Primary perisplenic hydatid cyst

J Coll Physicians Surg Pak. 2009 Jun;19(6):380-2.

Abstract

Splenic parasitic cysts due to flat worm Echinococci resulting in hydatid disease are a rare presentation as primary site even in the endemic regions. Primary splenic parasitic cysts have an incidence of 0.5-4%. A 21-year-old male with pet dogs at home, presented with 3 months history of gradually increasing discomfort in the left hypochondrium and tender splenomegaly. He had marked eosinophilia with normal liver function tests and positive serum IgM Echinococcus antibodies. Ultrasonography showed a cyst in the hilar region of spleen having septations with internal echos. An upper midline laparotomy was performed and a perisplenic cyst was removed along with spleen from the sub-diaphragmatic location. Histopathological examination confirmed acellular fibrous wall of hydatid cyst with germinal layer and scolices in the centre. Postoperatively, patient was continued on oral Albendazole for one month.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Albendazole / therapeutic use
  • Animals
  • Antiprotozoal Agents / therapeutic use
  • Dogs
  • Echinococcosis / diagnosis*
  • Echinococcosis / diagnostic imaging
  • Echinococcosis / surgery
  • Eosinophilia
  • Humans
  • Immunoglobulin M
  • Laparotomy
  • Male
  • Spleen / diagnostic imaging
  • Spleen / parasitology*
  • Spleen / surgery
  • Splenectomy
  • Splenic Diseases / diagnostic imaging
  • Splenic Diseases / parasitology*
  • Splenic Diseases / surgery
  • Ultrasonography

Substances

  • Antiprotozoal Agents
  • Immunoglobulin M
  • Albendazole