Epidermoid cyst in a wandering spleen: a rare case report

Epidermoid cyst is a rare disease of the spleen. Primary true cysts account for 10% of non-parasitic cysts. Wandering spleen is a rare finding which is due to failure to form normal peritoneal attachments. Here we discuss a rare case of an epidermoid cyst in a wandering spleen. A 64-year-old female patient presented with abdominal discomfort in the left lumbar region for two months. On examination, an enlarged spleen was noted, which was freely mobile in all directions. CECT abdomen showed a calcified focal cystic lesion in the spleen. The patient underwent laparotomy that revealed a wandering spleen with a cystic lesion involving most of the spleen. Histopathology was consistent with epidermoid cyst of spleen. Epidermoid cysts have a variable presentation and are difficult to diagnose preoperatively and its association with wandering spleen is scarcely reported in the literature.