Page 55 - World Journal of Laparoscopic Surgery

Laparoscopic Management of Hydatid Cyst of Spleen

Figs. 1: (A) Chest X-ray posteroanterior view: normal skiagram; (B) USG abdomen showing hypoechoic cystic lesion with dependent hyperechoic
contents; (C) Noncontrast CT showing hypodense lesion with no calcification; (D) Contrast-enhanced CT showing hypoattenuated lesion with
no internal septa or mural nodule

Fig. 2: Showing port placement and Pfannenstiel incision for specimen Fig. 3: Cut-section showing splenic cyst with membranes
retrieval

albendazole treatment. She was discharged on postoperative day may be involved through the splenic artery after bypassing
5. On 6 months follow-up she is doing well. liver and lungs or through retrograde involvement through the
splenic vein. 4
Patients usually present with upper abdominal symptoms.
discussion Pain is the most common complaint and it may be due to capsular
Hydatid cyst is a zoonotic disease and humans are affected stretching. If there is a cyst near hilum causing splenic vein
2
accidentally. Mostly it is caused by Echinococcus granulosus. compression, it may present with left-sided portal hypertension.
Most common site of involvement is liver. It can involve any There may be symptoms of hypersplenism also. Diagnosis is
organ in the body, spleen is rarely involved by hydatid cyst 0.5 to made with imaging (USG abdomen, CECT) and supported by
3
4%. Isolated splenic involvement is even rare entity. The spleen hydatid serology. The final diagnosis is made on opening the

56 World Journal of Laparoscopic Surgery, Volume 14 Issue 1 (January–April 2021)