Ramia-Angel Jose Manuel, Gasz Andrzej, de la Plaza-Llamas Roberto, Quinones-Sampedro Jose, Sancho Eloy, Garcia Parreno Jorge
Department of Hepatobilio-Surgery, University Hospital Guadalajara, Spain.
Pol Przegl Chir. 2011 May;83(5):271-5. doi: 10.2478/v10035-011-0042-4.
Hydatidosis of the spleen (SH) is an extremally rare condition. The aim of the study was to present our experience and discuss diagnostic methods and therapeutical options in cases of spleen hydatidosis.
Between 1993 and 2008, 8 patients were diagnosed with SH, 6 of whom were operated on (4 males and 2 females). Their average age was 44.5 years (the age range 30-59 years). Four patients presented isolated SH, one had a spleen and liver hydatidosis and there was also a case of one spleen, liver and peritoneal hydatidosis.
The main symptom of the condition was abdominal pain and hydatidosis serology was always positive. The average hydatidisis cyst size was 13.3 cm (range: 7-18 cm). Splenectomy was performed in 5 cases and a partial cystectomy in one case. A left lateral sectionectomy was required in 1 case, a segment III subsegmentectomy was delivered in 1 case and multiple cystectomies in the case of the patient with disseminated hydatisis. In the follow-up period of the above mentioned surgical procedures no mortality among the treated patients was reported. The majority of patients did not present any symptoms of morbidity (4 patients). We registered one wound infection and one cavity abscess solved with percutaneous drainage in the patient following partial cystectomy. The hospitalisation period avaraged to 5 days (within the range of 5 to 12 days). The patients' follow-up was 98 months on average (range: 19-190 months) without any traced relapse.
Total splenectomy is the treatment of choice of SH. Other surgical techniques could be employed in special cases.
脾脏包虫病（SH）极为罕见。本研究旨在介绍我们的经验，并探讨脾脏包虫病病例的诊断方法和治疗选择。
1993年至2008年间，8例患者被诊断为脾脏包虫病，其中6例接受了手术（4例男性，2例女性）。他们的平均年龄为44.5岁（年龄范围30 - 59岁）。4例患者为单纯脾脏包虫病，1例患者同时患有脾脏和肝脏包虫病，还有1例患者患有脾脏、肝脏和腹膜包虫病。
该疾病的主要症状为腹痛，包虫病血清学检查始终呈阳性。包虫囊肿的平均大小为13.3厘米（范围：7 - 18厘米）。5例行脾切除术，1例行部分囊肿切除术。1例行左外侧段切除术，1例行Ⅲ段亚段切除术，1例播散性包虫病患者行多次囊肿切除术。在上述手术的随访期内，未报告治疗患者死亡。大多数患者未出现任何发病症状（4例）。我们记录到1例伤口感染和1例部分囊肿切除术后患者经皮引流治愈的腔隙性脓肿。住院时间平均为5天（范围5至12天）。患者的平均随访时间为98个月（范围：19 - 190个月），无任何复发迹象。
全脾切除术是脾脏包虫病的首选治疗方法。特殊情况下可采用其他手术技术。
