Lakis Moustafa, Hanna Edith, Noujaim Michael G, Saad George Abi
American University of Beirut Medical School, Beirut, Lebanon.
Division of General Surgery, American University of Beirut Medical Center, Beirut, Lebanon.
Trauma Case Rep. 2015 Apr 23;1(1-2):1-3. doi: 10.1016/j.tcr.2015.02.001. eCollection 2015 Feb.
The rupture of an hydatid cyst in the spleen due to trauma is a rare event. In this case report we describe the case of a 39-year-old Lebanese male victim of a motor vehicle accident with a ruptured solitary splenic hydatid cyst discovered by CT scan and excised during exploratory laparotomy. Echinococcosis or hydatid disease is a parasitic infestation by the genus of tapeworm. The eggs of , a species of , are fecal-orally transmitted to human hosts, most often from dog feces, and manifest as cystic lesions termed hydatid. most commonly affects the liver (75%), lungs (15%), and rarely the spleen (2-5%) [1], [2]. is particularly endemic to cattle rearing areas of the Middle East. Infected patients most commonly present with vague abdominal pain, as a result of mass effect or spontaneous rupture of the cyst. Nevertheless, patient presentation may be due to traumatic rupture of a hydatid cyst; however, this is very rare. Herein we report a case of traumatic rupture of a solitary splenic hydatid cyst in a 39-year-old male following a motor vehicle crash, managed following the Advanced Trauma Life Support (ATLS) protocol.
脾脏包虫囊肿因外伤破裂是一种罕见事件。在本病例报告中，我们描述了一名39岁黎巴嫩男性机动车事故受害者的病例，其通过CT扫描发现孤立性脾脏包虫囊肿破裂，并在剖腹探查术中切除。棘球蚴病或包虫病是由绦虫属引起的寄生虫感染。细粒棘球绦虫的虫卵通过粪口途径传播给人类宿主，最常见于狗粪，表现为称为包虫的囊性病变。包虫病最常累及肝脏（75%）、肺（15%），很少累及脾脏（2 - 5%）[1,2]。中东的养牛地区是包虫病的特别流行地区。受感染患者最常见的表现是由于囊肿的占位效应或自发破裂而出现的模糊腹痛。然而，患者的表现也可能是由于包虫囊肿的外伤性破裂；不过，这种情况非常罕见。在此，我们报告一例39岁男性在机动车碰撞后孤立性脾脏包虫囊肿外伤性破裂的病例，按照高级创伤生命支持（ATLS）方案进行处理。
