Details
Category: Volume 07 Issue 04 April 2019
Hits: 1259

Title: Hydatid Cyst of Spleen- A Rare Entity

Authors: Prof. J.N. Misra, Dr Saroj Ranjan Gochhayat

 DOI: https://dx.doi.org/10.18535/jmscr/v7i4.54

Abstract

Hydatid disease of the liver is still endemic in certain parts of the world but the hydatid cyst of Spleen is a rare entity. The diagnosis of non-complicated hydatid cyst depends on clinical suspicion. Ultrasonography and computed tomography, the most important diagnostic tools, are helpful for determining the complications and planning treatment. The modern treatment of hydatid cyst varies from surgical intervention to percutaneous drainage or medical therapy. Surgery is still the treatment of choice and can be performed by the conventional or laparoscopic approach. Percutaneous drainage and treatment of the cyst with hypertonic saline or alcohol seems to be a good alternative to surgery in selected cases.

Hydatid disease is a parasitic infestation of humans caused by Echinococcus granulosus. Dogs and some wild carnivores like foxes are definitive hosts, harbouring worms in their intestine. Eggs are passed in the faeces and eaten by the intermediate hosts, and larvae encyst in the liver, lungs,Spleen and other organs.

References

  1. Wagholikar GD, Sikora SS. Surgical management of liver hydatid. Trop Gastroenterol 2001;22:159–62. PubMed Google Scholar
  2. Saidi F Treatment of ecchinococcal cysts. In: Nyhus LM, Baker RJ, Sabiston DC, eds. Mastery of surgery. 2nd Ed. London: Little, Brown, 1992: 818–37.Google Scholar
  3. Saidi F. Surgery of hydatid disease. 1st Ed. London: W B Saunders, 1976: 22–5.Google Scholar
  4. Kune CA, Morris DI. Hydatid disease. In: Schwastz SI, Ellis H, eds. Maingot’s abdominal operations. 9th Ed. USA: Appleton & Lange, 1990: 1225–40. Google Scholar
  5. Maiocchi L, Brunetti E, Filice C. Hydatid liver cyst treatment. J Ultrasound Med 2001;20:1377–9. PubMed Web of Science Google Scholar
  6. Losanoff JE, Jones JW, Richman BW. Percutaneous drainage for liver hydatid cyst. Can J Surg2002; 45:69–70 Google Scholar
  7. Filice C, Brunetti E. Percutaneous drainage of liver hydatid cysts. N Engl J Med1998:338:392–3.

Corresponding Author

Dr Saroj Ranjan Gochhayat

Senior Resident, S.L.N. Medical College, Koraput, Odisha, India