Splenic cysts are rarely encountered and mostly seen in paediatric age group. It can be either a true or pseudocyst in nature and epithelial lining is found in true cysts. We report a case of 13-year- old girl who presented with an abdominal swelling not associated with pain since 5 months. Ultrasonography of the abdomen showed a large cystic lesion in relation to pancreatic tail. CECT abdomen revealed an unilocular cyst arising from the spleen. Open splenectomy was performed. Histopathological examination revealed it to be a primary epithelial/epidermoid cyst of the spleen. The post-operative course was uneventful and she was asymptomatic at the 3 months follow-up.
Keywords: Epithelial cyst; Paediatric age; Splenic cyst.