A giant splenic hydatid cyst: Why calcified cysts should not be considered as a dead cyst

Abstract

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A massive primary hydatid splenic cyst was successfully managed through open total splenectomy: a case report and review article

“…SHD usually grows very slowly, often at a rate of 0.3–1 cm annually 6 , 15 . When the size of the cyst is large, patients can present with left upper quadrant pain and/or a palpable mass 1 , 6 , 9 , 12 , 13 , 16 , 17 and may present with nonspecific symptoms, including dyspnoea due to pushing up of the left diaphragm, dyspepsia, and constipation due to compression on the colon 8 , 11 , 17 . In our case, the patient was suffering from upper abdominal distension with nausea and vomiting without a history of any other disease.…”

“…However, because of its expensive price, it is not usually used. Serology makes a primary diagnosis and tracks treatment effectiveness 1 , 3 , 6 , 17 . The differential diagnosis is composed of other cystic formations of the spleen, including pseudocysts from post-splenic trauma, splenic abscesses, congenital cysts, metastatic disease, and cystic hemangiomas 3 , 8 – 11 , 13 .…”

Isolated splenic cystic echinococcosis and albendazole hepatotoxicity

“…Here, the decision for elective splenectomy was based on a risk assessment due to the patient’s working conditions, and treatment with albendazole represented a safety measure until surgery was possible. Nevertheless, splenic echinococcal cysts compatible with CE4 or CE5 can prove active in pathology examination [5] .…”