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Isolated retroperitoneal hydatid cyst invading splenic hilum
Safak Ozturk1, Mutlu Unver1, Burcin Kibar Ozturk2
1Department of General Surgery Clinic, T.C.S.B. Tepecik Teaching and Research Hospital, 35110 Izmir, Turkey.
Case Reports in Surgery
|May 3, 2014
Summary
Primary retroperitoneal hydatid cyst, a rare parasitic infestation, can cause abdominal pain. Surgical resection, like total cystectomy, is the primary treatment for large, symptomatic cases.
Area of Science:
- Parasitology
- Abdominal Surgery
- Radiology
Background:
- Hydatid disease (HD) is caused by Echinococcus granulosus larvae.
- Liver and lung involvement are common; primary retroperitoneal cysts are rare.
- Clinical presentation often depends on cyst location, with abdominal pain being frequent.
Purpose of the Study:
- To report a rare case of primary retroperitoneal hydatid cyst.
- To highlight diagnostic and management strategies for this condition.
Main Methods:
- A 43-year-old female presented with abdominal pain.
- Computed tomography (CT) identified a large retroperitoneal cystic lesion.
- Surgical intervention included total cystectomy and splenectomy.
Main Results:
- Pathological examination confirmed a hydatid cyst.
- The cyst was large (17 × 11 cm) and located retroperitoneally, involving multiple organs.
- Surgical resection was successfully performed.
Conclusions:
- Primary retroperitoneal hydatid cysts are exceptionally rare but require prompt diagnosis and management.
- Surgical resection, particularly total cystectomy, remains the gold standard for curative treatment.
- Medical management with albendazole or praziquantel and percutaneous techniques are options for specific cases.
