Parasites, Hosts and Diseases

The Korea Society for Parasitology and Tropical Medicine (대한기생충학·열대의학회)
권호 표지
DOI QR코드

DOI QR Code

Two Cases of Primary Splenic Hydatid Cyst in Greece

  • Received : 2012.01.10
  • Accepted : 2012.03.07
  • Published : 2012.06.15
Download PDF
⟨ Previous Next ⟩

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.

Keywords

References

  1. Morgenstern L. Nonparasitic splenic cysts: pathogenesis, classification, and treatment. J Am Coll Surg 2002; 194: 306-314.
  2. Hansen MB, Moller AC. Splenic cysts. Surg Laparosc Endosc Percutan Tech 2004; 14: 316-322.
  3. Kiresi DA, Karabacakoglu A, Odev K, Karakose S. Uncommon locations of hydatid cysts. Acta Radiol 2003; 44: 622-636.
  4. Fernandez-Ruiz M, Guerra-Vales JM, Enguita-Valls AB, Vila-Santos J, Garcia-Borda FJ, Morales-Gutierrez C. Splenic hydatid cyst, a rare location of extrahepatic echinococcosis: Report of six cases. Eur J Intern Med 2008; 19: 51-53.
  5. Sotiraki S, Chaligiannis I. Cystic echinococcosis in Greece: past and present. Parasite 2010; 17: 205-210.
  6. Tarcoveanu E, Plesa A, Danila N, Lupascu C, Cotea E, Negru R. Splenic hydatic cyst. Observations upon 38 cases of splenic echinococcosis. Rev Med Chir Soc Med Nat Iasi 2002; 107: 311-315.
  7. Eckert J, Deplazes P. Biological, epidemiological, and clinical aspects of echinococcosis, a zoonosis of increasing concern. Clin Microbiol Rev 2004; 17: 107-135.
  8. Tarcoveanu E, Dimofte G, Bradea C, Crumpei F, Anton R, Moldovanu R. Multiple peritoneal hydatid disease after rupture of multivesicular hepatic hydatid cyst: case report. J Gastrointestin Liver Dis 2006; 15: 301-305.
  9. Husen YA, Nadeem N, Aslam F, Bhaila I. Primary splenic hydatid cyst: A case report with characteristic imaging appearance. J Pak Med Assoc 2005; 55: 219-221.
  10. Golassa L, Abebe T, Hailu A. Evaluation of crude hydatid cyst fluid antigens for the serological diagnosis of hydatidosis in cattle. J Helminthol 2011; 85: 100-108.
  11. Amatzidis K, Papaziogas B, Mirelis C, Pavlidis T, Papaziogas T. Splenectomy versus spleen-preserving surgery for splenic echinococcosis. Dig Surg 2003; 20: 527-531.
  12. Brunt LM, Langer JC, Quasebarth MA, Whitman ED. Comparative analysis of laparoscopic versus open splenectomy. Am J Surg 1996; 172: 596-599.
  13. Bildik N, Cevik A, Altintas M, Ekinci H, Canberk M, Gulmen M. Efficacy of preoperative albendazole use according to months in hydatid cyst of the liver. J Clin Gastroenterol 2007; 41: 312-316.
  14. Guidelines for treatment of cystic and alveolar echinococcosis in humans. WHO Informal Working Group on Echinococcosis. Bull World Health Organ 1996; 74: 231-242.
  15. Adas G, Karatepe O, Altiok M, Battal M, Bender O, Ozcan D, Karahan S. Diagnostic problems with parasitic and non-parasitic splenic cysts. BMC Surg 2009; 29: 9.

Cited by

  1. Kyste hydatique de la rate: à propos d'un cas vol.14, pp.None, 2012, https://doi.org/10.11604/pamj.2013.14.92.2343
  2. Primary non-parasitic splenic cyst: a case report vol.17, pp.3, 2013, https://doi.org/10.14701/kjhbps.2013.17.3.139
  3. Surgical treatment and outcomes of hydatid cyst of the spleen vol.4, pp.2, 2012, https://doi.org/10.4236/ojgas.2014.42009
  4. Primary Giant Splenic Echinococcal Cyst Treated by Laparoscopy vol.94, pp.1, 2012, https://doi.org/10.4269/ajtmh.13-0505
  5. Case Report: Laparoscopic Excision of a Primary Giant Splenic Hydatid Cyst: Literature Review vol.101, pp.4, 2012, https://doi.org/10.4269/ajtmh.19-0400
  6. A giant splenic hydatid cyst: Why calcified cysts should not be considered as a dead cyst vol.9, pp.1, 2012, https://doi.org/10.1002/ccr3.3512