Epidermoid Cyst Of The Spleen

Epidermoid cyst of the spleen are rare benign formations within the splenic tissue. They are mostly discovered incidentally because they have minimal symptomatology to none. This kind of cyst is difficult to diagnose despite the advanced imaging investigations and only the histological examination can determine a epidermoid cyst. We present the case of a 21-year-old man who presented with vague left lumbar discomfort after intense physical effort and was found to have a large splenic mass with cystic components. Patient underwent a classical splenectomy and had an uneventful recovery with histopathology revealing an epidermoid splenic cyst. Conclusions: Epidermoid splenic cysts are difficult to diagnose and differentiate with imaging alone. They have a variable presentation and can present like as a cystic mass. It is important to include them in the differential diagnosis of splenic masses since histopathology is the final determinant of the diagnosis.