Abstract
The rarity of splenic hydatid disease may pose a diagnostic challenge for clinicians, especially in non endemic areas. Herein we report the case of a 65-year-old female presenting with moderate fever and heaviness in the left upper abdomen and found to have splenic hydatidosis. Oral albendazole therapy was applied at 10 mg/kg/day in two divided doses one month before surgery. Then splenectomy was performed. Postoperatively, the patient continued on oral albendazole for 6 months. One year later, the patient remains asymptomatic without any longterm complications observed during the follow-up.
Highlights
Hydatidosis is a parasitic disease caused mostly by Echinococcus granulosis in human and many other mammals
The rarity of splenic hydatid disease may pose a diagnostic challenge for clinicians, especially in non endemic areas
We report the case of a 65-year-old female presenting with moderate fever and heaviness in the left upper abdomen and found to have splenic hydatidosis
Summary
Hydatidosis is a parasitic disease caused mostly by Echinococcus granulosis in human and many other mammals It is characterized by a worldwide spread but is endemic mainly around the Mediterranean Sea (FernándezRuiz, M., 2008). The liver followed by the lung are the most common sites of the disease (Arikanoglu, Z., 2012) Other sites such as the heart and spleen are rarely affected. 65-year-old female presenting with moderate fever and heaviness in the left upper abdomen and found to have isolated splenic hydatidosis. A 65-year-old female resident of Jemmel (Monastir - Tunisia) was presented with five months history of moderate fever and gradual increasing sensation of heaviness in her left hypochondrium. Ultrasonographic examination of the abdomen revealed an enlarged spleen (13 cm) with well encapsulated cystic lesion measuring 9 cm x 7 cm. Figure: Abdominal CT Scan: Splenomegaly (14 cm) with well defined homogenous hypodense lesion with an enhancing capsule measuring 93 mm x 88 mm in size
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