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Two cases of primary splenic hydatid cyst in Greece.

Vezakis A, Dellaportas D, Polymeneas G, Tasoulis MK, Chondrogiannis C, Melemeni A, Polydorou A, Fragulidis GP - Korean J. Parasitol. (2012)

Bottom Line: Cystic disease of the spleen is an uncommon entity in general population.Most cases result from parasitic infection by Echinococcus granulosus, a form called splenic hydatid disease (SHD), with a reported frequency of 0.5-6.0% within abdominal hydatidosis.Primary SHD is a rare entity with non-specific symptoms underlying clinical suspicion by the physician for prompt diagnosis.

View Article: PubMed Central - PubMed

Affiliation: 2nd Department of Surgery, Aretaieion University Hospital, Athens, Greece.

ABSTRACT
Cystic disease of the spleen is an uncommon entity in general population. Most cases result from parasitic infection by Echinococcus granulosus, a form called splenic hydatid disease (SHD), with a reported frequency of 0.5-6.0% within abdominal hydatidosis. On the contrary, an isolated splenic involvement of hydatid disease is very uncommon even in endemic regions. Two cases of primary SHD managed with open and laparoscopic radical surgery in our department are reported herein. Primary SHD is a rare entity with non-specific symptoms underlying clinical suspicion by the physician for prompt diagnosis. Surgical treatment is the mainstay therapy, while laparoscopic approach when feasible is safe, offering the advantages of laparoscopic surgery.

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Related in: MedlinePlus

Abdominal CT scan showing the circumferentially calcified spleen (A), intraoperative view (B), and splenectomy specimen (C).
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Figure 2: Abdominal CT scan showing the circumferentially calcified spleen (A), intraoperative view (B), and splenectomy specimen (C).

Mentions: A 71-year-old female was admitted to our department complaining of early satiety after meals and abdominal discomfort. Physical examination showed a palpable mass or splenic enlargement in the left hypochondrium. Routine laboratory studies were normal. An abdominal ultrasound revealed a calcified splenic mass. Imaging investigation with abdominal CT scan showed a circumferentially calcified spleen (Fig. 2A). Serologic tests for E. granulosus by immunoblot assay were positive. The patient underwent a formal open splenectomy with uneventful postoperative course, and she was discharged home on the 5th postoperative day (Fig. 2B, C). Histopathological results revealed a 9.5 cm cystic cavitary lesion with thick calcified wall, being consistent with hydatid cyst. Chemotherapy with albendazole was used postoperatively, but it was early discontinued due to side effects of abdominal pain and headache, which ended after therapy withdrawal. Patient remains symptom free 18 months after splenectomy.


Two cases of primary splenic hydatid cyst in Greece.

Vezakis A, Dellaportas D, Polymeneas G, Tasoulis MK, Chondrogiannis C, Melemeni A, Polydorou A, Fragulidis GP - Korean J. Parasitol. (2012)

Abdominal CT scan showing the circumferentially calcified spleen (A), intraoperative view (B), and splenectomy specimen (C).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3375454&req=5

Figure 2: Abdominal CT scan showing the circumferentially calcified spleen (A), intraoperative view (B), and splenectomy specimen (C).
Mentions: A 71-year-old female was admitted to our department complaining of early satiety after meals and abdominal discomfort. Physical examination showed a palpable mass or splenic enlargement in the left hypochondrium. Routine laboratory studies were normal. An abdominal ultrasound revealed a calcified splenic mass. Imaging investigation with abdominal CT scan showed a circumferentially calcified spleen (Fig. 2A). Serologic tests for E. granulosus by immunoblot assay were positive. The patient underwent a formal open splenectomy with uneventful postoperative course, and she was discharged home on the 5th postoperative day (Fig. 2B, C). Histopathological results revealed a 9.5 cm cystic cavitary lesion with thick calcified wall, being consistent with hydatid cyst. Chemotherapy with albendazole was used postoperatively, but it was early discontinued due to side effects of abdominal pain and headache, which ended after therapy withdrawal. Patient remains symptom free 18 months after splenectomy.

Bottom Line: Cystic disease of the spleen is an uncommon entity in general population.Most cases result from parasitic infection by Echinococcus granulosus, a form called splenic hydatid disease (SHD), with a reported frequency of 0.5-6.0% within abdominal hydatidosis.Primary SHD is a rare entity with non-specific symptoms underlying clinical suspicion by the physician for prompt diagnosis.

View Article: PubMed Central - PubMed

Affiliation: 2nd Department of Surgery, Aretaieion University Hospital, Athens, Greece.

ABSTRACT
Cystic disease of the spleen is an uncommon entity in general population. Most cases result from parasitic infection by Echinococcus granulosus, a form called splenic hydatid disease (SHD), with a reported frequency of 0.5-6.0% within abdominal hydatidosis. On the contrary, an isolated splenic involvement of hydatid disease is very uncommon even in endemic regions. Two cases of primary SHD managed with open and laparoscopic radical surgery in our department are reported herein. Primary SHD is a rare entity with non-specific symptoms underlying clinical suspicion by the physician for prompt diagnosis. Surgical treatment is the mainstay therapy, while laparoscopic approach when feasible is safe, offering the advantages of laparoscopic surgery.

Show MeSH
Related in: MedlinePlus