Splenic Hydatidosis

Uriarte, Celdran; Bueno, Moreno-Gonzalez; Martin, Marijuan; Alonso, Novo; Pomares, Navarro; Conde, Ais

doi:10.4269/ajtmh.1991.44.420

Cited by 43 publications

(38 citation statements)

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“…In our center and in most reports in the literature, splenic hydatidosis occupies the third place behind hepatic and pulmonary hydatid disease. Its frequency has varied between 0.9% and 8.0% in several reports [1,3,5]; in our series it is calculated as 4.64%. Associated hepatic or peritoneal disease occurs in 20% to 30% of cases (21.4% in our series) and constitutes a significant prognostic factor [5,6].…”

Section: Discussionmentioning

confidence: 91%

Surgical Treatment for Splenic Hydatidosis

1997

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Splenic involvement is rare in patients with hydatid disease even in endemic countries. The spleen is the third most commonly involved organ after the liver and the lung. In our series splenic echinococcosis represents 5.8% of abdominal hydatid disease. During the last 22 years, 14 patients were operated on for splenic hydatid cysts in our department. In 10 patients the spleen was the only location of hydatid disease; in 2 patients there was concomitant liver hydatid disease; one patient had disseminated intraabdominal disease; and one patient had a coexisting hydatid cyst in the quadriceps femoris muscle. Plain abdominal films, ultrasonography, and computed tomography scans were most useful for establishing the diagnosis. All patients underwent splenectomy alone or combined with management of cysts at other sites, except for two patients who underwent omentoplasty and one patient who underwent external drainage. One patient died during the early postoperative period (mortality rate 7%), and three patients had minor complications. Splenic hydatid disease should be included in the differential diagnosis when a splenic cyst is identified, especially in patients with a history of hydatid disease. Surgery remains the treatment of choice to avoid serious complications.

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Section: Discussionmentioning

confidence: 91%

Surgical Treatment for Splenic Hydatidosis

1997

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“…Abdominal CT does not only provide information about the diagnosis but also provides information regarding the cyst localization, neighborhood, type, and contents. Once the diagnosis is made, systemic examination should be performed and other organs should be investigated for involvement [9].…”

Section: Discussionmentioning

confidence: 99%

Splenic Hydatid Cysts: 17 Cases

et al. 2013

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Hydatid cyst disease, which is endemically observed and an important health problem in our country, involves the spleen at a frequency ranking third following the liver and the lungs. In this study, we aimed to evaluate the efficacy and results of management in splenic hydatid cysts. The demographic data, localization, diagnosis, treatment methods, and the length of postoperative hospital stay of patients with splenic hydatid cysts in a 12-year period were evaluated retrospectively. Seventeen cases were evaluated. Among these, 13 were females and four were males. Seven had solitary splenic involvement, eight had involvement of both the spleen and the liver, and two had multiple organ involvement. Ten had undergone splenectomy, one had undergone distal splenectomy, and the remaining cases had undergone different surgical procedures. The patients had received albendazole treatment in the pre-and postoperative period. One patient had died secondary to hypernatremia on the first postoperative day. The clinical picture in splenic hydatid cysts, which is seen rarely, is usually asymptomatic. The diagnosis is established by ultrasonography and abdominal CT. Although splenectomy is the standard mode of treatment, spleen-preserving methods may be used.

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“…Hydatidosis may be associated with complications such as infection of the cyst, rupture of the cyst into the peritoneal cavity, fistula formation into hollow viscera like colon or stomach (Bitton et al, 1992), bronchopleural fistula, sympathetic pleural effusion, calcification (Uriarte et al, 1991), hypersplenism, and severe utricaria (Lewall and McCorkell, 1986) in some patients. There was no complication of splenic cyst hydatid in our patient.…”

Section: Discussionmentioning

confidence: 99%

Splenic cyst hydatid: A case report

Aktaş

Alçelik

Yılmaz

2012

jecm

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ÖZETKist hidatik dalakta en sık görülen parazitik kist sebebidir. Dalakta izole olabilecekleri gibi dissemine ekinokokkozisin bir parçası olarak da bulunabilirler. Bu yazıda splenektomi ve ototransplantasyonla tedavi ettiğimiz bir splenik kist hidatik vakasını sunmaktayız. On yedi yaşında bayan hasta hastanemize karın ağrısı şikayetiyle başvurdu. Hastaya primer dalak kist hidatiği tanısı konularak splenektomi ve ototransplantasyon yapıldı. Sonuç olarak dalaktaki kistik lezyonların kist hidatik açısından değerlendirilmesini öneriyoruz. Splenektomi ve ototransplantasyon hem tedavide hem de dalak fonksiyonlarının korunmasında etkindir.J. Exp. Clin. Med., 2012; 29:239-241 Hydatid cyst is the most common cause of parasitic cysts in spleen. Hydatid cysts may be isolated in spleen or as a part of disseminated echinoccosis. We report here a case of splenic hydatid cyst which we treated with splenectomy and autotransplantation. A seventeen year old female admitted to hospital complaining dull abdominal pain. Patient was diagnosed with primary splenic cyst hydatic and we performed splenectomy and autotransplantation. In conclusion, we recommend that cystic lesions of the spleen should be examined for hydatid cyst. Splenectomy and autotransplantation is useful for both treatment and for preservation of splenic functions.

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Splenic Hydatidosis

Cited by 43 publications

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Surgical Treatment for Splenic Hydatidosis

Surgical Treatment for Splenic Hydatidosis

Splenic Hydatid Cysts: 17 Cases

Splenic cyst hydatid: A case report

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