case_images: PMC10938603_01
case_images: Contrast enhanced CT abdomen showed massive splenomegaly with a large cyst measuring 9.4 x 21 x 16 cm compressing and displacing the liver, left kidney and pancreas.
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case_images: PMC10938603_01_10.1177_2050313X241239530-fig1.jpg
case_images: fig1-2050313X241239530
case_images: A subsequent abdominal computed tomography (CT) scan confirmed massive splenomegaly with a large cyst measuring 9.4 x 21 x 16 cm compressing and displacing the liver, left kidney and pancreas (Figure 1).
case_images: Post-splenectomy specimen.
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case_images: PMC10938603_01_10.1177_2050313X241239530-fig2.jpg
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case_images: Splenectomy was performed through a midline incision (Figure 2).
case_images: H&E staining of the specimen (a: x40, b: x100) revealed a fibrous cyst wall lined with squamous epithelium suggestive of a primary, benign, epidermoid cyst. (c) Normal background splenic tissue.
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case_images: PMC10938603_01_10.1177_2050313X241239530-fig3.jpg
case_images: fig3-2050313X241239530
case_images: Cyst fluid analysis was not performed and immunohistochemical staining facilities of the cyst wall for CA19-9 were not available (Figure 3).