Abstract
Aim: Discuss the different modalities of surgical treatment of splenic hydatid cyst and outcomes after treatment. Patients and Methods: Retrospectively, 14 patients were operated in our institution between 2002 and 2011. Results: A total splenectomy was performed in 8 cases. A conservative treatment was preferred in 6 cases: 2 patients underwent partiel splenctomy and two patients underwent partial cystectomy. The duration of hospitalization ranged from 5 to 15 days. The morbidity rate was 14%. One patient presented a recurrent hemorrhage and one patient developed a left pneumonia. There is no death in our series. The mean duration follow-up was 20 months and there is no recurrence. Conclusion: Management of a splenic hydatid cyst is not consensual. Surgery remains the treatment of choice to avoid serious complications. Total splenectomy is optimal because it provides definitive treatment. However, spleen-preserving surgery is the preferred treatment in some selected patients.
Highlights
Hydatid disease is a zoonotic infection caused by the larval stage of the genus Echinococcus, known as E. granulosus
A total splenectomy was performed in 8 cases
Total splenectomy is optimal because it provides definitive treatment
Summary
Hydatid disease is a zoonotic infection caused by the larval stage of the genus Echinococcus, known as E. granulosus. It remains a considerable public health problem in several Mediterranean countries [1]. It most frequently localized to the liver (60% - 70%) and lung (20%), it can be developed in any organ system in the body. The spleen localization is the third most organs which can be affected. Even in country where hydatid disease is endemic, the splenic localization is uncommon. It occurs in 0.5% - 6% of cases and it can either be isolated or concomitant with liver hydatid disease
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