Giant Intraparenchymal Splenic Cyst Causing Massive Splenomegaly: Case Report and Surgical Management

Splenic cysts are rare entities, with a barely reported incidence of cases. Giant intraparenchymal cysts are exceptional and may present diagnostic and therapeutic challenges. We report the case of a 22-year-old male presenting with fever, weight loss, and abdominal symptoms. Imaging revealed massive splenomegaly secondary to a large intraparenchymal splenic cyst measuring approximately 13 cm. The patient underwent elective open splenectomy with an uneventful postoperative course. Histopathology confirmed an intraparenchymal splenic cyst.