Isolated Giant Primary Splenic Hydatid Cyst: A Case Report

Abstract

INTRODUCTION: Cystic lesions of the spleen are infrequent and usually diagnosed, incidentally. These lesions are rare and their differential diagnosis is very wide. Splenic hydatid cyst (HC) is uncommon and its isolated involvement is very rare ((<2%). in frequency order, it is the third affected organ after liver and lung. caused by infection with Echinococcus granulosus larvae leading to the development of cysts.
MATERIAL AND METHODS: We are presenting a case of isolated hydatid cyst of spleen in a thirty eight year old female patient with complaints of pain in the left hypochondrium, dyspepsia and features of gastritis for the last 1 year. The diagnosis was confirmed by Contrast enhanced CT scan (CECT) objectifying a giant cyst of spleen with wall thickening and hypo-dense content, the hydatid serology came back negative. The first diagnosis that was mentioned is isolated splenic hydatid cyst (endemic area).
RESULTS: Open splenectomy was performed; the operative consequences were simple. Macroscopic and microscopic appearance confirms the diagnosis of hydatid disease.
CONCLUSION The aim of this case report is to emphasize that the most important factor in diagnosing splenic hydatid cyst is the awareness of its possibility and the intraoperative precautions which will decrease morbidity and mortality in the postoperative period