A Giant Primary Hydatid Cyst of Spleen – A Case Report
Published: 2023-08-19
Page: 405-409
Issue: 2023 - Volume 6 [Issue 2]
S. N. Jatal *
Jatal Hospital and Research Centre, Latur, India.
Sudhir Jatal
Jatal Hospital and Research Centre, Latur, Tata Hospital, Mumbai, India.
Sachin Ingle
Department of Pathology, MIMSR Medical college, Latur, India.
*Author to whom correspondence should be addressed.
Abstract
Hydatid cysts are caused by a tapeworm echinococcus granulosus. It is endemic disease in cattle-rearing areas of south America, Africa, Middle east, South Europe, India, Australia and New Zealand. The life cycle of echinococcus includes a definitive host dog and intermediate host is sheep, goats or swine. Humans are incidental hosts.
The most common site of disease is the liver 60-70%, followed by lungs 30%, spleen, kidney, pancreas, bones, brain and muscles are rarely affected. Spleen is the third most common organ involved in hydatid cyst disease. Berlot in 1790 was the first to describe splenic hydatid cyst as an autopsy finding. Hydatid cyst of spleen is a very rare clinical condition as even in the endemic region, the incidence reported is to be 0.5-4% of abdominal hydatid diseases. Primary splenic hydatid cyst is very rare and account for 2% of the patients.
The majority of treatment for a splenic hydatid cyst is surgery. To lower the risk of sepsis, patients should obtain vaccinations against pneumococcal, haemophilus influenzae, and meningococcal infections at least two weeks before and again after surgery. This is medical prophylaxis with albendazole.
Here in we report a rare case of huge splenic hydatid cyst successfully managed surgically. 20 years old female patient with the complaints of left hypochondriac pain and huge splenomegaly. There was history of pet dog handling and we performed total open splenectomy.
Keywords: Echinococcus Granulosus, primary splenic hydatid cyst, splenomegaly
How to Cite
References
Merad Y, Derrar H, Zeggai A, Chadli M, Bemrah N, Habachi B. Primary splenic hydatid cyst an unexpected diagnosis: Case report. Ann Med Surg (Lond). 2021 Apr 20;65:102293. DOI: 10.1016/j.amsu.2021.102293
PMID: 33996047; PMCID: PMC8091878.
Singh Sampurnaa, Kisee Shreejaa, Amatya Suprabhaa, Singh Santoshb, Bista Shiwania, Shrestha Rajana, Thapa, Milan Kumar Chhantela. A case of giant primary splenic hydatid cyst: Case report. Annals of Medicine & Surgery. 2022;84. DOI: 10.1016/j.amsu.2022.104829
Ghabisha S, Ahmed F, Al-wageeh S, Al-shami E, Al-naggar K, Chowdhury U, Haider N, Al-yousofy F. Isolated Giant Primary Splenic Hydatid Cyst in a 10-Year-Old Boy: A Case Report. Pediatric Health Med Ther. 2021;12:55-59.
Available:https://doi.org/10.2147/PHMT.S295280
Kishor Manandhar. Primary splenic hydatidosis. Journal of Patan Academy of Health Sciences. 2018Dec;5(2):70-73.
Singh S, Kisee S, Amatya S, Singh S, Bista S, Shrestha R, Thapa MK. A case of giant primary splenic hydatid cyst: Case report. Annals of Medicine and Surgery. 2022 Dec 1;84:104829.
Malik AA, ul Bari S, Younis M, et al. Primary splenic hydatidosis. Indian J Gastroenterol. 2011;30:175–177.
Available:https://doi.org/10.1007/s12664-011-0104-x
Yotsov, TsankoIvelinov, Dyulgerova, Stela, Draganova, Daniela. Laparoscopic splenectomy for solitary splenic hydatid cyst: Case report Journal of Minimal Access Surgery. 2022;0972-9941.
Belli S, Akbulut S, Erbay G, Koçer NE. Spontaneous giant splenic hydatid cyst rupture causing fatal anaphylactic shock: A case report and brief literature review. Turk J Gastroenterol. 2014;25:88-91.
Sajal Gupta, Prabhu Shankar, Amit Garg. Primary Hydatid Cyst of Spleen - A Rare Entity, IOSR Journal of Dental and Medical Sciences (IOSR-JDMS). 2022;21(2):Ser.6.
e-ISSN: 2279-0853, p-ISSN: 2279-0861.
Merad Zakaria, Solitary Splenic Hydatid Cyst, Journal of Clinical and Diagnostic Pathology, 2021;1(4):1-4.
ISSN 2689-5773. Available:https://doi.org/10.14302/issn.2689-5773.jcdp-21-3890
Bayramov, Nuru Yusifoglu, Mammadov, Ruslan Aydınoglu, Gahramanova, Farah Afilqızı, Prophylactic Surgery. 2021;133, 978-3-030-66853-2.