenging cases from the last 22 years

“…Spleen cysts appear to be a coincidental finding and are usually asymptomatic unless they grow to a significant size and cause symptoms such as abdominal discomfort, splenomegaly, or fever. When a cyst grows larger than 5 cm, it becomes symptomatic, and symptoms worsen when it grows larger than 8 cm [17] , [18] , [19] . The signs and symptoms of a splenic cyst can include an abdominal mass, less frequently in the epigastrium, and most frequently in the left hypochondrium.…”

“…Alcohol sclerosing injection, marsupialization, partial or complete splenectomy, and percutaneous aspiration can all be used to treat a splenic cyst. Percutaneous aspiration and marsupialization carry the risk of cyst recurrence and, in the worst-case scenario, splenectomy [19] . Sclerosing agents, such as alcohol and tetracycline, reduce the risk of recurrence.…”