Abstract
Splenic cysts are differentiated into primary and secondary cysts based on epithelial lining. Primary non-parasitic epithelial splenic cysts are extremely rare. We report a case of a 24-year-old male with left hypochondrial swelling with no history of abdominal trauma. His hydatid serology was negative. A CT scan showed massive splenomegaly due to a large, relatively thin-walled cystic lesion with possible thin internal septation near the lower pole of the spleen. The entire cyst and its intact wall were excised laparoscopically. The cyst's nature and eventual laparoscopic removal, with its parenchyma preserved, make this a unique case.