Spontaneous rupture of isolated splenic hydatid cyst without acute abdomen: A case report

Acharya, Suman; Ghimire, Bikal; Khanal, Nischal

doi:10.1002/ccr3.2424

Cited by 4 publications

(6 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…SHD usually grows very slowly, often at a rate of 0.3–1 cm annually 6 , 15 . When the size of the cyst is large, patients can present with left upper quadrant pain and/or a palpable mass 1 , 6 , 9 , 12 , 13 , 16 , 17 and may present with nonspecific symptoms, including dyspnoea due to pushing up of the left diaphragm, dyspepsia, and constipation due to compression on the colon 8 , 11 , 17 . In our case, the patient was suffering from upper abdominal distension with nausea and vomiting without a history of any other disease.…”

Section: Discussionmentioning

confidence: 99%

A massive primary hydatid splenic cyst was successfully managed through open total splenectomy: a case report and review article

Mansour,

Nassar,

Masri

et al. 2023

Annals of Medicine &Amp; Surgery

View full text Add to dashboard Cite

Background: Cystic echinococcosis (CE) is a parasitic infection that is caused by the tapeworm Echinococcus granulosus. CE is very common, especially in the rural areas of developing countries. The most commonly affected organs by hydatid cysts are the liver and the lungs. However, the primary splenic hydatid cyst (PSHC) is a very rare manifestation of CE with an incidence of 0.5–8%. Case presentation: A 17-year-old female patient presented with abdominal pain which gradually increased over months, along with anorexia and vomiting. Computerized tomography showed a massive splenic cystic mass. An open total splenectomy was performed. By follow-up, the platelet count and a postoperative chest X-ray were normal. The patient was prescribed Albendazole and analgesics. The pathological study confirmed the diagnosis of PSHC. Conclusion: Despite the occurrence of PSHC being very rare, it is very important to take it into consideration, especially in endemic areas.

show abstract

Section: Discussionmentioning

confidence: 99%

A massive primary hydatid splenic cyst was successfully managed through open total splenectomy: a case report and review article

Mansour,

Nassar,

Masri

et al. 2023

Annals of Medicine &Amp; Surgery

View full text Add to dashboard Cite

show abstract

“…Almost any anatomic location can be the host site of the parasitic cysts [ 11 , 12 ]. However, isolated splenic hydatid cyst is a very rare manifestation [ 8 ]. Worldwide incidence of splenic hydatid is 0.5–4% [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

“…The rarity of splenic hydatid disease poses a diagnostic challenge for clinicians [ 9 ]. Rarely, patients present late after the cyst is ruptured [ 8 ]. In the asymptomatic patients, the diagnosis is established during investigations for other reasons, or when the cyst reaches an advanced size [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

“…Splenectomy is the emergency operative management [ 8 ], spontaneous rupture into abdominal cavity is requiring total splenectomy [ 17 ]. The standard treatment is total or partial splenectomy.…”

Section: Discussionmentioning

confidence: 99%

“…Spontaneous rupture of isolated splenic hydatid cyst is reported [ 8 ], sometimes hydatid cyst can present as a simple cyst without having the classic serological and imaging features, and later can lead to life-threatening complications like anaphylaxis [ 9 ], calcification of the cyst may also occur.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Primary splenic hydatid cyst an unexpected diagnosis: Case report

Merad

Derrar²,

Zeggai³

et al. 2021

Annals of Medicine &Amp; Surgery

View full text Add to dashboard Cite

Introduction Hydatid disease is endemic in farming areas but occurs worldwide. The most common site of disease is liver. Hydatid disease of the spleen is a rare condition. Worldwide incidence of splenic hydatid is 0.5–4%. Surgery is the mainstay of treatment. The standard treatment is open total or partial splenectomy. Presentation of case A 28 year-old female patient was referred to our institution, after coincidental sonography finding. On abdominal examination, there was no sensitization, and there was no resistance or rebound. Ultrasound showed an enlarge spleen; an abdominal CT confirmed the presence of a splenic cyst at the lower pole of the spleen of 7 cm in diameter, no other organ involvement. The biological confirmation was made by indirect hemagglutination. Spleen-sparing surgery was performed. Macroscopic and microscopic examination of the specimen confirmed Hydatid cyst. The patient was discharged from hospital on the seventh postoperative day with a prescription for albendazole (2 × 400 mg/day) for three months. Discussion and conclusion The rarity of primary splenic hydatid disease poses a diagnostic challenge for clinicians, the disease should be considered in differential in every patient in endemic areas with cystic lesion of spleen until proved otherwise, it may be detected incidentally or present with non-specific complaints, preservation surgery should always be tried to avoid post splenectomy infection, especially in young patients.

show abstract