Hydatid Cyst of Spleen Presenting with Vague Symptoms: A Diagnostic Conundrum

Ahmed, Jawad; Arif, Taha Bin; Tahir, Faryal; Malik, Farheen; Parkash, Oam

doi:10.7759/cureus.5815

Cited by 5 publications

(8 citation statements)

References 12 publications

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“…At times it can present with vague symptoms of fever, burning micturition and vomiting with no splenomegaly. 5 Hydatid cyst is common in liver and lungs and can affect other organs like spleen concominant with the lung and liver as in our case but isolated cases of splenic hydatid cyst are also recorded. 6 The imaging and histopathological findings of splenic hydatid cyst are similar to those of hydatid cyst of liver or lungs.…”

Section: Discussionmentioning

confidence: 48%

Hydatid cyst of spleen: A rare presentation

Aruna¹,

Thapa

Shah³

2021

IJPO

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: Hydatid cyst is a parasitic infestation caused by Echinococcus granulosus. The spleen being rarely involved by the parasite, commonly involved organs are liver followed by lungs. It constitutes only 4% of abdominal hydatid diseases. Its worldwide incidence is 0.5 to 4%. In this case report, we present a case of young boy with concomitant splenic and liver hydatid cysts. A 8-year-old boy, resident of Chamba district was presented with abdominal pain, fever and left upper quadrant swelling. The swelling had started enlarging over past 4 months. After necessary investigations it was diagnosed as hydatid cyst of spleen concomitant with liver and was confirmed by histopathological examination of the cyst membrane. All routine investigations other than anemia of 9.4 mg/dl and raised Ecchinococcus IGG serum levels, all other tests were within normal range. Splenic hydatid is a rare entity and among abdominal presentations of hydatid diseases its incidence is very low, being 4% only. Diagnosis can be made on CECT abdomen along with the Echinococcus IGG serum levels, cytology of aspirated cystic fluid and then can be confirmed on histopathological examination of the cyst membrane sent for the histopathological examination. This case report emphasizes the need of considering hydatid cyst as a differential with uncommon presentation of the disease even in non- endemic area, as in this case patient presented with splenomegaly and abdominal pain.

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Section: Discussionmentioning

confidence: 48%

Hydatid cyst of spleen: A rare presentation

Aruna¹,

Thapa

Shah³

2021

IJPO

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“…La serología contribuye solo en determinados casos, por presentar un porcentaje elevado de falsos negativos (5) , siendo de mayor utilidad la ultrasonografía abdominal por su elevada sensibilidad (90-95%) (9) . Asimismo, la tomografía abdominal puede determinar la localización y medidas del quiste, características, contactos anatómicos y mostrar otras posibles lesiones (10) . Sin embargo, está contraindicado realizarla durante la gestación por el riesgo de irradiación al feto.…”

Section: Discussionunclassified

Hidatidosis esplénica gigante primaria en una gestante: reporte de caso

Gago

Estela-Reynel

Calisaya-Sánchez

et al. 2022

Rev Peru Med Exp Salud Publica

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La hidatidosis es considerada en la actualidad como un problema de salud pública en el Perú. Es una infección parasitaria trasmitida por la ingesta de huevos de Echinococcus granulosus y los órganos más comprometidos son el hígado y los pulmones, siendo rara la afectación del bazo. Presentamos el caso de una gestante joven con dolor abdominal y sensación de masa en hipocondrio izquierdo. El estudio ecográfico reveló imagen quística multitabicada en hemiabdomen izquierdo, con feto viable. Se le realizó cesárea, seguido de laparotomía exploratoria y se halló una tumoración gigante de bazo que, según el estudio anatomopatológico corresponde a una hidatidosis esplénica multiquística. Asimismo, como complicación fetal ocurrió restricción del crecimiento intrauterino. La paciente evolucionó favorablemente sin recurrencia de focos hidatídicos, mientras que el neonato mostró un patrón de crecimiento adecuado.

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“…It can directly identify the cyst, specify its size, location and detailed anatomic contacts with surrounding vessels and organs, and it can look for other concomitant intra-abdominal localizations and evaluate possible complications [ 10 , 12 , 13 ]. The diagnosis is strongly guided by some suggestive signs such as parietal calcifications, floating membrane, daughter cysts and the presence of other concomitant extra-splenic cystic images [ 11 , 14 ]. The CT is also a more powerful imaging tool used to detect recurrences [ 10 , 13 ].…”

Section: Discussionmentioning

confidence: 99%

Primitive isolated hydatid cyst of the spleen: total splenectomy versus spleen saving surgical modalities

et al. 2021

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Background This study aims to describe the clinical features of the isolated primitive splenic hydatid cyst, discuss and compare the different surgical approaches of this uncommon disease. Methods This is a descriptive retrospective study carried out over a period of 7 years extending from January 2013 to December 2019 reporting eight cases of isolated primitive splenic hydatid cysts. Data were collected from the register of the general surgery department of the Jendouba regional hospital. Files concerning another associated hydatid localization were excluded. Four patients underwent total splenectomy and four of them underwent different spleen preserving surgical techniques including resection of the protruding dome, partial splenectomy and pericystectomy. Results The diagnosis was incidentally made in 50% of cases. The main other revealing complaints are pain in the left upper quadrant of abdomen in 25% of cases and a painless renitent mass in the same quadrant in only 12,5%. None of patients who underwent total splenectomy had fever or sings of postoperative sepsis. Compared to those who had total splenectomy, patients who underwent spleen preserving surgery had a longer average hospital stay (9 vs 6,25 days) related to post-operative complications including abscess in the residual cavity after protruding dome resection in one patient and post-operative haemorrhage in one patient. Conclusions The current case series argues in favor of total splenectomy, preferably by laparoscopic route whenever the technical platform allows it, associated with some specific peri-operative therapeutic measures. It seems to be the safest way that helps to avoid post-operative complications of spleen saving surgical modalities. These complications are usually difficult to manage in poor countries with limited technical resources. Total splenectomy guarantees at least a decreased hospital stay, reduced healthcare costs, and the absence of recurrence in highly endemic underdeveloped countries.

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Hydatid Cyst of Spleen Presenting with Vague Symptoms: A Diagnostic Conundrum

Cited by 5 publications

References 12 publications

Hydatid cyst of spleen: A rare presentation

Hydatid cyst of spleen: A rare presentation

Hidatidosis esplénica gigante primaria en una gestante: reporte de caso

Primitive isolated hydatid cyst of the spleen: total splenectomy versus spleen saving surgical modalities

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