Isolated Splenic Hydatidosis

Abstract

A 27-year-old female presented with complaints of pain in the left hypochondrium for the past six months. Pain was dull aching, continuous, without aggravating or relieving factors. No diurnal variations or associated fever reported. The patient belonged to a non-farming family, however, having a pet dog at home. Abdominal examination revealed mild splenomegaly. Laboratory tests, CBC, LFT & biochemistry were all within normal limits. Plain X-ray abdomen was unremarkable [Table/ Fig-1].An abdominal ultrasonography was carried out which showed two cystic lesions with multiple septations at the superior pole of the spleen. Contrast enhanced CT scan abdomen confirmed the USG findings [Table/ Fig-2], demonstrating splenomegaly with non enhancing cystic lesions having internal septations and suspicious daughter cysts within it, strongly suggestive of hydatid cysts.

Review of hydatid cyst with focus on cases with unusual locations

“…Parasites may settle in almost every site of the body forming primary HC (10). Liver and lung are reported as the most frequent locations, yet unusual sites such as peritoneum, retroperitoneum, spleen, kidney, heart, pelvic, urinary tract, bladder, bone, soft tissue, pancreas, gallbladder, inguinal, supraclavicular, cerebral, spinal cord, and abdominal wall have also been described (4,6,7,(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29). secondary HC mostly occurs after spontaneous or travmatic rupture of a cyst in abdominal cavity when free protoscolices and/or tiny cysts develop to become larger cysts (10).…”

“…Isolated splenic involvement is very infrequent (6) and splenic HCs are generally solitary (6). splenic hydatidosis should be differentiated from other splenic cystic lesions, such as epidermoid cyst, abcess, hematoma, posttraumatic pseudocyst, neoplasms like lymphangioma and haemangioma (12,13). We had 7 cases with splenic involvement (on 4 th place), two cases were primary HC, and five had a previous HC.…”

Clinical characterization of unusual cystic echinococcosis in southern part of Turkey

“…It is believed that the oncosphere may migrate to this location from the portal vein during bouts of increased abdominal pain. 10 , 12 , 39 , 43 , 44 CE of the urinary tract is uncommon, and the kidneys are the most frequently involved organs of the urinary tract. CE of the kidney occurs usually as isolated disease.…”

A Giant Splenic Hydatid Cyst

“…Human beings exposed to certain stages of the life cycle of the organism are also an intermediate host (3). Human hydatid disease can involve the liver (55%-70%), lung (18%-35%), spleen, kidney, peritoneal cavity, skin and muscles (<2%) and rarely the remaining parts of the body (4)(5)(6)(7)(8).…”