Uriarte C, Pomares N, Martin M, Conde A, Alonso N, Bueno M G
Department of Abdominal Surgery, Fundacion Jimenez Diaz, Universidad Autonoma de Madrid, Spain.
Am J Trop Med Hyg. 1991 Apr;44(4):420-3. doi: 10.4269/ajtmh.1991.44.420.
This report is concerned with ten patients treated surgically for a splenic hydatidosis. Splenic echinococcosis represents 3.5% of abdominal hydatid cysts treated in our Service. When splenic hydatidosis was diagnosed, the spleen was the first and only localization of hydatid disease in three cases. One of these patients underwent surgery for a pulmonary cyst four years later. Splenic cysts were asymptomatic in six patients. The most frequent clinical sign of splenic hydatidosis was a painful mass in the left upper abdominal quadrant. Ultrasonography and axial computed tomography (axial C.T.) were the most useful diagnostic tools. The complications arising from splenic hydatidic cysts were infection, rupture in the abdominal cavity and fistulization to the colon. A splenectomy was performed in every case. There was no mortality and morbidity was principally related to the hepatic-associated hydatidosis. It is concluded that splenic involvement is a rare manifestation of hydatid disease but should be looked for in a systematic way in patients with this diagnosis.
本报告涉及10例接受手术治疗的脾包虫病患者。脾棘球蚴病占我院治疗的腹部包虫囊肿的3.5%。在诊断为脾包虫病时，3例患者的脾脏是包虫病的首个且唯一发病部位。其中1例患者4年后因肺囊肿接受了手术。6例患者的脾囊肿无症状。脾包虫病最常见的临床体征是左上腹疼痛性肿块。超声检查和轴向计算机断层扫描（轴向CT）是最有用的诊断工具。脾包虫囊肿引起的并发症包括感染、腹腔破裂和结肠瘘。所有病例均行脾切除术。无死亡病例，发病率主要与肝脏相关的包虫病有关。结论是脾脏受累是包虫病的一种罕见表现，但对于诊断为此病的患者应进行系统排查。
