Spleen-sparing excision of giant splenic hydatid cyst

Introduction: Splenic echinococcosis is a rare disease even in endemic regions such as the Mediterranean. The organs most involved are the liver and the lungs. However, other organs can be affected, such as the spleen. To our knowledge, primary involvement of the spleen is very rare, and a few cases...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	L. Jarray, M. Boughdir, W. Maamatou, A. Daid, R. Ben Abdallah, S. Tlili, Y. Hellal, Y. Gharbi, N. Kaabar
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2022
Materias:	Splenic hydatidosis Children Conservative surgery Pediatrics RJ1-570 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/79a9920c62544ce5a88bb3b575a7ed6d
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:79a9920c62544ce5a88bb3b575a7ed6d
record_format	dspace
spelling	oai:doaj.org-article:79a9920c62544ce5a88bb3b575a7ed6d2021-11-10T04:26:08ZSpleen-sparing excision of giant splenic hydatid cyst2213-576610.1016/j.epsc.2021.102088https://doaj.org/article/79a9920c62544ce5a88bb3b575a7ed6d2022-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2213576621003092https://doaj.org/toc/2213-5766Introduction: Splenic echinococcosis is a rare disease even in endemic regions such as the Mediterranean. The organs most involved are the liver and the lungs. However, other organs can be affected, such as the spleen. To our knowledge, primary involvement of the spleen is very rare, and a few cases of splenic hydatidosis (SHD) isolated in children have been reported. Splenectomy used to be the reference treatment, but it is now being questioned, first by the current trend towards conservative surgery, especially for a benign pathology and by the knowledge of postoperative complications. We report a case of a giant hydatid cyst of the spleen that underwent conservative surgery in the department of pediatric surgery at HabibThameur Hospital in Tunis. Case presentation: A 9-year-old girl, without any notable pathological history, coming from a rural environment with notion of contact with animals, who consulted for isolated recurrent abdominal pain evolving since six months. The examination showed a soft, painless abdomen with amarked splenomegaly. In view of a pauci-symptomatic clinical picture, a negative hydatic serology, a chest X-ray without abnormalities and the results of the ultrasound and abdominal computed tomography, the diagnostic of epidermoid cyst of the spleen was the most likely, especially with the primary location. Intraoperative findings did not match epidermal cyst and hydatic cyst was suspected. The puncture of the cyst brought back a clear liquid “rock water”. The “PAIR” technique with pericystectomy and epiploplasty was performed. Anatomopathological examination confirmed the diagnosis. The postoperative course was uneventful. Conclusion: The diagnosis of splenic hydatidosis must be evoked ahead of any cyst of the spleen especially in endemic countries. The choice of surgical technique is controversial. In children, conservative surgery is always preferable and is currently recommended by most authors.L. JarrayM. BoughdirW. MaamatouA. DaidR. Ben AbdallahS. TliliY. HellalY. GharbiN. KaabarElsevierarticleSplenic hydatidosisChildrenConservative surgeryPediatricsRJ1-570SurgeryRD1-811ENJournal of Pediatric Surgery Case Reports, Vol 76, Iss , Pp 102088- (2022)
institution	DOAJ
collection	DOAJ
language	EN
topic	Splenic hydatidosis Children Conservative surgery Pediatrics RJ1-570 Surgery RD1-811
spellingShingle	Splenic hydatidosis Children Conservative surgery Pediatrics RJ1-570 Surgery RD1-811 L. Jarray M. Boughdir W. Maamatou A. Daid R. Ben Abdallah S. Tlili Y. Hellal Y. Gharbi N. Kaabar Spleen-sparing excision of giant splenic hydatid cyst
description	Introduction: Splenic echinococcosis is a rare disease even in endemic regions such as the Mediterranean. The organs most involved are the liver and the lungs. However, other organs can be affected, such as the spleen. To our knowledge, primary involvement of the spleen is very rare, and a few cases of splenic hydatidosis (SHD) isolated in children have been reported. Splenectomy used to be the reference treatment, but it is now being questioned, first by the current trend towards conservative surgery, especially for a benign pathology and by the knowledge of postoperative complications. We report a case of a giant hydatid cyst of the spleen that underwent conservative surgery in the department of pediatric surgery at HabibThameur Hospital in Tunis. Case presentation: A 9-year-old girl, without any notable pathological history, coming from a rural environment with notion of contact with animals, who consulted for isolated recurrent abdominal pain evolving since six months. The examination showed a soft, painless abdomen with amarked splenomegaly. In view of a pauci-symptomatic clinical picture, a negative hydatic serology, a chest X-ray without abnormalities and the results of the ultrasound and abdominal computed tomography, the diagnostic of epidermoid cyst of the spleen was the most likely, especially with the primary location. Intraoperative findings did not match epidermal cyst and hydatic cyst was suspected. The puncture of the cyst brought back a clear liquid “rock water”. The “PAIR” technique with pericystectomy and epiploplasty was performed. Anatomopathological examination confirmed the diagnosis. The postoperative course was uneventful. Conclusion: The diagnosis of splenic hydatidosis must be evoked ahead of any cyst of the spleen especially in endemic countries. The choice of surgical technique is controversial. In children, conservative surgery is always preferable and is currently recommended by most authors.
format	article
author	L. Jarray M. Boughdir W. Maamatou A. Daid R. Ben Abdallah S. Tlili Y. Hellal Y. Gharbi N. Kaabar
author_facet	L. Jarray M. Boughdir W. Maamatou A. Daid R. Ben Abdallah S. Tlili Y. Hellal Y. Gharbi N. Kaabar
author_sort	L. Jarray
title	Spleen-sparing excision of giant splenic hydatid cyst
title_short	Spleen-sparing excision of giant splenic hydatid cyst
title_full	Spleen-sparing excision of giant splenic hydatid cyst
title_fullStr	Spleen-sparing excision of giant splenic hydatid cyst
title_full_unstemmed	Spleen-sparing excision of giant splenic hydatid cyst
title_sort	spleen-sparing excision of giant splenic hydatid cyst
publisher	Elsevier
publishDate	2022
url	https://doaj.org/article/79a9920c62544ce5a88bb3b575a7ed6d
work_keys_str_mv	AT ljarray spleensparingexcisionofgiantsplenichydatidcyst AT mboughdir spleensparingexcisionofgiantsplenichydatidcyst AT wmaamatou spleensparingexcisionofgiantsplenichydatidcyst AT adaid spleensparingexcisionofgiantsplenichydatidcyst AT rbenabdallah spleensparingexcisionofgiantsplenichydatidcyst AT stlili spleensparingexcisionofgiantsplenichydatidcyst AT yhellal spleensparingexcisionofgiantsplenichydatidcyst AT ygharbi spleensparingexcisionofgiantsplenichydatidcyst AT nkaabar spleensparingexcisionofgiantsplenichydatidcyst
_version_	1718440664319918080

Spleen-sparing excision of giant splenic hydatid cyst

Ejemplares similares