title: Primary Giant Splenic Echinococcal Cyst Treated by Laparoscopy.
abstract: Cystic echinococcosis (CE) is a zoonosis caused by the larval stage of the dog tapeworm Echinococcus granulosus. Liver and lungs are the most commonly affected organs whereas splenic infection is rarer and its primary involvement occurs in less than 2% of abdominal CE. We report a case of primary giant splenic hydatid cyst in a 75-year-old Peruvian woman that was laparoscopically removed without any complications, perioperative prophylactic chemotherapy with albendazole 400 mg twice a day 5 days before, and 7 days after the surgical procedure was administered, postoperative recovery was uneventful, and; at her 3-month follow-up the patient remains asymptomatic and an abdominal computed tomography scan demonstrated a cystic cavity of 15 cm diameter with no daughter vesicles, neither other abdominal organ involvement. This case is in line with the existing literature on laparoscopical treatment of splenic cystic hydatid disease, suggesting that laparoscopical treatment is a safe and effective approach for large splenic hydatid cysts to be preferred to open surgical techniques.
authors.affiliation: Instituto Peruano de Parasitologia Clinica y Experimental (INPPACE), Lima, Perú; Department of Surgery, Hospital Nacional Dos de Mayo, Lima, Perú; Department of Microbiology, School of Sciences, Universidad Peruana Cayetano Heredia, Lima, Perú; Center for Global Health, Tumbes, Universidad Peruana Cayetano Heredia, Lima, Perú; Cysticercosis Unit, Instituto Nacional de Ciencias Neurologicas, Lima, Perú
authors.forename: Maira A
authors.initials: MA
authors.lastname: Arce
authors.affiliation: Instituto Peruano de Parasitologia Clinica y Experimental (INPPACE), Lima, Perú; Department of Surgery, Hospital Nacional Dos de Mayo, Lima, Perú; Department of Microbiology, School of Sciences, Universidad Peruana Cayetano Heredia, Lima, Perú; Center for Global Health, Tumbes, Universidad Peruana Cayetano Heredia, Lima, Perú; Cysticercosis Unit, Instituto Nacional de Ciencias Neurologicas, Lima, Perú
authors.forename: Himerón
authors.initials: H
authors.lastname: Limaylla
authors.affiliation: Instituto Peruano de Parasitologia Clinica y Experimental (INPPACE), Lima, Perú; Department of Surgery, Hospital Nacional Dos de Mayo, Lima, Perú; Department of Microbiology, School of Sciences, Universidad Peruana Cayetano Heredia, Lima, Perú; Center for Global Health, Tumbes, Universidad Peruana Cayetano Heredia, Lima, Perú; Cysticercosis Unit, Instituto Nacional de Ciencias Neurologicas, Lima, Perú
authors.forename: Maria
authors.initials: M
authors.lastname: Valcarcel
authors.affiliation: Instituto Peruano de Parasitologia Clinica y Experimental (INPPACE), Lima, Perú; Department of Surgery, Hospital Nacional Dos de Mayo, Lima, Perú; Department of Microbiology, School of Sciences, Universidad Peruana Cayetano Heredia, Lima, Perú; Center for Global Health, Tumbes, Universidad Peruana Cayetano Heredia, Lima, Perú; Cysticercosis Unit, Instituto Nacional de Ciencias Neurologicas, Lima, Perú
authors.forename: Hector H
authors.initials: HH
authors.lastname: Garcia
authors.affiliation: Instituto Peruano de Parasitologia Clinica y Experimental (INPPACE), Lima, Perú; Department of Surgery, Hospital Nacional Dos de Mayo, Lima, Perú; Department of Microbiology, School of Sciences, Universidad Peruana Cayetano Heredia, Lima, Perú; Center for Global Health, Tumbes, Universidad Peruana Cayetano Heredia, Lima, Perú; Cysticercosis Unit, Instituto Nacional de Ciencias Neurologicas, Lima, Perú ssantiva@jhsph.edu.
authors.forename: Saul J
authors.initials: SJ
authors.lastname: Santivañez
mesh_terms: D000368:Aged; D015766:Albendazole / Q000627:therapeutic use; D000871:Anthelmintics / Q000627:therapeutic use; D003560:Cysts / Q000469:parasitology*; D004443:Echinococcosis / Q000473:pathology* / Q000601:surgery*; D005260:Female; D006801:Humans; D013158:Splenic Diseases / Q000469:parasitology* / Q000601:surgery*
chemical_list: D000871:Anthelmintics; D015766:Albendazole