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Computed tomography with intravenous contrast. Axial (
A
) and coronal (
B
) sections in venous phase. A hypodense 48.8 x 55.2-mm lesion with a rounded morphology was observed in the anterior, cranial, and lateral region of the spleen, intimately related to the hilum.
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Magnetic resonance imaging (MRI) and computed tomography (CT) ( Fig. 1 ) revealed a 5.5-cm lesion located in the anterior pole and diaphragmatic face of the spleen, in close relationship to the main superior branches of the splenic artery and vein consistent with an epidermoid cyst.
Intraoperative image before beginning dissection. To the left of the image, the left hepatic lobe is seen covering the upper pole of the spleen. The spleen presents a large cyst on the superolateral aspect with diaphragmatic adhesions.
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Small accessory spleens were found on the medial aspect ( Fig. 2 ). 
Intraoperative image after arterial clamping. Image under near infrared light. To the right of the dotted line, inferolateral pole of the spleen. It shows fluorescence since arterial vascularization in this portion is preserved. To the left of the dotted line, supero-medial pole. It does not show fluorescence as the superior splenic artery, which supplies arterial irrigation to this portion, has been clamped.
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Seventy-two seconds after administration, the contrast was observed in the splenic artery and subsequently fluorescence in the lower-lateral end of the spleen, while the region corresponding to the cyst remained without uptake ( Fig. 3 ). 
Intraoperative image after venous clamping. (
A
) Image under LED light. (
B
) Image under near infrared light. No fluorescence is observed in the inferolateral pole of the spleen, reflecting adequate ICG wash-out through a permeable venous system. Some ICG rests can be seen in the omentum (lower part of the image) and stomach (left edge). ICG, Indocyanine green.
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Intraoperative image. Division of the lateral pole from the medial pole using Caiman forceps.
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Braun, Melsungen, Germany) until both territories were separated ( Fig. 5 ).
Intraoperative image. Postoperative aspect.
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Subsequently, the piece was removed with a laparoscopic bag ( Fig. 6 ). 