Hidatidosis of the Spleen

• Authors: Jose Ramia-Angel , Andrzej Gasz , Roberto de la Plaza-Llamas , Jose Quinones-Sampedro , Eloy Sancho , Jorge Parreno
• Languages of publication: EN

Abstracts

EN

Hydatidosis of the spleen (SH) is an extremally rare condition.The aim of the study was to present our experience and discuss diagnostic methods and therapeutical options in cases of spleen hydatidosis.Material and methods. Between 1993 and 2008, 8 patients were diagnosed with SH, 6 of whom were operated on (4 males and 2 females). Their average age was 44.5 years (the age range 30-59 years). Four patients presented isolated SH, one had a spleen and liver hydatidosis and there was also a case of one spleen, liver and peritoneal hydatidosis.Results. The main symptom of the condition was abdominal pain and hydatidosis serology was always positive. The average hydatidisis cyst size was 13.3 cm (range: 7-18 cm). Splenectomy was performed in 5 cases and a partial cystectomy in one case. A left lateral sectionectomy was required in 1 case, a segment III subsegmentectomy was delivered in 1 case and multiple cystectomies in the case of the patient with disseminated hydatisis. In the follow-up period of the above mentioned surgical procedures no mortality among the treated patients was reported. The majority of patients did not present any symptoms of morbidity (4 patients). We registered one wound infection and one cavity abscess solved with percutaneous drainage in the patient following partial cystectomy. The hospitalisation period avaraged to 5 days (within the range of 5 to 12 days). The patients' follow-up was 98 months on average (range:19-190 months) without any traced relapse.Conclusions. Total splenectomy is the treatment of choice of SH. Other surgical techniques could be employed in special cases.

Keywords

EN

hydatidosis; spleen; review

• Publisher: De Gruyter Open
• Journal: Polish Journal of Surgery
• Year: 2011
• Volume: 83
• Issue: 5
• Pages: 271-275

Dates

published

1 - 5 - 2011

online

24 - 6 - 2011

Contributors

author

Jose Ramia-Angel

• Department of Hepatobilio-Surgery, University Hospital Guadalajara, Spain

author

Andrzej Gasz

• Department of Digestive Surgery, St. Barbara Hospital, Puertollano, Spain

author

Roberto de la Plaza-Llamas

• Department of Hepatobilio-Surgery, University Hospital Guadalajara, Spain

author

Jose Quinones-Sampedro

• Department of Hepatobilio-Surgery, University Hospital Guadalajara, Spain

author

Eloy Sancho

• Department of Digestive Surgery, St. Barbara Hospital, Puertollano, Spain

author

Jorge Parreno

• Department of Hepatobilio-Surgery, University Hospital Guadalajara, Spain

References

• Safioleas M, Misiakos E, Manti C: Surgical treatment for splenic hydatidosis World J Surg 1997; 21: 374-78.[PubMed]
• Dar MA, Shah OJ, Wani NA et al.: Surgical management of splenic hydatidosis. Surg Today 2002; 32: 224-29.[Crossref][PubMed]
• Oremci N, Hocican I, Palabiyikoglu M et al.: A new therapeutic approach for treatment of hydatid cysts of the spleen. Dig Dis Sci 2002; 47:2037-44.[Crossref]
• Venissac N, Alifano M, Mouroux J: Splenic Hydatidosis Complicated by a Splenothoracic. Report of a Case. Surg Today 2002; 32: 1023-25.[Crossref][PubMed]
• Franquet T, Montes M, Lecumberri FJ et al.: Hydatid Disease of the Spleen: Imaging Findings in Nine Patients. AJR 1990; 54: 525-28.[Crossref]
• Polat P, Kantarci M, Alper F et al.: Hydatid disease from head to toe. Radiographics 2003; 23: 475-94.[PubMed][Crossref]
• Gonzlez JI, Angoso M, Marcos A et al.: Quiste hidatìdico esplenico gigante. Cir Esp 2006; 79: 120-22.[Crossref]
• Echenique M, Frìas A, Ib ·Òez J: Hidatidosis esplenica. Cir Esp 2000; 67; 161-63.
• Kismet K, Ozcan A, Sabuncuoglu M et al.: A rare case: Spontaneous cutaneous fistula of infected splenic hydatid cyst. World J Gastroenterol 2006; 12: 2633-35.[WoS]
• Matheu V, Gracia MT, Rodriguez VM et al.: Shock anafil ·ctico secundario a rotura espont ·nea de quiste hidatìdico esplènico. Rev Esp Alergol Inmunol Clin 1997; 12: 242-47.
• Ozdogan M, Baykal A, Keskek M et al.: Hydatid cyst of the spleen: treatment options. Int Surg 2001; 86: 122-26.
• Atmatzidis K, Papaziogas B, Mirelis C et al.: Splenectomy versus spleeen preserving surgery for splenci echinococcosis. Dig Surg 2003; 20: 527-31.[Crossref]
• Durgun V, Kapan S, Kapan M et al.: Primary splenic hydatidosis. Dig Surg 2003; 20: 38-41.[Crossref]
• Khoury G, Abiad F, Geagea T et al.: Laparoscopic treatment of hydatid cysts of the liver and spleen. Surg Endosc 2000; 14: 243-45.[Crossref][PubMed]
• Gharaibeh KI: Laparoscopic excision of splenic hydatid cyst. Postgrad Med J 2001; 77: 195-96.[Crossref][PubMed]

Identifiers

DOI

10.2478/v10035-011-0042-4