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Case report
Spontaneous rupture of a non-parasitic splenic cyst
  1. Lodewijk CS Res1,
  2. Mireille T T Knook1,
  3. Hans M Hazelbag2 and
  4. Onno R Guicherit1
  1. 1 Department of Surgery, Haaglanden Medical Centre, The Hague, The Netherlands
  2. 2 Department of Pathology, Haaglanden Medical Centre, The Hague, The Netherlands
  1. Correspondence to Lodewijk CS Res; l.c.s.res{at}


Rupture of a non-parasitic splenic cyst is a rare but possibly dangerous complication with 21 cases described so far. We present a 46-year-old woman who presented with acute abdominal pain and was diagnosed with a spontaneous ruptured splenic cyst that was successfully treated by laparoscopic splenectomy. Histological examination showed characteristics corresponding with a non-parasitic congenital cyst that had lost its epithelial lining. Several treatment options can be considered for splenic cysts, depending on size and location. In case of rupture, the clinical condition of the patient should be taken into account.

  • general surgery
  • haematology (incl blood transfusion)
  • vaccination/immunisation
  • pathology
  • radiology
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  • Contributors All (co)authors have been involved in design and conduct of this study, and have read and agreed with the contents of the manuscript. LCSR was responsible for the conduction, planning, conception and design of this case report, for the acquisition, analysis and interpretation of patient data and available literature and for the drafting and critical revision of this manuscript. MTTK and ORG were responsible for interpreting the acquired and analysed data and literature and they made significant contributions in drafting and critically revising the manuscript. HMH was responsible for interpreting data and drafting the manuscript when it concerned pathology.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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