A large splenic cyst is revealed in the patient during a general work-up for possible cholecytitis and cholelithiases. The size of the splenic cyst measured by ultrasonogram is 84 x 76 x 77 mm. The patient has no symptoms from her splenic cyst, and has had a laparoscopic cholecystectomy for diseased gall bladder. There are no plans further intervention for her splenic cyst as the patient has no desire for therapy despite a high risk of rupture of the cyst. The majority of splenic cysts are benign in nature, both pathologically and clinically. For all splenic cysts, surgical intervention is advantageous as the risk of splenic rupture is very high, even from minor abdominal injury.
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