1921
Volume 101, Issue 4
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645

Abstract

Abstract.

Cystic echinococcosis (CE), also known as hydatid cyst, is a zoonosis caused by the tapeworm . It is a common health problem in many countries. This condition predominantly affects the liver and the lungs, and the spleen to a less extent (splenic hydatid cyst, SHD). Indeed, it is estimated that SHD occurs in less than 2% of abdominal CE and 0.5–8% of CE cases. Here, we present a case of a 44-year-old Chinese woman with primary giant SHD who experienced pain in the left hypochondrium for 10 days. A combination of abdominal ultrasonography and computed tomography (CT) were used for preoperative diagnosis. Laparoscopic splenectomy was performed without any complications, and albendazole (400 mg per day) was administered postoperatively for 3 months. At 3-, 6-, 12-, and 24-month follow-up, the patient remained symptoms free, and abdominal CT found no signs of recurrence. In addition to this case, we review the previous literature on SHD treated by laparoscopy and reveal that laparoscopic approach is safe and effective for SHD. Particularly, we show that laparoscopic splenectomy is feasible for giant cysts (> 10 cm) at high risk of rupture or compressing other vital structures.

[open-access] This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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References

  1. McManus DP, Zhang W, Li J, Bartley PB, , 2003. Echinococcosis. Lancet 362: 12951304. [Google Scholar]
  2. Herrador Z, Siles-Lucas M, Aparicio P, Lopez-Velez R, Gherasim A, Garate T, Benito A, , 2016. Cystic echinococcosis epidemiology in Spain based on hospitalization records, 1997–2012. PLos Negl Trop Dis 10: e0004942. [Google Scholar]
  3. Akhan O, Koroglu M, , 2007. Hydatid disease of the spleen. Semin Ultrasound CT MR 28: 2834. [Google Scholar]
  4. Malik AA, ul Bari S, Younis M, Wani KA, Rather AA, , 2011. Primary splenic hydatidosis. Indian J Gastroenterol 30: 175177. [Google Scholar]
  5. Agha RA, Fowler AJ, Saeta A, Barai I, Rajmohan S, Orgill DP, SCARE Group; , 2016. The SCARE statement: consensus-based surgical case report guidelines. Int J Surg 34: 180186. [Google Scholar]
  6. Giri S, Parija SC, , 2012. A review on diagnostic and preventive aspects of cystic echinococcosis and human cysticercosis. Trop Parasitol 2: 99108. [Google Scholar]
  7. Jenkins DJ, Romig T, Thompson RC, , 2005. Emergence/re-emergence of Echinococcus spp.—a global update. Int J Parasitol 35: 12051219. [Google Scholar]
  8. Romig T, Dinkel A, Mackenstedt U, , 2006. The present situation of echinococcosis in Europe. Parasitol Int 55 (Suppl): S187S191. [Google Scholar]
  9. Tiaoying L, 2005. Echinococcosis in Tibetan populations, western Sichuan Province, China. Emerg Infect Dis 11: 18661873. [Google Scholar]
  10. Gupta A, Kakkar A, Chadha M, Sathaye CB, , 1998. A primary intrapelvic hydatid cyst presenting with foot drop and a gluteal swellin. Br J Bone Jt Surg 80: 10371039. [Google Scholar]
  11. Larrieu EJ, Frider B, , 2001. Human cystic echinococcosis: contributions to the natural history of the disease. Ann Trop Med Parasitol 95: 679687. [Google Scholar]
  12. Rice HE, Oldham KT, Colombani PM, Foglia RP, Skinner MA, , 2005. Pediatric spleen surgery. , ed. Laparoscopic Cystectomy for Splenic Hydatid Cyst: A Case Report. Philadelphia, PA: Lippincott Williams & Wilkins, 1518. [Google Scholar]
  13. Safioleas S, Misiakos EP, Manti C, , 1997. Surgical treatment for splenic hydatidosis. World J Surg 21: 374377. [Google Scholar]
  14. Morar R, Feldman C, , 2003. Pulmonary echinococcosis. Eur Respir J 21: 10691077. [Google Scholar]
  15. Godara R, Dhingra A, Ahuja V, Garg P, Sen J, , 2007. Primary peritoneal hydatidosis: clinically mimicking carcinoma of ovary. Internet J Gynecol Obstet 7: 14. [Google Scholar]
  16. Safioleas M, Misiakos E, Manti C, Katsikas D, Skalkeas G, , 1994. Diagnostic evaluation and surgical management of hydatid disease of the liver. World J Surg 18: 859865. [Google Scholar]
  17. Pant CS, Gupta RK, , 1987. Diagnostic value of ultrasonography in hydatid disease in abdomen and chest. Acta Radiol 28: 743745. [Google Scholar]
  18. Wuestenberg J, Gruener B, Oeztuerk S, Mason RA, Haenle MM, Graeter T, Akinli AS, Kern P, Kratzer W, , 2014. Diagnostics in cystic echinococcosis: serology versus ultrasonography. Turk J Gastroenterol 25: 398404. [Google Scholar]
  19. Dhar P, Chaudhary A, Desai R, Agarwal A, Sachdev A, , 1996. Current trends in the diagnosis and management of cystic hydatid disease of the liver. J Commun Dis 28: 221230. [Google Scholar]
  20. Xynos E, Pechlivanides G, Tzortzinis A, Papageorgiou A, Vassilakis JS, , 1991. Hydatid disease of the liver. Diagnosis and surgical treatment. HPB Surg 4: 5966. [Google Scholar]
  21. el-Tahir MI, Omojola MF, Malatani T, al-Saigh AH, Ogunbiyi OA, , 1992. Hydatid disease of the liver: evaluation of ultrasound and computed tomography. Br J Radiol 65: 390392. [Google Scholar]
  22. Eris C, Akbulut S, Yildiz MK, Abuoglu H, Odabasi M, Ozkan E, Atalay S, Gunay E, , 2013. Surgical approach to splenic hydatid cyst: single center experience. Int Surg 98: 346353. [Google Scholar]
  23. al Karawi MA, el-Shiekh Mohamed AR, Yasawy MI, , 1990. Advances in diagnosis and management of hydatid disease. Hepatogastroenterology 37: 327331. [Google Scholar]
  24. Morris DL, Buckley J, Gregson R, Worthington BS, , 1987. Magnetic resonance imaging in hydatid disease. Clin Radiol 38: 141144. [Google Scholar]
  25. Ortona E, Riganò R, Buttari B, Delunardo F, Ioppolo S, Margutti P, Profumo E, Teggi A, Vaccari S, Siracusano A, , 2003. An update on immunodiagnosis of cystic echinococcosis. Acta Trop 85: 165171. [Google Scholar]
  26. Force L, Torres JM, Carrillo A, Buscà J, , 1992. Evaluation of eight serologic tests in the diagnosis of human echinococcosis and follow-up. Clin Infect Dis 15: 473480. [Google Scholar]
  27. Akbulut S, Sogutcu N, Eris C, , 2013. Hydatid disease of the spleen: single-center experience and a brief literature review. J Gastrointest Surg 17: 17841795. [Google Scholar]
  28. Thambidurai L, Santhosham R, Dev B, , 2011. Hydatid cyst: anywhere, everywhere. Radiol Case Rep 6: 486. [Google Scholar]
  29. Brunetti E, Kern P, Vuitton DA, , 2010. Writing panel for the WHO-IWGE. Expert consensus for the diagnosis and treatment of cystic and alveolar echinococcosis in humans. Acta Trop 114: 116. [Google Scholar]
  30. Rinaldi F, Brunetti E, Neumayr A, Maestri M, Goblirsch S, Tamarozzi F, , 2014. Cystic echinococcosis of the liver: a primer for hepatologists. World J Hepato 6: 293305. [Google Scholar]
  31. WHO Informal Working Group, 2003. International classification of ultrasound images in cystic echinococcosis for application in clinical and field epidemiological settings. Acta Trop 85: 253261. [Google Scholar]
  32. Brunetti E, White AC, Jr., 2012. Cestode infestations: hydatid disease and cysticercosis. Infect Dis Clin North Am 26: 421435. [Google Scholar]
  33. Arikanoglu Z, Taskesen F, Gumus H, Onder A, Aliosmanoglu I, Gul M, Akgul OL, Keles C, , 2012. Selecting a surgical modality to treat a splenic hydatid cyst: total splenectomy or spleen-saving surgery? J Gastrointest Surg 16: 11891193. [Google Scholar]
  34. Ballaux KE, Himpens JM, Leman G, Van den Bossche MR, , 1997. Hand-assisted laparoscopic splenectomy for hydatid cyst. Surg Endosc 11: 942943. [Google Scholar]
  35. Arce MA, Limaylla H, Valcarcel M, Garcia HH, Santivañez SJ, , 2016. Primary giant splenic echinococcal cyst treated by laparoscopy. Am J Trop Med Hyg 94: 161165. [Google Scholar]
  36. Kalinova K, Stefanova P, Bosheva M, , 2006. Surgery in children with hydatid disease of the spleen. J Pediatr Surg 41: 12641266. [Google Scholar]
  37. Dar MA, Shah OJ, Wani NA, Khan FA, Shah P, , 2002. Surgical management of splenic hydatidosis. Surg Today 32: 224229. [Google Scholar]
  38. Atmatzidis K, Papaziogas B, Mirelis C, Pavlidis T, Papaziogas T, , 2003. Splenectomy versus spleen-preserving surgery for splenic echinococcosis. Dig Surg 20: 527531. [Google Scholar]
  39. Dervenis C, Delis S, Avgerinos C, Madariaga J, Milicevic M, , 2005. Changing concepts in the management of liver hydatid disease. J Gastrointest Surg 9: 869877. [Google Scholar]
  40. Aktan AO, Yalin R, , 1996. Preoperative albendazole treatment for liver hydatid disease decreases the viability of the cyst. Eur J Gastroenterol Hepatol 8: 877879. [Google Scholar]
  41. Erzurumlu K, Hökelek M, Gönlüsen L, Tas K, Amanvermez R, , 2000. The effect of albendazole on the prevention of secondary hydatidosis. Hepatogastroenterology 47: 247250. [Google Scholar]
  42. Arif SH, Shams-Ul-Bari Wani NA, Zargar SA, Wani MA, Tabassum R, Hussain Z, Baba AA, Lone RA, , 2008. Albendazole as an adjuvant to the standard surgical management of hydatid cyst liver. Int J Surg 6: 448451. [Google Scholar]
  43. Gil-Grande LA, 1993. Randomised controlled trial of efficacy of albendazole in intra-abdominal hydatid disease. Lancet 342: 12691272. [Google Scholar]
  44. Bildik N, Cevik A, Altintaş M, Ekinci H, Canberk M, Gülmen M, , 2007. Efficacy of preoperative albendazole use according to months in hydatid cyst of the liver. J Clin Gastroenterol 41: 312316. [Google Scholar]
  45. Kumar P, Hasan A, Kumar M, Singh V, , 2016. Isolated hydatid cyst of spleen: a rare case with rare presentation. Int J Surg Case Rep 28: 279281. [Google Scholar]
  46. Busić Z, Kolovrat M, Ðuzel A, Rakić M, Cavka M, Begović A, Kopljar M, Patrlj L, , 2015. Laparoscopic partial pericystectomy of splenic hydatid cyst–a case report [article in Croatian]. Lijec Vjesn 137: 361363. [Google Scholar]
  47. Vezakis A, Dellaportas D, Polymeneas G, Tasoulis MK, Chondrogiannis C, Melemeni A, Polydorou A, Fragulidis GP, , 2012. Two cases of primary splenic hydatid cyst in Greece. Korean J Parasitol 50: 147150. [Google Scholar]
  48. Singal R, Goyal S, Goyal R, Mittal A, Gupta S, , 2011. Primary splenic hydatid cyst in a young boy–an uncommon entity. West Indian Med J 60: 374376. [Google Scholar]
  49. Akkoyun I, Akbıyık F, Altunkeser A, , 2011. Laparoscopic cystectomy for splenic hydatid cyst: a case report. J Pediatr Surg 46: e1e3. [Google Scholar]
  50. Polat FR, Sezer A, Polat S, , 2009. Laparoscopic treatment of hydatid cyst of the spleen without splenectomy: report of a case. Surg Laparosc Endosc Percutan Tech 19: e215e216. [Google Scholar]
  51. Diaconescu MR, Glod M, Costea I, Ciolpan C, Georgescu S, , 2008. Laparoscopic hand-assisted splenectomy for hydatid cyst. Chirurgia (Bucur) 103: 103106. [Google Scholar]
  52. Gharaibeh KI, , 2001. Laparoscopic excision of splenic hydatid cyst. Postgrad Med J 77: 195196. [Google Scholar]
  53. Doğan K, Kaya C, Karaman U, Kalaycı MU, Baytekin HF, , 2013. Tuboovarian abscess caused by hydatid cyst: a rare case [article in Turkish]. Mikrobiyol Bul 47: 356361. [Google Scholar]
  54. Tomuş C, Zaharie F, Mocan L, Bartoş D, Zaharie R, Iancu C, Nadim AH, , 2013. Minimal invasive treatment of abdominal multiorgan echinococcosis. Int Surg 98: 6164. [Google Scholar]
  55. Mishra PK, Agrawal A, Joshi M, Sanghvi B, Gupta R, Parelkar SV, , 2010. Minimal access surgery for multiorgan hydatid cysts. Afr J Paediatr Surg 7: 4042. [Google Scholar]
  56. Georgescu S, Dubei L, Lăzescu D, Crumpei F, Anton R, , 2004. Hydatid disease cured by minimally invasive therapy. Rom J Gastroenterol 13: 4348. [Google Scholar]
  57. Belli S, Akbulut S, Erbay G, Koçer NE, , 2014. Spontaneous giant splenic hydatid cyst rupture causing fatal anaphylactic shock: a case report and brief literature review. Turk J Gastroenterol 25: 8891. [Google Scholar]
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  • Received : 31 May 2019
  • Accepted : 20 Jun 2019
  • Published online : 12 Aug 2019

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