Splenic epithelial cyst: A rare entity on autopsy

Abstract

INTRODUCTION Splenic cyst is a rare entity with very few cases reported in literature. The diagnosis is usually incidental on autopsy, associated with symptoms due to enlargement, rupture, infection, or hemorrhage. It can be of two types - parasitic or non parasitic cyst. CASE REPORT Post mortem viscera of 33 year old male were received in the department of Pathology for histopathological examination. Grossly, an enlarged spleen weighing 180 gm and measuring 9x8x6 cm was identified. On cut section, an eccentric unilocular cyst measuring 7x6 cm was identified. The cyst was filled with brownish mucoid material and thickness of cyst wall was 0.1-0.2 cm. Microscopically, the cyst wall was lined by cuboidal epithelium with fibrocalcified wall. CONCLUSION Primary splenic cyst is a rare diagnosis. Although the diagnosis of splenic cyst can be established by radiological means, histopathology is mandatory to determine whether the cyst is primary or secondary in origin.