Jaweesh Shkri, Jaweesh Marwa, Alokla Hasan, Alfandi Abdullah, Omran Mohammad, Alhomsi Khaled
Faculty of Medicine, Al-Sham Private University, Damascus, Syria.
Faculty of Medicine University of Aleppo, Syria.
Int J Surg Case Rep. 2024 Oct;123:110232. doi: 10.1016/j.ijscr.2024.110232. Epub 2024 Sep 6.
Hydatid disease is a parasitic infection caused by tapeworm larvae that can affect different organs, including the spleen. While isolated hydatid cysts in the spleen are rare, they are usually asymptomatic and are frequently discovered incidentally. Treatment options depend on several factors, such as cyst location, size, and number.
We present the case of a 9-year-old child who lives in rural areas. He was suffering from pain in the left flank for 3 months. An ultrasound and CT scan of the abdomen were performed. It was found that there was a solitary hydatid cyst in the spleen, about half the size of the spleen. Surgical intervention was performed and the cyst was completely removed without opening the cyst and with preservation of normal splenic tissue.
In cases of splenic cysts, the spleen must be preserved and the cyst must be removed with caution so as not to rupture it. Therefore, protecting the child from the possibility of hydatid cyst spread and anaphylactic shock.
In conclusion, this article underscores the importance of differential diagnosis of a hydatid cyst in the spleen and taking the necessary preventive measures before and during surgery to avoid the rupture of the cyst.
包虫病是一种由绦虫幼虫引起的寄生虫感染，可影响包括脾脏在内的不同器官。虽然脾脏孤立性包虫囊肿罕见，但通常无症状，常为偶然发现。治疗方案取决于多个因素，如囊肿位置、大小和数量。
我们报告一例居住在农村地区的9岁儿童病例。他左侧胁腹疼痛3个月。进行了腹部超声和CT扫描。发现脾脏有一个孤立性包虫囊肿，约为脾脏大小的一半。实施了手术干预，完整切除囊肿，未打开囊肿并保留了正常脾脏组织。
在脾囊肿病例中，必须保留脾脏，谨慎切除囊肿以免破裂。因此，要防止儿童出现包虫囊肿播散和过敏性休克的可能性。
总之，本文强调了脾脏包虫囊肿鉴别诊断的重要性，以及在手术前和手术期间采取必要预防措施以避免囊肿破裂的重要性。
