Yotsov Tsanko Ivelinov, Dyulgerova Stela, Draganova Daniela
Department of Health Care, University of Ruse 'Angel Kanchev', Ruse; Department of Surgical Nursing Care, Medical University of Pleven, Pleven, Bulgaria.
Department of Surgical Nursing Care, Medical University of Pleven, Pleven, Bulgaria.
J Minim Access Surg. 2023 Apr-Jun;19(2):317-319. doi: 10.4103/jmas.jmas_113_22.
Hydatid cyst disease is a parasitic disease caused by a type of tapeworm called Echinococcus. It is endemic to cattle-rearing regions of Africa, Asia, South Europe, the Mediterranean, the Middle East and Australia. The most common site of infection is the liver (75%). Involvement of the spleen is rare and occurs in 5% of the cases. Solitary splenic cysts are even rarer (0.5%-4%). We present a case of solitary hydatid cyst of the spleen in a 47-year-old woman. The cyst was asymptomatic and an accidental find on a full-body computed tomography after epileptic seizure and body trauma. The condition was treated successfully with albendazole, but the patient requested the cyst removed. Laparoscopic splenectomy was performed. The specimen was placed in an Endo-Bag and extracted. The patient recuperated well and was discharged on the post-operative day 5. Six months after the procedure, the patient has no complaints.
包虫囊肿病是一种由细粒棘球绦虫引起的寄生虫病。该病在非洲、亚洲、南欧、地中海地区、中东和澳大利亚的养牛区呈地方性流行。最常见的感染部位是肝脏(75%)。脾脏受累罕见,发生率为5%。孤立性脾囊肿更为罕见(0.5%-4%)。我们报告一例47岁女性的孤立性脾包虫囊肿病例。该囊肿无症状,是在癫痫发作和身体创伤后进行全身计算机断层扫描时偶然发现的。该疾病通过阿苯达唑治疗成功,但患者要求切除囊肿。遂进行了腹腔镜脾切除术。标本置于内镜袋中取出。患者恢复良好,术后第5天出院。术后6个月,患者无不适主诉。