Primary perisplenic hydatid cyst.
Splenic parasitic cysts due to flat worm Echinococci resulting in hydatid disease are a rare presentation as primary site even in the endemic regions. Primary splenic parasitic cysts have an incidence of 0.5-4%. A 21-year-old male with pet dogs at home, presented with 3 months history of gradually increasing discomfort in the left hypochondrium and tender splenomegaly. He had marked eosinophilia with normal liver function tests and positive serum IgM Echinococcus antibodies. Ultrasonography showed a cyst in the hilar region of spleen having septations with internal echos. An upper midline laparotomy was performed and a perisplenic cyst was removed along with spleen from the sub-diaphragmatic location. Histopathological examination confirmed acellular fibrous wall of hydatid cyst with germinal layer and scolices in the centre. Postoperatively, patient was continued on oral Albendazole for one month.
Sharif
Muhammad Ashraf
MA
Department of Pathology, Combined Military Hospital, Bahawalnagar. ashrafof@gmail.com
Mahmood
Asad
A
Murtaza
Badar
B
Malik
Imran Bashir
IB
Khan
Abdullah
A
Asghar
Zunera
Z
Arif
Adeel
A
D000328:Adult; D015766:Albendazole / Q000627:therapeutic use; D000818:Animals; D000981:Antiprotozoal Agents / Q000627:therapeutic use; D004285:Dogs; D004443:Echinococcosis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D004802:Eosinophilia; D006801:Humans; D007075:Immunoglobulin M; D007813:Laparotomy; D008297:Male; D013154:Spleen / Q000000981:diagnostic imaging / Q000469:parasitology* / Q000601:surgery; D013156:Splenectomy; D013158:Splenic Diseases / Q000000981:diagnostic imaging / Q000469:parasitology* / Q000601:surgery; D014463:Ultrasonography
D000981:Antiprotozoal Agents; D007075:Immunoglobulin M; D015766:Albendazole