ABDOMINAL masses are increasingly uncommon as childhood progresses. Occasionally, however, one is faced with an older child, otherwise healthy, who has an enormous but virtually asymptomatic left upper quadrant mass and no other finding. Many of these masses are splenic cysts. Three girls with such masses are presented below.
Report of Cases
Case 1.—Almost 9 years old, this girl had seemed in excellent health until it was noticed that she held herself "with her shoulders back and her tummy out" (Fig 1).1 Her abdomen began to protrude, and the left lower rib cage looked distorted. Trauma was denied.Inspection and palpation of the abdomen showed a very large, smooth, nontender left upper quadrant mass. Roentgenograms (Fig 2A and 2B) demonstrated striking displacement of the stomach, bowel, and left kidney.The mass was removed and was found to be a 1,400 cc cyst within the spleen; it was an epidermoid