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Transient Transduction of the Strobilated Forms of Echinococcus granulosus
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An Isolated Splenic Hydatid Cyst.

Hovra Zahoor1, Esra Sari1, Jay Patel1

  • 1Internal Medicine, HCA Florida Orange Park Hospital, Orange Park, USA.

Cureus
|April 25, 2023
PubMed
Summary

Isolated splenic hydatid cysts are rare, often leading to misdiagnosis in non-endemic regions. This case highlights delayed diagnosis and the need for surgical intervention despite antiparasitic treatment.

Keywords:
cyst hydatidechinococcosis granulosushydatidhydatid serologypartial splenectomysplenic cyst

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Area of Science:

  • * Parasitology
  • * Abdominal Imaging
  • * Surgical Case Reports

Background:

  • * Echinococcal disease typically affects the liver and lungs.
  • * Splenic involvement is uncommon, presenting diagnostic challenges.
  • * Isolated splenic hydatid cysts are exceptionally rare in non-endemic areas.

Observation:

  • * A 28-year-old female presented with abdominal pain, constipation, and early satiety.
  • * Imaging revealed an isolated splenic cyst.
  • * Initial treatment with albendazole was insufficient.

Findings:

  • * Delayed diagnosis of an isolated splenic hydatid cyst.
  • * Partial response to albendazole therapy.
  • * Splenectomy was ultimately required for definitive treatment.

Implications:

  • * Highlights the importance of considering rare parasitic infections in abdominal complaints.
  • * Underscores diagnostic challenges in non-endemic regions for echinococcosis.
  • * Emphasizes that splenectomy may be necessary for splenic hydatid cysts unresponsive to medical management.