Case Report


Spontaneous rupture of 90 mm splenic epidermoid cyst with subcapsular splenic hematoma and hemoperitoneum

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1 Mackay Hospital and Health Services, Department of General Surgery, Mackay Base Hospital, 475 Bridge Road, Mackay, QLD 4740, Australia

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Xin Yi Goai

Mackay Base Hospital, 475 Bridge Road, Mackay, QLD 4740,

Australia

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Article ID: 100136Z12XG2024

doi: 10.5348/100136Z12XG2024CR

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How to cite this article

Goai XY, Chang W, Htut ZM, Beardsley CJ, Pretorius CF. Spontaneous rupture of 90 mm splenic epidermoid cyst with subcapsular splenic hematoma and hemoperitoneum. J Case Rep Images Surg 2024;10(1):39–41.

ABSTRACT


Introduction: This report explores the rare occurrence of spontaneous splenic rupture in a healthy individual, attributed to a benign epidermoid splenic cyst.

Case Report: The patient, a 28-year-old male, presented with one-week history of abdominal pain due to ruptured splenic cyst leading to subcapsular splenic hematoma and hemoperitoneum without any traumatic history nor underlying conditions. The diagnostic journey, including CT scans, guided the decision for splenectomy. Postoperative recovery was uneventful, with histopathological examination identifying an epidermoid cyst.

Conclusion: This case emphasizes the importance of recognizing atraumatic splenic ruptures, even in the absence of underlying conditions, and underscores the significance of prompt intervention through techniques like splenectomy.

Keywords: Acute abdomen, Hemoperitoneum, Splenic cyst rupture, Splenic hematoma

SUPPORTING INFORMATION


Author Contributions

Xin Yi Goai - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Wendy Chang - Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Zaw Myo Htut - Acquisition of data, Drafting the article, Final approval of the version to be published

Christian Jean Beardsley - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published

Casper Francois Pretorius - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published

Guarantor of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2024 Xin Yi Goai et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.