Cystische Echinokokkose der Milz

Wolf, Olivia; Lenner, V.

doi:10.1007/s001040050399

Cited by 10 publications

(4 citation statements)

References 12 publications

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“…Two major causes of late morbidity due to splenectomy are thromboembolic complications and overwhelming postsplenectomy infections (OPSIs). Thromboembolic complications particularly occur in patients with myeloproliferative diseases, while OPSIs occur in patients who undergo splenectomy for malignancy and hematological diseases as well as in children younger than 4 years of age [5, 13, 14]. Fortunately, we have not seen such complications.…”

Section: Discussionmentioning

confidence: 78%

“…Rarely, cysts can cause colonic fistulae [8]. Due to the risk of spontaneous or traumatic rupture, there is an absolute indication for splenic hydatid cysts to be treated surgically [5, 7, 10]. The standard treatment is open total or partial splenectomy [11].…”

Section: Discussionmentioning

confidence: 99%

“…Primary splenic hydatidosis is quite rare. Articles about this subject are generally published as case reports and are limited in number [4, 5, 6]. Also there is no consensus about the way of treatment.…”

Section: Introductionmentioning

confidence: 99%

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Primary Splenic Hydatidosis

Durgun

Kapan²,

Kapan³

et al. 2003

Dig Surg

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Background: A hydatid cyst is still a serious health problem in endemic areas. Invasion of the spleen is rare in hydatid disease. In the medical literature, reports about isolated splenic hydatidoses are quite rare. Also there is not a consensus about the way of treatment. Methods: Between 1978 and 2000, in our clinic approximately 900 patients were operated on for an abdominal hydatidosis; 850 of these patients were treated for a hepatic hydatidosis and 14 patients for an isolated splenic hydatidosis. Six (42.8%) of the latter patients were male and 8 (57.1%) were female. The mean age of the patients was 47.14 ± 4.9 (range 17–72) years. Ten patients (71.4%) presented with a painful mass in the left upper quadrant of the abdomen, and the other 4 patients (28.5%) were asymptomatic and were diagnosed incidentally. Results: All of the patients underwent elective splenectomy. There was no mortality, but complications occurred in 4 (28.5%) patients. The period of hospitalization ranged from 7 to 17 days with a mean of 9.8 days. 1 patient died from an acute myocardial infarction during the 2nd postoperative year, and 1 patient died as a consequence of a traffic accident during the 5th postoperative year. Nine patients, after follow-up periods of between 2 and 14 years, are living free from disease. No recurrence occurred in any of them. In the remaining 3 patients, long-term follow-up could not be maintained. Conclusions: A hydatid cyst must be included in the differential diagnosis of cystic lesions of the spleen. A splenic hydatid cyst should be treated surgically due to the high risk of a rupture, and the ideal procedure in adulthood is standard splenectomy.

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Section: Discussionmentioning

confidence: 78%

Section: Discussionmentioning

confidence: 99%

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Primary Splenic Hydatidosis

Durgun

Kapan²,

Kapan³

et al. 2003

Dig Surg

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“…The most commonly affected organ is the liver (70%) followed by the lung (15–20%), spleen (3–8%) and kidney (2–4%), although hydatid cysts has been described in almost every organ of the human body including the subcutaneous tissue, muscles, brain and the heart. Only rather small clinical series or case reports have addressed the issue of splenic echinococcosis [1, 2, 3, 4, 5, 6, 7]. It is unclear whether total splenectomy should be used in all cases of splenic echinococcosis or if preservation of at least part of the spleen can be performed without a high risk of recurrence.…”

Section: Introductionmentioning

confidence: 99%

Splenectomy versus Spleen-Preserving Surgery for Splenic Echinococcosis

Atmatzidis¹,

Papaziogas²,

Mirelis³

et al. 2003

Dig Surg

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Background/Aims: The spleen is the third most common location of hydatid disease after liver and lung. The aim of this study was to analyse the long-term outcome of surgical treatment of patients with splenic echinococcosis comparing splenectomy with spleen-preserving surgery. Methods: During a period of 25 years (1976–2001), 19 (5.4%) patients with splenic echinococcosis were treated in our department out of 349 patients with abdominal hydatid disease. In 16 patients the spleen was the only organ involved, while in 3 patients the liver was also affected. Results: Eleven patients had splenectomy and in the other 8 the spleen was preserved: enucleation (n = 4), partial cystectomy and omentoplasty (n = 2) and cystojejunal Roux-en-Y anastomosis (n = 2). One (6%) patient died in the early postoperative period and 5 (29%) patients had postoperative complications. There was no significant difference between the splenectomy and spleen-preserving groups concerning median hospital stay and postoperative complication rate. The median follow-up in 15 patients was 52 (range 6–300) months. Two patients (13%) developed recurrence of the disease requiring re-operation at 2 and 3 years, respectively. Recurrence occurred in 1 (12%) patient in the splenectomy group and in 1 (14%) out of 7 patients in the spleen-preserving group. Conclusion: In the present series it was possible to preserve the spleen in 8 (42%) of 19 patients, without significant increase of recurrent echinococcosis.

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Milz

Oertli

2006

Praxis Der Viszeralchirurgie

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Cystische Echinokokkose der Milz

Cited by 10 publications

References 12 publications

Primary Splenic Hydatidosis

Primary Splenic Hydatidosis

Splenectomy versus Spleen-Preserving Surgery for Splenic Echinococcosis

Milz

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