{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T13:46:29Z","timestamp":1791812789996,"version":"4.3.4"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 3","license":[{"start":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T00:00:00Z","timestamp":1781827200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Splenic cysts are rare and are often detected incidentally or until the cyst reaches a certain size, causing clinical symptoms. They are classified into primary (true) and secondary (false) splenic cysts. False cysts often pose diagnostic and therapeutic challenges due to their nonspecific clinical presentation and overlapping imaging features with true cysts. Here, we present the case of a 36-year-old female who presented with symptoms of intermittent left-sided abdominal pain, nausea, loss of appetite, and low-grade fever. Clinical examination revealed a palpable mass in the left hypochondrium. Contrast-enhanced computed tomography showed a large, well-defined cystic lesion arising from the inferior pole of the spleen. Based on clinical, serological, cytological, and radiological findings, a nonparasitic splenic cyst was suspected preoperatively. As the cyst was large (&gt;8 cm) and involved &gt;75% of the splenic parenchyma, a total splenectomy was performed. Histopathological examination revealed the absence of an epithelial lining, confirming a nonparasitic secondary (false) splenic pseudocyst. The postoperative course was uneventful. A systematic diagnostic workup and total splenectomy remain safe and effective options for splenic cysts with significant size and rupture risk. Histopathological examination continues to be the gold standard for definitive diagnosis.<\/jats:p>","DOI":"10.4103\/aam.aam_303_26","type":"journal-article","created":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T12:00:23Z","timestamp":1781870423000},"page":"S623-S626","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Diagnosis and Management of a Rare Splenic Cyst"],"prefix":"10.4103","volume":"25","author":[{"given":"Pavan Goud","family":"Pasham","sequence":"first","affiliation":[{"name":"Department of General Surgery, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Viren","family":"Nagarkar","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dakshyani","family":"Nirhale","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pushkar","family":"Galam","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasam Venkata","family":"Ramesh","sequence":"additional","affiliation":[{"name":"Department of Academics, HCG Manavata Cancer Centre, Nashik, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rekha","family":"Arcot","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,6,19]]},"reference":[{"key":"R1-20261012","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1186\/s13256-023-04246-9","article-title":"Giant non-parasitic splenic cyst: A case report","volume":"17","author":"Karbasian","year":"2023","journal-title":"J Med Case Rep"},{"key":"R2-20261012","first-page":"e75263","article-title":"A rare case of a primary non-parasitic splenic cyst removed via laparoscopic intervention","volume":"16","author":"Rafique","year":"2024","journal-title":"Cureus"},{"key":"R3-20261012","doi-asserted-by":"crossref","first-page":"108263","DOI":"10.1016\/j.ijscr.2023.108263","article-title":"Giant splenic cyst: A case series of rare and challenging cases from the last 22 years","volume":"106","author":"Lukman","year":"2023","journal-title":"Int J Surg Case Rep"},{"key":"R4-20261012","doi-asserted-by":"crossref","first-page":"107201","DOI":"10.1016\/j.ijscr.2022.107201","article-title":"Large splenic epithelial cyst: A rare presentation","volume":"95","author":"Hammouda","year":"2022","journal-title":"Int J Surg Case Rep"},{"key":"R5-20261012","doi-asserted-by":"crossref","first-page":"109869","DOI":"10.1016\/j.ijscr.2024.109869","article-title":"A rare case report: Primary isolated hydatid cyst of the spleen- diagnosis and management","volume":"120","author":"Khefacha","year":"2024","journal-title":"Int J Surg Case Rep"},{"key":"R6-20261012","doi-asserted-by":"crossref","first-page":"3027","DOI":"10.1097\/MS9.0000000000003238","article-title":"A rare case of giant epithelial splenic cyst causing abdominal pain and anemia in a 10-year-old girl","volume":"87","author":"Barakat","year":"2025","journal-title":"Ann Med Surg (Lond)"},{"key":"R7-20261012","doi-asserted-by":"crossref","first-page":"e6964","DOI":"10.1002\/ccr3.6964","article-title":"Spontaneous splenic pseudocyst: Case report of a rare entity","volume":"11","author":"Tiwari","year":"2023","journal-title":"Clin Case Rep"},{"key":"R8-20261012","doi-asserted-by":"crossref","first-page":"106317","DOI":"10.1016\/j.ijscr.2021.106317","article-title":"Large expanding splenic pseudocyst: A case report and review of literature","volume":"86","author":"Alhaddad","year":"2021","journal-title":"Int J Surg Case Rep"},{"key":"R9-20261012","doi-asserted-by":"crossref","first-page":"1368","DOI":"10.1148\/rg.2021200207","article-title":"Approach to cystic lesions in the abdomen and pelvis, with radiologic-pathologic correlation","volume":"41","author":"Yacoub","year":"2021","journal-title":"Radiographics"},{"key":"R10-20261012","doi-asserted-by":"crossref","first-page":"11","DOI":"10.21037\/ls-19-147","article-title":"Treatment of splenic cysts","volume":"5","author":"Nowak","year":"2021","journal-title":"Laparosc Surg"}],"container-title":["Annals of African Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_303_26","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T13:01:21Z","timestamp":1791810081000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_303_26"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,19]]},"references-count":10,"journal-issue":{"issue":"Suppl 3","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/aam.aam_303_26","relation":{},"ISSN":["1596-3519","0975-5764"],"issn-type":[{"value":"1596-3519","type":"print"},{"value":"0975-5764","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,19]]},"assertion":[{"value":"2026-03-18","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-07","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}