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Massive splenic hydatid cyst.

Badar Murtaza1, Zafar Iqbal Gondal, Arshad Mehmood

  • 1Department of General Surgery, Combined Military Hospital, Kharian.

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|September 27, 2005
PubMed
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Hydatid disease, a parasitic infection, can affect multiple organs. This case highlights a rare instance of a massive splenic hydatid cyst alongside liver involvement, emphasizing the need for high clinical suspicion in endemic areas.

Area of Science:

  • Medicine
  • Parasitology
  • Radiology

Background:

  • Hydatid disease, caused by Echinococcus granulosus, is a zoonotic parasitic infection prevalent in endemic regions.
  • It can manifest in various organs, with the liver being the most common site, followed by the lungs.
  • Splenic involvement is rare, particularly presenting as a massive cyst.

Observation:

  • A patient presented with a 5-year history of abdominal distension and discomfort.
  • Clinical examination revealed massive splenomegaly and hepatomegaly.
  • Diagnostic imaging confirmed the presence of hydatid cysts in both the spleen and liver.

Findings:

  • Peroperative findings revealed a huge splenic hydatid cyst measuring 35 x 20 cm.
  • Two additional hydatid cysts were identified in the liver.

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  • The patient underwent splenectomy for the splenic cyst and endocystectomy with capsulorrhaphy for the hepatic lesions.

    • Implications:

    • This case underscores the importance of considering hydatid disease in the differential diagnosis of massive splenomegaly and hepatomegaly, even with unusual presentations.
    • Early and accurate diagnosis through clinical suspicion and appropriate imaging is crucial for effective management.
    • Surgical intervention, including splenectomy and management of hepatic cysts, is essential for treating extensive hydatid disease.