en Surgery Surgery case report case report <p dir="ltr" style="margin: 0cm 161.6pt 0pt 0cm; text-align: justify; text-indent: 0cm;"><font face="Times New Roman"><b><i><span style="color: blue; font-size: 10pt;">Background: </span></i></b><span style="font-size: 10pt;"><font color="#000000">Splenic cysts are rare in all age groups and there are a few reports in the world literature. Primary cysts occur most frequently in children and young adults, comprising around 25% of all nonparasitic splenic cysts. Various techniques are suggested for the treatment of splenic cysts. In this case report, a huge epithelial splenic cyst in a 17-year-old female is presented and different treatment methods of splenic cysts are evaluated.</font></span></font></p> <p dir="ltr" style="margin: 0cm 161.6pt 0pt 0cm; text-align: justify; text-indent: 0cm;"><font face="Times New Roman"><b><i><span style="color: blue; font-size: 10pt;">Case Presentation:</span></i></b><span style="font-size: 10pt;"><font color="#000000"> A 17-year-old female presented with progressive abdominal mass in left upper quadrant associated with abdominal pain and food intolerance of duration of several months. There was no history of trauma. On physical examination, there was a huge mass located in the upper left side of abdomen. Computerized tomography scan revealed that a large cystic lesion had occupied the spleen with dimensions of 32x21xI5.6 cm. After patient preparation laparotomy was performed and complete cyst excision was done with splenectomy, patient was discharged after 2 days. This is a report of a case of epithelial splenic cyst of the spleen in a 17-year old female.</font></span></font></p> <p dir="ltr" style="text-align: justify;"><b><i><span new="" style="color: blue; font-family:;" times="">Conclusion:</span></i></b><font color="#000000"><span new="" style="font-family:;" times=""> </span><span new="" style="font-family:;" times="">The management of splenic cysts continues to evolve and the optimum treatment of patients with nonparasitic splenic cysts is controversial, as a principle preservation technique of the spleen with minimally invasive methods such as laparoscopy is preferred to splenectomy with the exception of very large cysts and when splenic hilum is involved in cyst wall. However, significant cyst recurrences were encountered with these techniques. Recently open partial splenectomy has been proposed as a safe and effective method in the management of NPSCs it ensures complete cyst removal, lack of cyst recurrence, and preservation of the spleen functions</span></font></p> Cysts diagnosis, Cysts surgery, Splenic diseases diagnosis, Splenic diseases surgery 146 149 http://caspjim.com/browse.php?a_code=A-10-448-1&slc_lang=en&sid=1 Bahman Farhangi farhangibahman@yahoo.co.uk 10031947532846005313 10031947532846005313 Yes Department of Surgery, Babol University of Medical Sciences, Babol, Iran. Arezo Farhangi 10031947532846005314 10031947532846005314 No Semnan University of Medical Sciences, Semnan, Iran Alireza Firouzjahi 10031947532846005315 10031947532846005315 No Department of Pathology, Babol University of Medical Sciences, Babol, Iran Babak Jahed 10031947532846005316 10031947532846005316 No Ayatollah Rohani Hospital, Babol University of Medical Sciences, Babol, Iran