Sharif Muhammad Ashraf, Mahmood Asad, Murtaza Badar, Malik Imran Bashir, Khan Abdullah, Asghar Zunera, Arif Adeel
Department of Pathology, Combined Military Hospital, Bahawalnagar.
J Coll Physicians Surg Pak. 2009 Jun;19(6):380-2.
Splenic parasitic cysts due to flat worm Echinococci resulting in hydatid disease are a rare presentation as primary site even in the endemic regions. Primary splenic parasitic cysts have an incidence of 0.5-4%. A 21-year-old male with pet dogs at home, presented with 3 months history of gradually increasing discomfort in the left hypochondrium and tender splenomegaly. He had marked eosinophilia with normal liver function tests and positive serum IgM Echinococcus antibodies. Ultrasonography showed a cyst in the hilar region of spleen having septations with internal echos. An upper midline laparotomy was performed and a perisplenic cyst was removed along with spleen from the sub-diaphragmatic location. Histopathological examination confirmed acellular fibrous wall of hydatid cyst with germinal layer and scolices in the centre. Postoperatively, patient was continued on oral Albendazole for one month.
由扁形虫棘球绦虫引起的脾寄生虫囊肿导致包虫病，即使在流行地区，作为原发部位也是一种罕见的表现。原发性脾寄生虫囊肿的发病率为0.5%-4%。一名21岁男性，家中养有宠物狗，出现左季肋部逐渐加重的不适3个月，伴有脾脏压痛性肿大。他有明显的嗜酸性粒细胞增多，肝功能检查正常，血清IgM棘球绦虫抗体呈阳性。超声检查显示脾门区有一个囊肿，有分隔及内部回声。行上腹部正中剖腹术，从膈下位置切除了脾周囊肿及脾脏。组织病理学检查证实为包虫囊肿的无细胞纤维壁，中央有生发层和头节。术后，患者继续口服阿苯达唑1个月。
