Keywords
Isolated Splenic Hydatid Cyst, Splenectomy, Omentoplasty, Splenomegaly
Abstract
Introduction: Primary and isolated hydatid cysts of the spleen are very rare seen even in endemic country. We report here our experience with primary and isolated splenic hydatid cysts.
Methods: We retrospectively analyzed the record of eight cases of primary and isolated spleen hydatid cyst that treated in Arya and Razi Hospital, Iran, Rasht.
Results: Among eight patients, who underwent treatment for primary and isolated splenic hydatid cyst disease, five patients were male and three patients were female. The mean average cyst diameter was 8 cm (4-15cm). Four of patients underwent splenectomy as the surgical procedure and three of patients underwent cystotomy, partial cystectomy, and omentoplasty processes as a spleen preservative surgery. One case underwent medical treatment with albendazole because the size of cyst was 4 cm. Three patients out of eight could not undergo splenectomy because in two of them the cyst was localized in the lower pole of the spleen and in another patient it was localized in upper pole of the spleen.
Conclusion: Primary and isolated splenic hydatid cyst is very rare. A hydatid cyst must be included in the differential diagnosis of other cystic lesions of the spleen. The best toll for diagnosis is the abdominal tomography and U&S. A splenic hydatid cyst should be treated surgically due to the high risk of a rupture, and the ideal procedure in adulthood is standard splenectomy. The outcome of treatment is good without recurrences.
Citation
Aghajanzadeh M, Jalal SA, Saffar MR, Youseffi S, Mousavi MS, Habibzadeh K (2019) Reports of Symptoms, Diagnosis and Management of Eight Cases of Primary and Isolated Splenic Hydatid Cyst. JSM Clin Cytol Pathol 4: 5.