Primer dalak hidatik kist hastalığı: Olgu serisi

Öz

Amaç: Dalağın izole hidatik kist hastalığı endemik bölgelerde nadiren görülür. Biz bu çalışmada yetişkinlerde primer splenik hidatik kist hastalığı ile ilgili deneyimimizi sunuyoruz.

Yöntemler:  Kliniğimize müracaat eden ve ameliyat edilen on bir izole dalak hidatik kist hastasını retrospektif inceledik. 

Bulgular: Primer splenik hidatik kist  ameliyatı yapılan 11 hastanın altısı (% 54.5) erkek, 5'i (% 45.5) kadın idi. Ortalama dalak büyüklüğü 14.2 cm (10-22 cm) uzunluğunda idi.. Ortalama kist çapı 10.1 cm (5-20 cm) idi. Dokuz hastaya (% 81) cerrahi girişim olarak splenektomi yapıldı ve iki hastaya (% 18) dalak koruyucu cerrahi olarak kistotomi, parsiyel kistektomi ve tüp drenaj işlemleri yapıldı. Splenektomi yapılmayan iki hastanın birinde kist dalak alt polde , diğerinde ise  santral yerleşimli idi.

Sonuç: Dalağın  izole hidatik kist hastalığı  nadir görülebilen bir durumdur. Abdominal tomografi hastalığı saptamada en etkin yöntemdir. Dalağın hidatik kist hastalığın tedavisi cerrahidir. Cerrahi yöntem için sağlanmış  optimal konsensus bulunmamaktadır.

Anahtar Kelimeler

• Splenik kist hidatik hastalığı,splenektomi,splenomegali

Primary splenic hydatidosis: Case series

Abstract

Aim: Primer hydatid cysts of the spleen are very rarely seen in endemic regions. We report here our experience with primary splenic hydatid cysts in adults.

Methods: We retrospectively analyzed eleven isolated spleen hydatid cyst cases who applied to our clinic and underwent surgery.

Results: Among the 11 patients who underwent operations for primer splenic hydatid cyst disease , six patients (54.5%) were male and five patients (45.5%) were female. The average spleen size was 14.2 cm (10–22 cm) in length. The average cyst diameter was 10.1 cm (5–20 cm). Nine (81%) patients underwent splenectomy as the surgical procedure and two (18%) patients underwent cystotomy, partial cystectomy, and tube drainage processes as spleen protective surgery. Two patients could not undergo splenectomy because the cyst was localized in the spleen lower pole in one patient and was centrally localized in the other patient.

Conclusion: Primer splenic hydatid cyst is a rare condition. Abdominal  tomography is the best method for diagnosing splenic hydatid cyst. The treatment of splenic hydatid cysts is surgically. No exact consensus has been reached regarding the selection of an optimal surgical procedure. 

Keywords

• Splenic Hydatidosis,splenectomy,Splenomegaly

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