Rasheed Khalid, Zargar Showkat Ali, Telwani Ajaz Ahmed
Department of Internal Medicine, University of Alabama at Birmingham, Health Center Montgomery, Alabama, USA.
N Am J Med Sci. 2013 Jan;5(1):10-20. doi: 10.4103/1947-2714.106184.
Although splenic involvement alone in hydatid disease is very rare, spleen is the third most common organ involved in hydatid disease. The rarity of splenic hydatid disease poses a diagnostic challenge for clinicians, particularly in non-endemic areas. As the hydatid cyst can present as a simple cyst without having the classic serological and imaging features, and later can lead to life-threatening complications like anaphylaxis, hydatid disease of spleen should be considered in differential in every patient in endemic areas with cystic lesion of spleen until proved otherwise. The author used the keyword "splenic hydatid cyst" in PubMed and reviewed the scientific literatures published from January 1965 to June 2012. The present review is to accentuate the incidence, classification, clinical and pathophysiological features, differential diagnosis, diagnostic modalities, and treatment choices of hydatid cyst of spleen along with follow-up strategy and newer treatment approaches.
尽管在包虫病中单纯脾脏受累非常罕见，但脾脏是包虫病累及的第三大常见器官。脾脏包虫病的罕见性给临床医生带来了诊断挑战，在非流行地区尤其如此。由于包虫囊肿可能表现为单纯囊肿，而不具有典型的血清学和影像学特征，且后期可能导致危及生命的并发症，如过敏反应，因此在流行地区，对于每一位有脾脏囊性病变的患者，在排除其他疾病之前，均应考虑脾脏包虫病的鉴别诊断。作者在PubMed中使用关键词“脾包虫囊肿”，回顾了1965年1月至2012年6月发表的科学文献。本综述旨在强调脾包虫囊肿的发病率、分类、临床和病理生理特征、鉴别诊断、诊断方法、治疗选择以及随访策略和新的治疗方法。
