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

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.