Surgical management of splenic hydatidosis.
OBJECTIVE
This study was conducted to evaluate the surgical management of splenic hydatidosis in an area where the disease is endemic.


METHODS
Over a period of 16 years, 26 patients with splenic hydatidosis underwent surgery in our department. Preoperative investigations included plain abdominal X-ray, serology, ultrasonography, and computed tomography.


RESULTS
In our series, splenic hydatidosis represented 3.5% of total abdominal hydatidosis. The majority of patients presented with abdominal discomfort and palpable swelling in the left hypochondrium. Twenty-two patients were operated on electively and 4 as emergency cases, including 2 with ruptured hydatids and 2 with infected hydatids of the spleen. Isolated splenic hydatid cysts were present in 21 patients, associated liver hydatid cysts in 4, and diffuse abdominal hydatidosis in 1 patient. All patients underwent splenectomy except for one patient who initially had partial splenectomy for a lower polar cyst. This patient also ended up undergoing a splenectomy for postoperative hemorrhage. One patient died on the sixth postoperative day (mortality rate 3.8%) as a result of multiorgan failure, and 4 developed minor complications (morbidity 15.4%).


CONCLUSIONS
Splenic hydatidosis, although rare, is the third most common type of hydatidosis after liver and lung hydatidosis. This entity should thus be kept in mind when encountering a splenic cyst especially in areas where the disease is endemic. A splenectomy remains the treatment of choice because it demonstrates low morbidity and mortality rates.
Dar
Manzoor Ahmad
MA
Department of Surgery, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Kashmir, India.
Shah
Omar Javed
OJ
Wani
Nazir Ahmad
NA
Khan
Fayaz Ahmad
FA
Shah
Parveen
P
D000328:Adult; D004443:Echinococcosis / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013156:Splenectomy; D013158:Splenic Diseases / Q000000981:diagnostic imaging / Q000469:parasitology / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome