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Primary splenic hydatid cyst an unexpected diagnosis: Case report
Yassine Merad1,2, Hichem Derrar3, Ahmed Zeggai4
1Department of Parasitology-Mycology, Central Laboratory, « Hassani Abdelkader » Hospital, University, UDL Faculty of Medicine, Sidi-Bel Abbès, Algeria.
Annals of Medicine and Surgery (2012)
|May 17, 2021
Summary
Hydatid disease of the spleen is rare but should be considered in endemic areas. Spleen-sparing surgery is recommended to avoid post-splenectomy infections, especially in young patients.
Area of Science:
- Parasitology
- Surgical Oncology
- Infectious Diseases
Background:
- Hydatid disease, caused by Echinococcus granulosus, is endemic in agricultural regions globally.
- While liver involvement is most common, splenic hydatid disease is a rare condition with a worldwide incidence of 0.5-4%.
Observation:
- A 28-year-old female presented with an incidentally discovered 7 cm splenic cyst.
- Imaging (ultrasound and CT) confirmed a splenic cyst without other organ involvement.
- Biological confirmation was achieved through indirect hemagglutination.
Findings:
- Spleen-sparing surgery was successfully performed, confirming a hydatid cyst upon examination.
- The patient received a three-month course of albendazole post-operatively.
Implications:
- The rarity of splenic hydatid disease necessitates its inclusion in the differential diagnosis for splenic cystic lesions in endemic areas.
- Spleen-preserving surgical techniques are crucial to prevent post-splenectomy infections, particularly in younger individuals.
