title: Hydatid cyst of spleen: a diagnostic challenge.
abstract: Although splenic involvement alone in hydatid disease is very rare, spleen is the third most common organ involved in hydatid disease. The rarity of splenic hydatid disease poses a diagnostic challenge for clinicians, particularly in non-endemic areas. As the hydatid cyst can present as a simple cyst without having the classic serological and imaging features, and later can lead to life-threatening complications like anaphylaxis, hydatid disease of spleen should be considered in differential in every patient in endemic areas with cystic lesion of spleen until proved otherwise. The author used the keyword "splenic hydatid cyst" in PubMed and reviewed the scientific literatures published from January 1965 to June 2012. The present review is to accentuate the incidence, classification, clinical and pathophysiological features, differential diagnosis, diagnostic modalities, and treatment choices of hydatid cyst of spleen along with follow-up strategy and newer treatment approaches.
authors: Department of Internal Medicine, University of Alabama at Birmingham, Health Center Montgomery, Alabama, USA.
authors: Khalid
authors: K
authors: Rasheed
authors: Showkat Ali
authors: SA
authors: Zargar
authors: Ajaz Ahmed
authors: AA
authors: Telwani
keywords: Anaphylactic shock; Laparoscopy; Spleenic hydatid
references: J Assoc Physicians India. 1995 Nov;43(11):797-8
references: 8773045
references: Klin Khir. 1995;(11-12):46
references: 8768244
references: Am J Surg. 1983 Feb;145(2):239-42
references: 6824138
references: World J Surg. 2000 Jun;24(6):717-21
references: 10773125
references: Trop Gastroenterol. 2000 Apr-Jun;21(2):78-9
references: 10881632
references: Clin Microbiol Infect. 2007 May;13(5):460-75
references: 17430337
references: Am Surg. 1965 Sep;31:605-8
references: 14326973
references: J Comput Assist Tomogr. 1986 May-Jun;10(3):428-31
references: 3700744
references: Neth J Med. 2007 Mar;65(3):86-8
references: 17387233
references: Lancet. 2001 Oct 27;358(9291):1464
references: 11705538
references: World J Surg. 1988 Oct;12(5):700-4
references: 3072778
references: Langenbecks Arch Surg. 2003 Sep;388(4):218-30
references: 12845535
references: J Commun Dis. 1996 Dec;28(4):221-30
references: 9057445
references: Surg Endosc. 2007 Jan;21(1):57-60
references: 17031738
references: Hepatogastroenterology. 2011 Mar-Apr;58(106):492-6
references: 21661418
references: Br J Surg. 1978 Apr;65(4):237-42
references: 638445
references: Acta Radiol. 2003 Nov;44(6):622-36
references: 14616207
references: Rev Esp Enferm Dig. 1990 Aug;78(2):102-4
references: 2271290
references: World J Surg. 1994 Nov-Dec;18(6):859-65
references: 7846909
references: Arch Surg. 1991 Apr;126(4):518-22; discussion 523
references: 2009069
references: Chirurgia (Bucur). 2008 Jan-Feb;103(1):9-11
references: 18459491
references: World J Surg. 1997 May;21(4):374-7; discussion 378
references: 9143567
references: Dig Surg. 2003;20(6):527-31
references: 14534375
references: JSLS. 2005 Apr-Jun;9(2):245-6
references: 15984723
references: World J Surg. 2001 Jan;25(1):83-6
references: 11213160
references: AJR Am J Roentgenol. 1986 Sep;147(3):537-42
references: 3526842
references: Br Med J (Clin Res Ed). 1984 Apr 21;288(6425):1197
references: 6424787
references: AJR Am J Roentgenol. 1990 Mar;154(3):525-8
references: 2106214
references: Bull World Health Organ. 1996;74(3):231-42
references: 8789923
references: J Egypt Soc Parasitol. 2006 Dec;36(3):993-1006
references: 17153708
references: Acta Radiol. 1987 Nov-Dec;28(6):743-5
references: 2962612
references: Rev Med Chir Soc Med Nat Iasi. 1997 Jan-Jun;101(1-2):233-5
references: 10756763
references: Antimicrob Agents Chemother. 1993 Aug;37(8):1679-84
references: 8215283
references: J Gastrointest Surg. 2006 May;10(5):734-9
references: 16713547
references: Radiology. 1996 Jan;198(1):259-64
references: 8539390
references: Br J Surg. 1979 Jun;66(6):407-8
references: 466023
references: Dig Surg. 2003;20(1):38-41
references: 12637803
references: J Laparoendosc Adv Surg Tech A. 2005 Feb;15(1):1-5
references: 15772468
references: AJR Am J Roentgenol. 2001 Nov;177(5):1051-6
references: 11641167
references: Surg Laparosc Endosc Percutan Tech. 2012 Jun;22(3):264-6
references: 22678325
references: Int Surg. 2000 Oct-Dec;85(4):358-65
references: 11589608
references: Clin Radiol. 2000 Nov;55(11):839-48
references: 11069739
references: Rev Clin Esp. 1969 Dec 15;115(5):433-8
references: 5405019
references: Gastrointest Radiol. 1987;12(1):39-42
references: 3792757
references: AJR Am J Roentgenol. 1988 Sep;151(3):491-2
references: 3261507
references: Acta Trop. 1997 Apr 1;64(1-2):95-107
references: 9095291
references: Postgrad Med J. 2001 Mar;77(905):195-6
references: 11222831
references: Eur Radiol. 1997;7(8):1303-8
references: 9377519
references: Acta Radiol. 2004 Jul;45(4):383-9
references: 15323389
references: World J Surg. 2001 Jan;25(1):10-4
references: 11213147
references: Langenbecks Arch Surg. 2003 Sep;388(4):231-8
references: 12905036
references: J Antimicrob Chemother. 2004 Sep;54(3):609-16
references: 15282238
references: World J Surg. 1998 Jan;22(1):17-22
references: 9465756
references: Br J Urol. 1995 Jun;75(6):724-8
references: 7613827
references: Radiographics. 1996 Jan;16(1):107-29
references: 10946694
references: Ann Trop Med Parasitol. 1995 Jun;89(3):261-9
references: 7668917
references: Br J Surg. 1972 Jun;59(6):489-91
references: 5031196
references: Clin Imaging. 1991 Apr-Jun;15(2):118-20
references: 1913311
references: World J Surg. 1989 Jan-Feb;13(1):88-90; discussion 90-1
references: 2728465
references: Hepatology. 2004 Feb;39(2):509-17
references: 14768005
references: Clin Infect Dis. 1994 Nov;19(5):992-4
references: 7893911
references: HPB Surg. 1993;6(3):229-32; discussion 233
references: 8489972
references: Gastroenterol Clin North Am. 1996 Sep;25(3):655-89
references: 8863045
references: Am J Trop Med Hyg. 1974 Jul;23(4):662-6
references: 4858758
references: Surg Clin North Am. 1983 Dec;63(6):1313-30
references: 6417808
references: Langenbecks Arch Surg. 2003 Dec;388(6):413-20
references: 14605887
references: Am J Trop Med Hyg. 1991 Apr;44(4):420-3
references: 2042707
references: Surg Gynecol Obstet. 1992 Mar;174(3):176-80
references: 1542831
references: AJR Am J Roentgenol. 1985 Sep;145(3):639-48
references: 3895873
references: Br J Surg. 1991 Sep;78(9):1031-8
references: 1933181
references: Surg Today. 2002;32(3):224-9
references: 11991507
references: Am J Roentgenol Radium Ther Nucl Med. 1967 Mar;99(3):660-7
references: 6020644
references: Chirurgia (Bucur). 2008 Jan-Feb;103(1):103-6
references: 18459506
references: Pathol Biol (Paris). 1970 Apr;18(7):357-65
references: 4914397
references: Arch Surg. 2001 Jul;136(7):789-95
references: 11448392
references: Chirurgia (Bucur). 2009 Mar-Apr;104(2):141-50
references: 19499656
references: Radiographics. 2003 Mar-Apr;23(2):475-94; quiz 536-7
references: 12640161
references: AJR Am J Roentgenol. 1986 Oct;147(4):859-60
references: 3489400
references: Clin Infect Dis. 1995 Dec;21(6):1372-6
references: 8749617
references: Dig Dis Sci. 2002 Sep;47(9):2037-44
references: 12353852
references: Surg Endosc. 1997 Sep;11(9):942-3
references: 9294279
references: Surg Endosc. 2000 Mar;14(3):243-5
references: 10741441
references: Parasitol Int. 2006;55 Suppl:S273-82
references: 16338164
references: Radiology. 1992 Feb;182(2):541-3
references: 1732977