Minimal access surgery for multiorgan hydatid cysts

Abstract

Multiorgan hydatid cysts caused by larval growth of Echinococcus granulosus, is a rare condition in paediatric age group. There are very few reports of management of multiorgan hydatid cysts, involving lung, liver, and spleen by minimally invasive approach in paediatric age group. Herewith, we are reporting a case of hydatid cysts involving lung, liver, and spleen in a six-year-old child managed by minimally invasive surgery along with the review of literature.

Laparoscopic management of a large primary retroperitoneal hydatid cyst

“…With increasing experience of laparoscopic surgery in recent years, attempts have been made to offer the advantages of minimal access procedures to hydatid disease affecting various organs, including the liver, lung, kidney and retroperitoneum [5]. A recent report of a 6-year-old child with a multi-organ hydatid cyst showed that minimal access organ-preserving surgery is a safe and effective option in such cases [6]. The principles of conventional hydatid surgery are replicated using a minimally invasive approach.…”

Laparoscopic cystectomy for splenic hydatid cyst: a case report

“…There are only a few reports concerning laparoscopic splenectomy or partial splenectomy and spleen-preserving techniques for the treatment of hydatid disease of the spleen in adults [11]. There is only 1 report on a child having multiple organs (including the spleen) involved by hydatid cysts [12].…”

Primary Giant Splenic Echinococcal Cyst Treated by Laparoscopy

“…In our case, after 3 months of treatment, the patient is asymptomatic, neither postoperative complications nor recurrence were observed, but recurrence and evidence of spillage would usually be observed in longer periods. 12,21,24,25 Despite being an uncommon presentation, splenic CE should be considered in patients with a splenic cyst, who had lived in an endemic area, and the diagnosis is well established using ultrasound or abdominal CT, except for the CE1 type that may be difficult to differentiate from nonparasitic cystic lesions. Our case and the existing literature suggest that laparoscopical treatment is a safe and effective approach for large splenic echinococcal cysts and it can replace open surgical techniques.…”

“…20 To date, there are only 11 other cases of laparoscopically treated spleen cysts reported (Table 1). [11][12][13][14][21][22][23][24][25][26][27] In these cases, the diagnosis of splenic CHD was based on imaging findings, complemented by positive serology in only three of them. 13,14,25 In this particular case, the initial finding was an elevated left hemi diaphragm on chest X-rays (suggesting a large intra-abdominal mass), and then the splenic cysts was well visualized on abdominal CT scan.…”