A case of giant primary splenic hydatid cyst: Case report

Singh, Sampurna; Kisee, Shreeja; Amatya, Suprabha; Singh, Santosh; Bista, Shiwani; Shrestha, Rajan; Kumar, Milan

doi:10.1016/j.amsu.2022.104829

Cited by 5 publications

(7 citation statements)

References 26 publications

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“…Research reports have mentioned that patients are asymptomatic for years post-infection [1]. Hydatid disease has been reported to commonly affect organs such as the lungs, liver, and spleen, but it is not limited to these and might infect other organs such as the kidneys, brain, heart, and bones [4,5].…”

Section: Discussionmentioning

confidence: 99%

“…Hydatid disease is a zoonotic disease commonly caused by Echinococcus granulosus and Echinococcus multilocularis in humans. It is commonly observed in individuals associated with agriculture and animal keeping, with a prevalence of 0.5% to 4%, although prevalence rates may be higher in areas having close associations with livestock [1,2]. Although hydatid disease can affect any organ, the liver and lungs are most commonly affected.…”

Section: Introductionmentioning

confidence: 99%

“…This is because they can act as a filter, trapping Echinococcal larvae during their life cycle in the circulatory system. Entrapped larvae in the liver potentially cause hydatid cysts in the liver and the larvae escaping the microcirculatory vessels reach the lungs, infecting them [1]. Hydatid cysts can occur in different organs such as the liver, spleen, lungs, brain, peritoneum, thyroid, and mesentery or may spread through systemic dissemination, which might go unnoticed without any clinical symptoms [3].…”

Section: Introductionmentioning

confidence: 99%

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Lung Hydatidosis Unveiled: A Multisystem Mirage of Pathological Rarity

Patil,

Gharde,

Reddy

2024

Cureus

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Lung hydatidosis is a zoonotic infection, primarily caused by Echinococcus sp., and has a significant role in the economy and public health. Canines are the predominant hosts of these parasitic tapeworms. Lungs are the most commonly infected organ after the liver. Hepatic pulmonary blood circulation is mainly reported to transport infection to the lungs. The prevalence of hydatid disease has increased over the past decade. In addition, patients with multi-organ involvement of hydatid cysts have been reported in different parts of the world. Hydatidosis can remain asymptomatic for years after infection in some conditions, especially in cases of splenic hydatidosis. Chest radiography and computed tomography findings can be used to confirm the diagnosis of hydatid disease. Hydatid disease is, in general, managed by pharmacological therapy, but if multi-organ involvement is observed, surgery along with medical management is required. Long-term follow-up is recommended in such cases to check the recurrence of the disease.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Lung Hydatidosis Unveiled: A Multisystem Mirage of Pathological Rarity

Patil,

Gharde,

Reddy

2024

Cureus

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“…It can lead to disastrous complications, such as anaphylactic shock [ 31 ]. A CT is the most sensitive imaging modality for the diagnosis of splenic hydatid cysts and determining their number, size, and location [ 31 , 32 ]. The main diagnostic problem is that it can mimic other splenic cystic lesions, such as epidermoid and dermoid cysts, solitary abscesses, hematomas, cystic hemangiomas, intrasplenic pancreatic pseudocysts, and lymphangiomas [ 33 ].…”

Section: Discussionmentioning

confidence: 99%

Hydatid Disease: A Radiological Pictorial Review of a Great Neoplasms Mimicker

Alshoabi

Almas

Magram³

et al. 2023

Diagnostics

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Hydatid cyst is a common name for the larval stage of a tapeworm species of the genus Echinococcus granulosus, which is transmitted from animals to humans via the fecal–oral route. Hydatid cysts predominantly affect the liver (75%), followed by the lung (15%), and they can affect many organs in the human body. Medical imaging modalities are the keystone for the diagnosis of hydatid cysts with high sensitivity and specificity. Ultrasound imaging with high resolution is the first choice for diagnosis, differential diagnosis, staging, establishing a role in interventional management, and follow-up, and it can differentiate Type I hydatid cysts from simple liver cysts. Unenhanced computed tomography (CT) is indicated where or when an ultrasound is unsatisfactory, such as with chest or brain hydatid cysts, when detecting calcification, and in obese patients. Magnetic resonance imaging (MRI) is superior for demonstrating cyst wall defects, biliary communication, neural involvement, and differentiating hydatid cysts from simple cysts using diffusion-weighted imaging (DWI) sequences. According to the phase of growth, hydatid cysts occur in different sizes and shapes, which may mimic benign or malignant neoplasms and may create diagnostic challenges in some cases. Hydatid cysts can mimic simple cysts, choledochal cysts, Caroli’s disease, or mesenchymal hamartomas of the liver. They can mimic lung cystic lesions, mycetoma, blood clots, Rasmussen aneurysms, and even lung carcinomas. Differential diagnosis can be difficult for arachnoid cysts, porencephalic cysts, pyogenic abscesses, and even cystic tumors of the brain, and can create diagnostic dilemmas in the musculoskeletal system.

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“…A splenic hydatid cyst (SHC) is an infrequent clinical occurrence, even in regions where the disease is endemic 6 . This infrequency presents a diagnostic challenge for clinicians, especially in non-endemic regions.…”

Section: Introductionmentioning

confidence: 99%

A 16-year-old adolescent with a history of minor abdominal trauma diagnosed with a giant isolated primary splenic hydatid cyst: a case report

Vantankhah,

Ameri,

Bahrami Taqanaki

et al. 2024

Annals of Medicine &Amp; Surgery

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Introduction: Hydatosis is a zoonotic parasitic disease caused by echinococcosis larval infection. South America, Africa, the Middle East, South Europe, India, and Australia are endemic to this disease. Splenic involvement is a rare and complicated hydatid disease presentation. A splenic hydatid cyst is an infrequent clinical occurrence, even in regions where the disease is endemic. Case presentation: A 16-year-old male, having a background of mild abdominal trauma and non-resolving dull abdominal pain attended a paediatric surgical outpatient office and following a thorough examination, was diagnosed with a giant solitary isolated splenic hydatid cyst. Subsequently, the patient received albendazole and underwent total splenectomy, necessitated by the considerable size of the cyst, classified as a giant. Clinical discussion: Splenic involvement of hydatid disease is a rare presentation (0.5–8%.). With the initial clinical finding often involving the accidental discovery of a palpable mass, the most frequently reported symptoms and signs include the presence of a palpable mass, fever, dull pain, or splenomegaly. Ultrasound and computed tomography are the most helpful tools for evaluating focal splenic diseases. The preferred treatment involves the use of antihelminthic drugs such as albendazole or mebendazole in conjunction with splenectomy. Total splenectomy is the preferred approach and is associated with decreased hospital stay, reduced healthcare costs, and a lower likelihood of recurrence. Conclusion: in endemic areas, in patients with splenic cysts, hydatidosis should be contemplated.

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A case of giant primary splenic hydatid cyst: Case report

Cited by 5 publications

References 26 publications

Lung Hydatidosis Unveiled: A Multisystem Mirage of Pathological Rarity

Lung Hydatidosis Unveiled: A Multisystem Mirage of Pathological Rarity

Hydatid Disease: A Radiological Pictorial Review of a Great Neoplasms Mimicker

A 16-year-old adolescent with a history of minor abdominal trauma diagnosed with a giant isolated primary splenic hydatid cyst: a case report

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