Management of abdomen hydatidosis after rupture of a hydatid splenic cyst: a case report

Limas, Christos; Soultanidis, Chrisostomos; Kirmanidis, Michail A; Tsigalou, Christina; Deftereos, Savas

doi:10.4076/1757-1626-2-8416

Cited by 10 publications

(11 citation statements)

References 5 publications

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“…SHC usually coexist with liver hydatid cysts (secondary); however, in some cases, the spleen is the primary location [4,9]. Splenic infection usually occurs through an arterial route after the parasite manages to pass through two other filters: hepatic and pulmonary [3,6,10].…”

Section: Discussionmentioning

confidence: 99%

Anaphylactic shock during splenic hydatid cyst surgery: A case report

Belhaj¹,

Majdoub²,

Toughraï³

et al. 2018

Journal of Surgery and Medicine

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Section: Discussionmentioning

confidence: 99%

Anaphylactic shock during splenic hydatid cyst surgery: A case report

Belhaj¹,

Majdoub²,

Toughraï³

et al. 2018

Journal of Surgery and Medicine

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“…In our literature search that was performed using the keywords "spleen, " "hydatid cyst, " "perforation, ' "rupture, " and various combinations of these terms in the PubMed and Google Scholar databases, we found only five articles on the perforation of a splenic hydatid cyst (1,(10)(11)(12)(13). Six cases, ranging in age from 8 to 77 years, have been reported.…”

Section: Discussionmentioning

confidence: 99%

“…It is a parasitic infestation caused by the larval stage of Echinococcus granulosus (1)(2)(3)(4)(5)(6)(7)(8)(9)(10). Hydatid cysts may develop in any body organ but occur most frequently in the liver (50-77%) and lungs (18-35%) and occasionally in other organs, such as the spleen (0.5-8%) (1,2).…”

Section: Introductionmentioning

confidence: 99%

Spontaneous giant splenic hydatid cyst rupture causing fatal anaphylactic shock: A case report and brief literature review

Bellı¹,

Akbulut²,

Erbay³

et al. 2014

Turk J Gastroenterol

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Hydatid disease is a parasitic infection characterized by cyst formation in any organ, although the liver and lungs are most commonly involved. Hydatid disease of the spleen is uncommon, representing <8% of all human hydatid diseases. Splenic hydatid cysts usually coexist with liver hydatid cysts (secondary form), although the spleen is the primary location (primary form) in some cases. The clinical signs and symptoms of splenic hydatid cysts depend on their size, relationship with adjacent organs, and complications. One of the complications of splenic hydatid cysts is cyst rupture either after trauma or spontaneously as a result of increased intracystic pressure. These cysts may rupture into a hollow organ, through the diaphragm into the pleural cavity, or directly into the peritoneal cavity. A splenic hydatid cyst that ruptures into the peritoneal cavity may cause complications, including signs of peritoneal irritation, urticaria, anaphylaxis, and death, as in our case. Therefore, a hydatid cyst rupture requires both emergency surgery and careful postoperative care. In this study, we present a case of a giant splenic hydatid cyst that ruptured into the peritoneal cavity without any trauma. A review of cases reported in the English literature about splenic hydatid cyst perforation is also discussed.

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“…Rarely, complications can reveal the cyst (no patients in our series). They include infection, fistulisation to adjacent organs (colon, stomach, abdominal wall), intra-abdominal rupture with anaphylactic reaction or hydatidosis, renal arte rial compression with systemic hypertension, and splenic vein compression with segmental portal hypertension [2,[6][7][8][9][10][11].…”

Section: Discussionmentioning

confidence: 99%

Hydatid Cyst of the Spleen: Tunisian Series of 21 Cases

et al. 2013

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Hydatid disease is a parasitic infection caused by Echinococcus granulosus. Splenic involvement is rare even in endemic areas. The aim of this study is to specify epidemiologic features, diagnostic tools, and therapeutic modalities of this uncommon entity. This is a retrospective study of 21 patients operated on for a splenic hydatid cyst between January 1996 and December 2011. The mean age was 43.8 years (range 15-72 years). Sixteen patients (76.2 %) had symptoms related to a splenic location of hydatid disease. While splenic hydatid disease was solitary in 8 patients (38.1 %), other locations were present in 13 patients (61.9 %), mainly in the liver. Most splenic cysts were type I (39.3 %) or III (42.8 %). Nine patients (42.8 %) underwent resection of the protruding dome with one postoperative complication (suppuration of residual cavity). Total and partial splenectomies were performed in nine and three patients, respectively, without any complication. No death was noted. After a mean follow-up period of 36 months (range 2-108 months), no recurrence was observed. Splenic hydatid cyst is a rare location. The diagnostic is usually easy, based on serology and imaging. The surgery is the mainstay of treatment. The type of surgical procedure depends on size, number, and location of the cyst. Total splenectomy is more effective but may have high morbidity and mortality and must be reserved to specific situations. Conservative procedure is safer but could increase the rate of recurrence and postoperative collection. Puncture aspiration injection reaspiration could be proposed for small cyst in inoperable patients.

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Management of abdomen hydatidosis after rupture of a hydatid splenic cyst: a case report

Abstract: We present a case of multiple hydatidosis in an 8-year-old boy that resulted from a ruptured hydatid cyst of the spleen and spread into the peritoneal cavity. We also present a new approach for managing these difficult and high-risk cases.

Cited by 10 publications

References 5 publications

Anaphylactic shock during splenic hydatid cyst surgery: A case report

Anaphylactic shock during splenic hydatid cyst surgery: A case report

Spontaneous giant splenic hydatid cyst rupture causing fatal anaphylactic shock: A case report and brief literature review

Hydatid Cyst of the Spleen: Tunisian Series of 21 Cases

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