{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T18:59:41Z","timestamp":1775847581755,"version":"3.50.1"},"reference-count":20,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>We report the case of a patient with a palpable mass and abdominal pain in the left upper quadrant. A physical examination revealed tenderness in this region. An ultrasound performed initially showed a large cystic structure. A CT examination revealed a large cyst originating in the spleen with loculations in its upper part and focal calcification in the wall. On MRI, the cystic mass showed high signal on T1-weighted and T2-weighted images. The carbohydrate antigen 19-9 (CA 19-9) was measured at 88\u2005U\/ml (standard &lt;37.1\u2005mUI\/l). According to the imaging examinations and laboratory tests performed, it was impossible to determine if the splenic cyst was parasitic or non-parasitic. Given the most important risks of complications encountered in parasitic cysts, it was decided to treat this splenic cyst as a parasitic cyst. For this reason, an elective laparoscopic splenectomy with preoperative embolisation of the splenic artery was performed. The histological diagnosis was a primary epidermoid splenic cyst with inner lining epithelial cells.<\/jats:p>","DOI":"10.1136\/bcr-2013-009707","type":"journal-article","created":{"date-parts":[[2013,5,10]],"date-time":"2013-05-10T01:52:36Z","timestamp":1368150756000},"page":"bcr2013009707","source":"Crossref","is-referenced-by-count":10,"title":["Epidermoid cyst of the spleen"],"prefix":"10.1136","volume":"2013","author":[{"given":"Quoc Duy","family":"Vo","sequence":"first","affiliation":[{"name":"Department of Radiology, HFR Fribourg, Fribourg, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Etienne","family":"Monnard","sequence":"additional","affiliation":[{"name":"Department of Radiology, HFR Fribourg, Fribourg, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henri Marcel","family":"Hoogewoud","sequence":"additional","affiliation":[{"name":"Department of Radiology, HFR Fribourg, Fribourg, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,5,9]]},"reference":[{"key":"2025082802502701000_2013.may09_1.bcr2013009707.1","first-page":"209","article-title":"Cystic tumours of the spleen","volume":"2013","author":"Fowler","year":"1953","journal-title":"Int Abstr Surg"},{"key":"2025082802502701000_2013.may09_1.bcr2013009707.2","doi-asserted-by":"crossref","first-page":"306","DOI":"10.1016\/S1072-7515(01)01178-4","article-title":"Non-parasitic splenic cysts","volume":"2013","author":"Morgenstern","year":"2002","journal-title":"J Am Coll Surg"},{"key":"2025082802502701000_2013.may09_1.bcr2013009707.3","first-page":"605","article-title":"Clinical manifestations of splenic cysts study of 75 cases","volume":"2013","author":"Qureshi","year":"1965","journal-title":"Am Surg"},{"key":"2025082802502701000_2013.may09_1.bcr2013009707.4","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1148\/radiographics.14.2.8190956","article-title":"Imaging of the spleen: CT with supplemental MR examination","volume":"2013","author":"Rabushka","year":"1994","journal-title":"Radiographics"},{"key":"2025082802502701000_2013.may09_1.bcr2013009707.5","doi-asserted-by":"crossref","first-page":"1465","DOI":"10.1148\/radiographics.19.6.g99no231465","article-title":"A pattern-oriented approach to splenic imaging in infants and children","volume":"2013","author":"Paterson","year":"1999","journal-title":"Radiographics"},{"key":"2025082802502701000_2013.may09_1.bcr2013009707.6","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1007\/s003300000528","article-title":"Radiology of the spleen","volume":"2013","author":"Robertson","year":"2001","journal-title":"Eur Radiol"},{"key":"2025082802502701000_2013.may09_1.bcr2013009707.7","first-page":"750","article-title":"Increased CA 19-9 level in patients without malignant disease","volume":"2013","author":"Kim","year":"2009","journal-title":"Clin Chem Lab Med"},{"key":"2025082802502701000_2013.may09_1.bcr2013009707.8","doi-asserted-by":"crossref","first-page":"704","DOI":"10.1097\/00000478-199806000-00007","article-title":"Epidermoid cyst of the spleen with CA 19-9 or carcino-embryonic antigen productions","volume":"2013","author":"Higaki","year":"1998","journal-title":"Am J Surg Pathol"},{"issue":"Suppl","key":"2025082802502701000_2013.may09_1.bcr2013009707.9","doi-asserted-by":"crossref","first-page":"S5","DOI":"10.1017\/S0031182003004384","article-title":"Echinococcosis: disease, detection and transmission","volume":"2013","author":"Craig","year":"2003","journal-title":"Parasitology"},{"key":"2025082802502701000_2013.may09_1.bcr2013009707.10","unstructured":"World Health Organization (WHO)\/Office International Des Epizooties (OIE). WHO\/OIE manual on echinococcosis in humans and animals: a public health problem of global concern. In: Eckert J Gemmell MA Meslin F-X Pawlowski ZS , eds. OIE. Paris, France: World Organisation for Animal Health. 2001:1\u2013265."},{"key":"2025082802502701000_2013.may09_1.bcr2013009707.11","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1007\/s002680020002","article-title":"Laboratory diagnosis of cystic hydatic disease","volume":"2013","author":"Biava","year":"2001","journal-title":"World J Surg"},{"key":"2025082802502701000_2013.may09_1.bcr2013009707.12","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1002\/1098-2825(2001)15:1<14::AID-JCLA3>3.0.CO;2-7","article-title":"Comparative sensitivity of six serological tests and diagnostic value of ELISA using purified antigen in hydatidosis","volume":"2013","author":"Sbihi","year":"2001","journal-title":"J Clin Lab Anal"},{"key":"2025082802502701000_2013.may09_1.bcr2013009707.13","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1159\/000068860","article-title":"Open and laparoscopic treatment of non-parasitic splenic cysts","volume":"2013","author":"Gianom","year":"2003","journal-title":"Dig Surg"},{"key":"2025082802502701000_2013.may09_1.bcr2013009707.14","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1097\/01.sle.0000148463.24028.0c","article-title":"Splenic cysts","volume":"2013","author":"Hansen","year":"2004","journal-title":"Surg Laparosc Endosc Percutan Tech"},{"key":"2025082802502701000_2013.may09_1.bcr2013009707.15","doi-asserted-by":"crossref","first-page":"6884","DOI":"10.3748\/wjg.v11.i43.6884","article-title":"Non-parasitic splenic cysts: a report of three cases","volume":"2013","author":"Macheras","year":"2005","journal-title":"World J Gastroenterol"},{"key":"2025082802502701000_2013.may09_1.bcr2013009707.16","first-page":"231","article-title":"WHO Informal Working Group on Echinococcosis","volume":"2013","author":"Guidelines for treatment of cystic and alveolar echinococcosis in humans","year":"1996","journal-title":"Bull World Health Organ"},{"key":"2025082802502701000_2013.may09_1.bcr2013009707.17","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1186\/2047-783X-14-4-165","article-title":"Surgical management of splenic echinococcal disease","volume":"2013","author":"Meimarakis","year":"2009","journal-title":"Eur J Med Res"},{"key":"2025082802502701000_2013.may09_1.bcr2013009707.18","doi-asserted-by":"crossref","first-page":"374","DOI":"10.1007\/PL00012256","article-title":"Surgical treatment for splenic hydatidosis","volume":"2013","author":"Safioleas","year":"1997","journal-title":"World J Surg"},{"key":"2025082802502701000_2013.may09_1.bcr2013009707.19","doi-asserted-by":"crossref","first-page":"2758","DOI":"10.1007\/s00464-012-2270-z","article-title":"Comparative treatment and literature review for laparoscopic splenectomy alone versus preoperative splenic artery embolization splenectomy","volume":"2013","author":"Wu","year":"2012","journal-title":"Surg Endosc"},{"key":"2025082802502701000_2013.may09_1.bcr2013009707.20","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1186\/1471-2482-9-9","article-title":"Diagnostic problems with parasitic and non-parasitic splenic cysts","volume":"2013","author":"Adas","year":"2009","journal-title":"BMC Surg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-009707","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T09:50:35Z","timestamp":1756374635000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-009707"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,5,9]]},"references-count":20,"alternative-id":["10.1136\/bcr-2013-009707"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-009707","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,5,9]]}}}