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[A rare splenic involvement by Echinococcus multilocularis - case report].

J Rechner1, L Nowak, F Hess

  • 1Chirurgische Klinik, Kantonales Spital Grabs, Grabs, Schweiz. jordan.rechner@srrws.ch

Zentralblatt Fur Chirurgie
|May 23, 2007
PubMed
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An 81-year-old patient presented with a suspected spleen rupture, but was found to have a spleen abscess caused by Echinococcus multilocularis infection, notably without liver involvement.

Area of Science:

  • Medicine
  • Parasitology
  • Infectious Diseases

Background:

  • Atraumatic spleen rupture can present with diverse underlying causes.
  • Echinococcus multilocularis infection, a parasitic zoonosis, typically affects the liver but can involve other organs.

Observation:

  • An 81-year-old patient underwent surgery for a presumed atraumatic spleen rupture.
  • Intraoperatively, a spleen abscess was identified.
  • Histopathological analysis confirmed Echinococcus multilocularis infection within the spleen.

Findings:

  • The spleen abscess was attributed to Echinococcus multilocularis.
  • Remarkably, there was no evidence of liver involvement or other organ dissemination.
  • The patient's case history, clinical course, and treatment are detailed.

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Implications:

  • This case highlights the potential for Echinococcus multilocularis to cause splenic abscesses without hepatic involvement.
  • It underscores the importance of considering parasitic infections in the differential diagnosis of splenic pathologies.
  • Further understanding of Echinococcus multilocularis syndrome presentation is crucial for timely diagnosis and management.