Surgical Approach to Splenic Hydatid Cyst: Single Center Experience

Abstract

The benefits and risks of surgery for splenic hydatid cyst (SHC) remain controversial. We aimed to share our experience about a surgical approach for SHC. Sixteen consecutive patients with SHC disease who underwent open splenectomy at our hospital between January 2006 and July 2012 were retrospectively evaluated. Data on the patients' demographic features, clinical findings, radiological and serological diagnostic methods, and surgical and medicinal treatment options were collected and used to generate descriptive profiles of diagnosis, treatment course, and outcome. The patient population was composed of 6 females and 10 males, with an age range of 18 to 79 years (mean age: 47.0 ± 18.0). Radiological examinations detected hydatid cysts in spleen alone (n = 7) or both spleen and liver (n = 9). Preoperative serological testing identified 13 of the patients as IHA positive. All except 1 patient received a 10- to 21-day preoperative course of albendazole therapy and all patients received vaccination 1 week prior to surgery. Seven patients underwent splenectomy. The remaining patients underwent splenectomy with partial cystectomy and omentopexy (n = 6), partial cystectomy and unroofing (n = 1), pericystectomy (n = 1), or pericystectomy with partial nephrectomy (n = 1). All except one patient received a 10- to 45-day postoperative course of albendazole. No patients developed serious complications or signs of recurrence during the follow-up. The clinical profile of SHC disease at our hospital includes diagnosis by radiological methods, splenectomy treatment by simple or concomitant procedures according to the patient's symptoms, cyst size, number and localization, and compression of adjacent organs, and adjunct vaccination to decrease risk of postoperative septic complications. This profile is associated with low risk of complications and high therapeutic efficacy.

Hydatid cyst of the pancreas: Report of an undiagnosed case of pancreatic hydatid cyst and brief literature review

“…Four different Echinococcus species have been defined as causative agents of hydatid disease in humans [1,2] . The most common species encountered in humans are the Echinococcus granulosus (E. granulosus), which causes cystic echinococcosis, and the Echinococcus multilocularis, which causes alveolar echinococcosis [1,2] . E. granulosus is responsible for 95% of the human hydatid cases reported.…”

“…In the biological life cycle of hydatid disease, carnivores are the definitive hosts while herbivores are the intermediary hosts. Humans themselves have no role in the biological life cycle and are usually infected after inadvertent ingestion of Echinococcus eggs in canine feces [1,2] . The disease continues to be a major public health issue in many regions of the world where agriculture and stockbreeding are primary sources of income.…”

“…The disease continues to be a major public health issue in many regions of the world where agriculture and stockbreeding are primary sources of income. Although hydatid cysts can localize to almost any tissue or organ of the human body, the liver (50%-77%), lung (15%-47%), spleen (0.5%-8%), and kidney (2%-4%) are the most commonly involved organs [2][3][4][5] . Pancreatic hydatid cyst (PHC) disease is rare, even in regions where hydatidosis is endemic [4][5][6][7] .…”

Causa rara de distensión abdominal aguda: apertura del conducto pancreático en un quiste hidatídico

“…5,6 Si bien el quiste hidatídico puede localizarse en cualquier órgano o tejido del organismo, los órganos más comúnmente afectados son el hígado (del 50% al 77%), el pulmón (del 15% al 47%), el bazo (del 0,5% al 8%) y el riñón (del 2% al 4%). 7,8 Aunque en los distintos estudios se han informado tasas de incidencia de quiste hidatídico pancreático variadas, las tasas son sistemáticamente inferiores al 1%. El quiste hidatídico pancreático puede ser de tipo primario (que afecta exclusivamente al páncreas) o secundario (que afecta a varios órganos).…”

A rare cause of acute abdominal distention: opening of the pancreatic duct into hydatic cyst

“…5,6 Although hydatid cysts can localize to almost any tissue or organ of the human body, the liver (50-77%), lung (15-47%), spleen (0.5-8%), and kidney (2-4%) are the most commonly involved organs. 7,8 While the reported incidences of pancreatic hydatid cyst Since there is no standard protocol for the treatment of hydatid cyst, the approach adopted should depend on the clinical, radiological and serological test results. 2 Treatment of hydatid cyst can be surgical or medical with punctureaspiration -injection -reaspiration (PAIR).…”