When a splenic cyst produces symptoms or is larger than 5 cm, or if the diagnosis is in question, surgical exploration or treatment is warranted. Total splenectomy, partial splenectomy, and cystectomy have been reported to be adequate treatments for these cysts. Limited treatments, such as catheter drainage or sclerosis, are associated with high rates of recurrence or infection and have largely been abandoned. Currently, the optimal treatment options are partial splenectomy, total cystectomy, marsupialization, or cyst decapsulation via either an open or a laparoscopic approach.3In the present case, the cyst was located in the splenic hilus, and the splenic parenchyma was reduced to a rim of tissue pushed to the periphery. Therefore, complete splenectomy was the only option.