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Total Splenectomy for a Giant Isolated Splenic Hydatid Cyst Compressing the Abdominal Viscera: A Case Report

Patient: Female, 49-year-old Final Diagnosis: Echinococcus infection Symptoms: Left upper quadrant abdominal pain Medication:— Clinical Procedure: — Specialty: Surgery OBJECTIVE: Rare disease BACKGROUND: Extrahepatic and extrapulmonary localizations of cystic echinococcosis (CE) are rare and the inc...

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Autores principales: Chatzifotiou, Dimitrios, Wolf, Christian, Baibakovs, Arthurs, Werthebach, Harald, Lupascu, Bogdan, Schnell, Martin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8329872/
https://www.ncbi.nlm.nih.gov/pubmed/34315846
http://dx.doi.org/10.12659/AJCR.931195
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author Chatzifotiou, Dimitrios
Wolf, Christian
Baibakovs, Arthurs
Werthebach, Harald
Lupascu, Bogdan
Schnell, Martin
author_facet Chatzifotiou, Dimitrios
Wolf, Christian
Baibakovs, Arthurs
Werthebach, Harald
Lupascu, Bogdan
Schnell, Martin
author_sort Chatzifotiou, Dimitrios
collection PubMed
description Patient: Female, 49-year-old Final Diagnosis: Echinococcus infection Symptoms: Left upper quadrant abdominal pain Medication:— Clinical Procedure: — Specialty: Surgery OBJECTIVE: Rare disease BACKGROUND: Extrahepatic and extrapulmonary localizations of cystic echinococcosis (CE) are rare and the incidence of splenic involvement is seen in 1.0% to 3.3% of all cases in the endemic areas of the Middle East and Asia. The diagnostic pathway consists of a detailed travel history, physical examination, abdominal ultrasonography, computed tomography, and serological tests. The efficacy of perioperative administration of albendazole (400 mg twice a day) has been proven; however, the appropriate surgical procedure for the treatment of giant, centrally located splenic hydatid cysts remains controversial. CASE REPORT: We present the case of a 49-year-old woman referred to our hospital for a suspected isolated splenic hydatid cyst causing a compression of the right kidney, stomach, and the tail of the pancreas. She reported chronic pain in the left upper quadrant and a history of contact with animals. She underwent open splenectomy via a medial to lateral approach to minimize manipulation of the spleen. In addition, she received perioperative parasitostatic drug therapy with albendazole. The postoperative period was uneventful and the histologic analysis confirmed the diagnosis. CONCLUSIONS: The spleen is a rare location for isolated CE, especially in non-endemic areas and must be considered in the differential diagnosis of splenic cystic masses. Surgical resection remains the most effective treatment that completely resolves this condition. A comparison of randomized trials is needed to compare the recurrence rates between splenectomy and spleen-preserving procedures in the treatment of giant splenic hydatid cysts.
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spelling pubmed-83298722021-08-09 Total Splenectomy for a Giant Isolated Splenic Hydatid Cyst Compressing the Abdominal Viscera: A Case Report Chatzifotiou, Dimitrios Wolf, Christian Baibakovs, Arthurs Werthebach, Harald Lupascu, Bogdan Schnell, Martin Am J Case Rep Articles Patient: Female, 49-year-old Final Diagnosis: Echinococcus infection Symptoms: Left upper quadrant abdominal pain Medication:— Clinical Procedure: — Specialty: Surgery OBJECTIVE: Rare disease BACKGROUND: Extrahepatic and extrapulmonary localizations of cystic echinococcosis (CE) are rare and the incidence of splenic involvement is seen in 1.0% to 3.3% of all cases in the endemic areas of the Middle East and Asia. The diagnostic pathway consists of a detailed travel history, physical examination, abdominal ultrasonography, computed tomography, and serological tests. The efficacy of perioperative administration of albendazole (400 mg twice a day) has been proven; however, the appropriate surgical procedure for the treatment of giant, centrally located splenic hydatid cysts remains controversial. CASE REPORT: We present the case of a 49-year-old woman referred to our hospital for a suspected isolated splenic hydatid cyst causing a compression of the right kidney, stomach, and the tail of the pancreas. She reported chronic pain in the left upper quadrant and a history of contact with animals. She underwent open splenectomy via a medial to lateral approach to minimize manipulation of the spleen. In addition, she received perioperative parasitostatic drug therapy with albendazole. The postoperative period was uneventful and the histologic analysis confirmed the diagnosis. CONCLUSIONS: The spleen is a rare location for isolated CE, especially in non-endemic areas and must be considered in the differential diagnosis of splenic cystic masses. Surgical resection remains the most effective treatment that completely resolves this condition. A comparison of randomized trials is needed to compare the recurrence rates between splenectomy and spleen-preserving procedures in the treatment of giant splenic hydatid cysts. International Scientific Literature, Inc. 2021-07-28 /pmc/articles/PMC8329872/ /pubmed/34315846 http://dx.doi.org/10.12659/AJCR.931195 Text en © Am J Case Rep, 2021 https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) )
spellingShingle Articles
Chatzifotiou, Dimitrios
Wolf, Christian
Baibakovs, Arthurs
Werthebach, Harald
Lupascu, Bogdan
Schnell, Martin
Total Splenectomy for a Giant Isolated Splenic Hydatid Cyst Compressing the Abdominal Viscera: A Case Report
title Total Splenectomy for a Giant Isolated Splenic Hydatid Cyst Compressing the Abdominal Viscera: A Case Report
title_full Total Splenectomy for a Giant Isolated Splenic Hydatid Cyst Compressing the Abdominal Viscera: A Case Report
title_fullStr Total Splenectomy for a Giant Isolated Splenic Hydatid Cyst Compressing the Abdominal Viscera: A Case Report
title_full_unstemmed Total Splenectomy for a Giant Isolated Splenic Hydatid Cyst Compressing the Abdominal Viscera: A Case Report
title_short Total Splenectomy for a Giant Isolated Splenic Hydatid Cyst Compressing the Abdominal Viscera: A Case Report
title_sort total splenectomy for a giant isolated splenic hydatid cyst compressing the abdominal viscera: a case report
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8329872/
https://www.ncbi.nlm.nih.gov/pubmed/34315846
http://dx.doi.org/10.12659/AJCR.931195
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