Hydatid Disease in the Western Region of Saudi Arabia, A University Medical Center Experience

Alghamdi, Fahad

doi:10.36348/sjpm.2019.v04i10.010

Cited by 2 publications

(1 citation statement)

References 27 publications

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“…Hydatid disease is a zoonotic infection causing significant public health problems in many areas worldwide, particularly among the population that practices sheep husbandry [ 3 , 4 ]. The prevalence of the disease has been declared high in Middle Eastern countries, particularly in Iraq, because of sheep and dogs living in close contact with humans, particularly among rural people and Bedouins [ 5 ]. The embryo of E. granulosus escapes from the eggs, penetrates the intestinal mucosa, enters the portal, and is transported to various organs, mostly the liver 75% (the first filter interrupted organ), the lungs 15 % (the second filter interrupted organ), the remaining organs such as spleen, kidney, and others.…”

Section: Introductionmentioning

confidence: 99%

Splenic-preserving surgery in hydatid spleen: a single institutional experience

Al-Hakkak¹,

Muhammad²,

Mijbas

2022

JMedLife

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Though hydatid disease affects many organs in the human body, splenic hydatid accounts for approximately 0.8-4% of all human echinococcosis cases. Up to recently, splenectomy was the preferred surgery for hydatid spleen. Since 1980, conservative options to treat such a disease have become more and more prevalent. Our study aimed to assess our experience in open splenic preservative surgery for splenic hydatid in a single institutional center. Our retrospective research included ten patients with splenic hydatid operated between August 2013 and January 2018 at our medical center. The spleen was affected alone in seven cases, the liver and spleen were affected in three cases, and one of the patients had intra-peritoneal cyst disease. The diagnosis was confirmed primarily by ultrasonography. In some instances, computed tomography and magnetic resonance imaging were required. A chest x-ray was performed to rule out pulmonary hydatid in all patients. Open surgery procedure, field isolation, cystic fluid aspiration, and injection of 1% cetrimide solution, respiration, endocystectomy, suture of cystic edges to the intracystic tube drain were performed. All surgeries had albendazole before and after the operation 15 mg/kg/day. There were no significant intra or postoperative complications, and no further surgery was required. Patients remained hospitalized for 3-5 days. No recurrence after 1-3 follow-up years. However, three patients failed to follow up within two years. Our experience with splenic hydatids prompts us to use splenic conservation surgery whenever possible instead of splenectomy.

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Section: Introductionmentioning

confidence: 99%

Splenic-preserving surgery in hydatid spleen: a single institutional experience

Al-Hakkak¹,

Muhammad²,

Mijbas

2022

JMedLife

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Minimally invasive spleen preserving surgery to treat primary splenic hydatidosis: short and long term outcomes: a cohort study

Aljaiuossi,

Ba-shammakh,

Bani Hani

et al. 2024

Annals of Medicine &Amp; Surgery

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Background: Primary splenic hydatidosis, a rare manifestation of Echinococcus granulosus infection, presents unique diagnostic and therapeutic challenges. This study compares spleen-preserving surgeries with total splenectomy for treating primary splenic hydatid cysts, focusing on short- and long-term outcomes in the Jordanian context, a region particularly affected by this condition. Methods: This retrospective analysis was conducted on 18 patients diagnosed with primary splenic hydatid cysts at two Jordanian hospitals from January 2015 to June 2021. Selection criteria included confirmed diagnosis and complete medical records. Surgical approaches, including laparoscopic partial splenectomy, cystectomy, and cyst deroofing, supplemented by albendazole therapy, were compared based on patient demographics, symptoms, surgical details, complications, and recurrence rates. Results: The study group was composed of (n=7, 38.9%) male and (n=11, 61.1%) female patients, with an average age of 33.7 years. Most presented with left upper quadrant pain. Postoperative complications occurred in 22% of patients, with an 11% recurrence rate during follow-up. No significant statistical difference in recurrence rates was observed between spleen-preserving surgeries and total splenectomy. These findings highlight the efficacy of less invasive, spleen-preserving techniques in managing primary splenic hydatidosis, showing comparable outcomes to total splenectomy with minimal impact on recurrence rates. Conclusion: Spleen-preserving surgery offers a viable alternative to total splenectomy in treating primary splenic hydatid cysts. This approach maintains immune functionality and reduces septic risks, especially in pediatric patients. The study underscores the importance of individualized treatment approaches and suggests further research with larger cohorts for more comprehensive insights into managing this rare condition. The limitations of this study include its small sample size and retrospective nature.

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Hydatid Disease in the Western Region of Saudi Arabia, A University Medical Center Experience

Cited by 2 publications

References 27 publications

Splenic-preserving surgery in hydatid spleen: a single institutional experience

Splenic-preserving surgery in hydatid spleen: a single institutional experience

Minimally invasive spleen preserving surgery to treat primary splenic hydatidosis: short and long term outcomes: a cohort study

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