McManus DP, Zhang W, Li J, Bartley PB, 2003. Echinococcosis. Lancet 362: 1295–1304.
Grosso G, Gruttadauria S, Biondi A, Marventano S, Mistretta A, 2012. Worldwide epidemiology of liver hydatidosis including the Mediterranean area. World J Gastroenterol 18: 1425–1437.
McManus DP, 2010. Echinococcosis with particular reference to Southeast Asia. Adv Parasitol 72: 267–303.
Moro PL, Garcia HH, Gonzales AE, Bonilla JJ, Verastegui M, Gilman RH, 2005. Screening for cystic echinococcosis in an endemic region of Peru using portable ultrasonography and the enzyme-linked immunoelectrotransfer blot (EITB) assay. Parasitol Res 96: 242–246.
Moro PL, Bonifacio N, Gilman RH, Lopera L, Silva B, Takumoto R, Verastegui M, Cabrera L, 1999. Field diagnosis of Echinococcus granulosus infection among intermediate and definitive hosts in an endemic focus of human cystic echinococcosis. Trans R Soc Trop Med Hyg 93: 611–615.
Gavidia CM, Gonzalez AE, Zhang W, McManus DP, Lopera L, Ninaquispe B, Garcia HH, Rodriguez S, Verastegui M, Calderon C, Pan WK, Gilman RH, 2008. Diagnosis of cystic echinococcosis, central Peruvian Highlands. Emerg Infect Dis 14: 260–266.
Akhan O, Koroglu M, 2007. Hydatid disease of the spleen. Semin Ultrasound CT MR 28: 28–34.
Malik AA, ul Bari S, Younis M, Wani KA, Rather AA, 2011. Primary splenic hydatidosis. Indian J Gastroenterol 30: 175–177.
Safioleas M, Misiakos E, Manti C, 1997. Surgical treatment for splenic hydatidosis. World J Surg 21: 374–377, discussion 378.
Dar MA, Shah OJ, Wani NA, Khan FA, Shah P, 2002. Surgical management of splenic hydatidosis. Surg Today 32: 224–229.
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: 1189–1193.
Diaconescu MR, Glod M, Costea I, Ciolpan C, Georgescu S, 2008. Laparoscopic hand-assisted splenectomy for hydatid cyst. Chirurgia (Bucur) 103: 103–106.
Georgescu S, Dubei L, Lazescu D, Crumpei F, Anton R, 2004. Hydatid disease cured by minimally invasive therapy. Rom J Gastroenterol 13: 43–48.
Gharaibeh KI, 2001. Laparoscopic excision of splenic hydatid cyst. Postgrad Med J 77: 195–196.
Verastegui M, Moro P, Guevara A, Rodriguez T, Miranda E, Gilman RH, 1992. Enzyme-linked immunoelectrotransfer blot test for diagnosis of human hydatid disease. J Clin Microbiol 30: 1557–1561.
Khanna AK, Prasanna GV, Khanna R, Khanna A, 2005. Unusual sites of hydatid cysts in India. Trop Doct 35: 233–235.
Larrieu EJ, Frider B, 2001. Human cystic echinococcosis: contributions to the natural history of the disease. Ann Trop Med Parasitol 95: 679–687.
Nunnari G, Pinzone MR, Gruttadauria S, Celesia BM, Madeddu G, Malaguarnera G, Pavone P, Cappellani A, Cacopardo B, 2012. Hepatic echinococcosis: clinical and therapeutic aspects. World J Gastroenterol 18: 1448–1458.
Kim JM, Buakham C, McAmis F, 1976. Supine hypotensive syndrome caused by intra-abdominal mass: a case report. Anesth Analg 55: 887–889.
Reyes MM, Taramona CP, Saire-Mendoza M, Gavidia CM, Barron E, Boufana B, Craig PS, Tello L, Garcia HH, Santivanez SJ, 2012. Human and canine echinococcosis infection in informal, unlicensed abattoirs in Lima, Peru. PLoS Negl Trop Dis 6: e1462.
Akkoyun I, Akbiyik F, Altunkeser A, 2011. Laparoscopic cystectomy for splenic hydatid cyst: a case report. J Pediatr Surg 46: e1–e3.
Ballaux KE, Himpens JM, Leman G, Van den Bossche MR, 1997. Hand-assisted laparoscopic splenectomy for hydatid cyst. Surg Endosc 11: 942–943.
Fuerte Ruiz S, Giménez Alvira L, 2007. Hidatidosis esplénica: cirugía abierta versus laparoscópica. Rev Mex Cir Endoscop 8: 16–18.
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: 40–42.
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: e215–e216.
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: 374–376.
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: 147–150.
WHO Informal Working Group, 2003. International classification of ultrasound images in cystic echinococcosis for application in clinical and field epidemiological settings. Acta Trop 85: 253–261.
Santivanez SJ, Arias P, Portocarrero M, Rodriguez S, Gonzalez AE, Gilman RH, Gavidia CM, Garcia HH, 2012. Serological diagnosis of lung cystic hydatid disease using the synthetic p176 peptide. Clin Vaccine Immunol 19: 944–947.
Santivanez SJ, Sotomayor AE, Vasquez JC, Somocurcio JG, Rodriguez S, Gonzalez AE, Gilman RH, Garcia HH, 2008. Absence of brain involvement and factors related to positive serology in a prospective series of 61 cases with pulmonary hydatid disease. Am J Trop Med Hyg 79: 84–88.
Kalinova K, Stefanova P, Bosheva M, 2006. Surgery in children with hydatid disease of the spleen. J Pediatr Surg 41: 1264–1266.
Atmatzidis K, Papaziogas B, Mirelis C, Pavlidis T, Papaziogas T, 2003. Splenectomy versus spleen-preserving surgery for splenic echinococcosis. Dig Surg 20: 527–531.
Ormeci N, Soykan I, Palabiyikoglu M, Idilman R, Erdem H, Bektas A, Sarioglu M, 2002. A new therapeutic approach for treatment of hydatid cysts of the spleen. Dig Dis Sci 47: 2037–2044.
Zerem E, Nuhanovic A, Caluk J, 2005. Modified pair technique for treatment of hydatid cysts in the spleen. Bosn J Basic Med Sci 5: 74–78.
Past two years | Past Year | Past 30 Days | |
---|---|---|---|
Abstract Views | 1021 | 904 | 53 |
Full Text Views | 447 | 16 | 2 |
PDF Downloads | 155 | 19 | 2 |
Cystic echinococcosis (CE) is a zoonosis caused by the larval stage of the dog tapeworm Echinococcus granulosus. Liver and lungs are the most commonly affected organs whereas splenic infection is rarer and its primary involvement occurs in less than 2% of abdominal CE. We report a case of primary giant splenic hydatid cyst in a 75-year-old Peruvian woman that was laparoscopically removed without any complications, perioperative prophylactic chemotherapy with albendazole 400 mg twice a day 5 days before, and 7 days after the surgical procedure was administered, postoperative recovery was uneventful, and; at her 3-month follow-up the patient remains asymptomatic and an abdominal computed tomography scan demonstrated a cystic cavity of 15 cm diameter with no daughter vesicles, neither other abdominal organ involvement. This case is in line with the existing literature on laparoscopical treatment of splenic cystic hydatid disease, suggesting that laparoscopical treatment is a safe and effective approach for large splenic hydatid cysts to be preferred to open surgical techniques.
Authors' addresses: Maira A. Arce and Saul J. Santivañez, Instituto Peruano de Parasitologia Clinica y Experimental (INPPACE), Lima, Perú, E-mails: mairaarce@hotmail.com and ssantiva@jhsph.edu. Himerón Limaylla and Maria Valcarcel, Division of Surgery, Hospital Nacional Dos de Mayo, Lima, Perú, E-mails: mari_valcarcel@hotmail.com and hlimaylla@hotmail.com. Hector H. Garcia, Department of Microbiology, School of Sciences, Universidad Peruana Cayetano Heredia, Lima, Perú, and Cysticercosis Unit, Instituto Nacional de Ciencias Neurologicas, Lima, Perú, E-mail: hgarcia@jhsph.edu.
McManus DP, Zhang W, Li J, Bartley PB, 2003. Echinococcosis. Lancet 362: 1295–1304.
Grosso G, Gruttadauria S, Biondi A, Marventano S, Mistretta A, 2012. Worldwide epidemiology of liver hydatidosis including the Mediterranean area. World J Gastroenterol 18: 1425–1437.
McManus DP, 2010. Echinococcosis with particular reference to Southeast Asia. Adv Parasitol 72: 267–303.
Moro PL, Garcia HH, Gonzales AE, Bonilla JJ, Verastegui M, Gilman RH, 2005. Screening for cystic echinococcosis in an endemic region of Peru using portable ultrasonography and the enzyme-linked immunoelectrotransfer blot (EITB) assay. Parasitol Res 96: 242–246.
Moro PL, Bonifacio N, Gilman RH, Lopera L, Silva B, Takumoto R, Verastegui M, Cabrera L, 1999. Field diagnosis of Echinococcus granulosus infection among intermediate and definitive hosts in an endemic focus of human cystic echinococcosis. Trans R Soc Trop Med Hyg 93: 611–615.
Gavidia CM, Gonzalez AE, Zhang W, McManus DP, Lopera L, Ninaquispe B, Garcia HH, Rodriguez S, Verastegui M, Calderon C, Pan WK, Gilman RH, 2008. Diagnosis of cystic echinococcosis, central Peruvian Highlands. Emerg Infect Dis 14: 260–266.
Akhan O, Koroglu M, 2007. Hydatid disease of the spleen. Semin Ultrasound CT MR 28: 28–34.
Malik AA, ul Bari S, Younis M, Wani KA, Rather AA, 2011. Primary splenic hydatidosis. Indian J Gastroenterol 30: 175–177.
Safioleas M, Misiakos E, Manti C, 1997. Surgical treatment for splenic hydatidosis. World J Surg 21: 374–377, discussion 378.
Dar MA, Shah OJ, Wani NA, Khan FA, Shah P, 2002. Surgical management of splenic hydatidosis. Surg Today 32: 224–229.
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: 1189–1193.
Diaconescu MR, Glod M, Costea I, Ciolpan C, Georgescu S, 2008. Laparoscopic hand-assisted splenectomy for hydatid cyst. Chirurgia (Bucur) 103: 103–106.
Georgescu S, Dubei L, Lazescu D, Crumpei F, Anton R, 2004. Hydatid disease cured by minimally invasive therapy. Rom J Gastroenterol 13: 43–48.
Gharaibeh KI, 2001. Laparoscopic excision of splenic hydatid cyst. Postgrad Med J 77: 195–196.
Verastegui M, Moro P, Guevara A, Rodriguez T, Miranda E, Gilman RH, 1992. Enzyme-linked immunoelectrotransfer blot test for diagnosis of human hydatid disease. J Clin Microbiol 30: 1557–1561.
Khanna AK, Prasanna GV, Khanna R, Khanna A, 2005. Unusual sites of hydatid cysts in India. Trop Doct 35: 233–235.
Larrieu EJ, Frider B, 2001. Human cystic echinococcosis: contributions to the natural history of the disease. Ann Trop Med Parasitol 95: 679–687.
Nunnari G, Pinzone MR, Gruttadauria S, Celesia BM, Madeddu G, Malaguarnera G, Pavone P, Cappellani A, Cacopardo B, 2012. Hepatic echinococcosis: clinical and therapeutic aspects. World J Gastroenterol 18: 1448–1458.
Kim JM, Buakham C, McAmis F, 1976. Supine hypotensive syndrome caused by intra-abdominal mass: a case report. Anesth Analg 55: 887–889.
Reyes MM, Taramona CP, Saire-Mendoza M, Gavidia CM, Barron E, Boufana B, Craig PS, Tello L, Garcia HH, Santivanez SJ, 2012. Human and canine echinococcosis infection in informal, unlicensed abattoirs in Lima, Peru. PLoS Negl Trop Dis 6: e1462.
Akkoyun I, Akbiyik F, Altunkeser A, 2011. Laparoscopic cystectomy for splenic hydatid cyst: a case report. J Pediatr Surg 46: e1–e3.
Ballaux KE, Himpens JM, Leman G, Van den Bossche MR, 1997. Hand-assisted laparoscopic splenectomy for hydatid cyst. Surg Endosc 11: 942–943.
Fuerte Ruiz S, Giménez Alvira L, 2007. Hidatidosis esplénica: cirugía abierta versus laparoscópica. Rev Mex Cir Endoscop 8: 16–18.
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: 40–42.
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: e215–e216.
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: 374–376.
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: 147–150.
WHO Informal Working Group, 2003. International classification of ultrasound images in cystic echinococcosis for application in clinical and field epidemiological settings. Acta Trop 85: 253–261.
Santivanez SJ, Arias P, Portocarrero M, Rodriguez S, Gonzalez AE, Gilman RH, Gavidia CM, Garcia HH, 2012. Serological diagnosis of lung cystic hydatid disease using the synthetic p176 peptide. Clin Vaccine Immunol 19: 944–947.
Santivanez SJ, Sotomayor AE, Vasquez JC, Somocurcio JG, Rodriguez S, Gonzalez AE, Gilman RH, Garcia HH, 2008. Absence of brain involvement and factors related to positive serology in a prospective series of 61 cases with pulmonary hydatid disease. Am J Trop Med Hyg 79: 84–88.
Kalinova K, Stefanova P, Bosheva M, 2006. Surgery in children with hydatid disease of the spleen. J Pediatr Surg 41: 1264–1266.
Atmatzidis K, Papaziogas B, Mirelis C, Pavlidis T, Papaziogas T, 2003. Splenectomy versus spleen-preserving surgery for splenic echinococcosis. Dig Surg 20: 527–531.
Ormeci N, Soykan I, Palabiyikoglu M, Idilman R, Erdem H, Bektas A, Sarioglu M, 2002. A new therapeutic approach for treatment of hydatid cysts of the spleen. Dig Dis Sci 47: 2037–2044.
Zerem E, Nuhanovic A, Caluk J, 2005. Modified pair technique for treatment of hydatid cysts in the spleen. Bosn J Basic Med Sci 5: 74–78.
Past two years | Past Year | Past 30 Days | |
---|---|---|---|
Abstract Views | 1021 | 904 | 53 |
Full Text Views | 447 | 16 | 2 |
PDF Downloads | 155 | 19 | 2 |