Splenothoracic fistula complicating primary splenic hydatidosis

Unusual locations of hydatid disease and surgical approach

“…Rates of the other organ localization are differ in the literature. Of all the cases of hydatid cysts, 1−4% are found in kidneys 6−9 , 0.9−8.0% in the spleen 10−13 , 0.25−0.75% in the pancreas 14 , and 1% in the intraspinal area 15 . The extrahepatic organ involvement rate was 16.3% in our series.…”

L’hydatidose splénothoracique : à propos d’un cas

“…Ils se compliquent essentiellement de rupture dans la cavité péritonéale ; leur rupture en intrathoracique est extrêmement rare. À notre connaissance, seulement deux cas ont été décrits dans la littérature [2,3].…”

“…La fistule splé-nopleurale ainsi créée était à l'origine d'un épanchement pleural gauche. Alba et al ont rapporté un cas de kyste hydatique splénique qui s'est rompu dans le parenchyme pulmonaire [3].…”

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“…[5][6][7] Hydatid disease may be primarily pleural, but it more often occurs secondary to rupture of a pulmonary or hepatic cyst. [2][3][4] The exact incidence of intrapleural rupture of a splenic hydatidosis is not known; however, on the basis of its extreme rarity as compared to the relatively high incidence of splenic hydatidosis observed worldwide, it is possible that a splenothoracic fistula could complicate splenic hydatidosis in a small number of cases. [2][3][4] The exact incidence of intrapleural rupture of a splenic hydatidosis is not known; however, on the basis of its extreme rarity as compared to the relatively high incidence of splenic hydatidosis observed worldwide, it is possible that a splenothoracic fistula could complicate splenic hydatidosis in a small number of cases.…”

“…[2][3][4] In the presence of lung parenchyma involvement, the condition has been managed by thoracotomy with lung resection associated with either laparotomy and splenectomy, 2 or simple external marsupialization of the splenic cysts. [2][3][4] In the presence of lung parenchyma involvement, the condition has been managed by thoracotomy with lung resection associated with either laparotomy and splenectomy, 2 or simple external marsupialization of the splenic cysts.…”