Splenic Cyst

Splenic cysts are not particularly common, but may be caused by many pathological processes:

  • splenic epidermoid cyst : true cyst
  • hydatid cyst
  • post traumatic
  • pancreatic pseudocyst : adjacent to spleen
  • lymphangioma
  • haemangioma
  • pyogenic abscesses

image source NEJM

This radiograph shows a large circular calcified lesion in the left upper abdomen, most consistent with a calcified splenic cyst.  A CT scan demonstrated a large cystic mass with mural calcification in the spleen.  The patient had been involved in a car accident 20 years earlier.

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