Abstract
INTRODUCTION: Hydatid Cyst is a zoonotic infection caused by the larval form of parasite tapeworm Ecchinococcus granulosus. It is most commonly found in liver and rarely found in the spleen. It presents with vague symptoms and usually grows slowly. In this report we describe a rare advanced presentation of a splenic echinococcosis mimicking malignancy. CASE REPORT: A 16yr old female patient presenting with complaints of pain in left lumbar region since three months. Preliminary examination showed splenomegaly with tenderness. Abdominal CT scan showed evidence of well dened, round peripherally enhancing Hypodense lesion in spleen likely splenic abscess. After clinical and radiological evaluation splenectomy was done and respected spleen along with cyst was sent for histopathological examination. Splenic abscess, abdominal tuberculosis and a Conclusion- bdominal malignancy were considered clinically in differential diagnosis. Histopathology helped to reach a nal diagnosis of splenic echinococcosis which is a very rare presentation.
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