TRAUMATIC RUPTURE OF ISOLATED SPLENIC HYDATID CYST

Year 2021, Volume: 12 Issue: 4, 121 - 123, 14.12.2021

Metin Yeşiltaş Berk Gökçek Seracettin Eğin

https://doi.org/10.33706/jemcr.967971

Abstract

A traumatic rupture of isolated spleenic hydatid cyst (SHC) has been reported very rarely in the literature. In this article a case of traumatic isolated splenic hydatid cyst rupture treated with emergent surgical intervention is presented.
The patient was brought to emergency department after an automobile accident. After 4 hours, his hemodynamic parameters deteriorated with impending frank peritonitis. Immediate laparotomy was performed due to failed non-operative treatment. The recovery was uneventful and the patient was discharged at 6th postoperative day.
Spleen is one of the most commonly injured solid organs in the abdomen as a result of trauma. SHC is usually solitary, though it is not common even in endemic regions, and multiple organ involvement is common if spleen is involved. In the present case, no other organ was involved besides spleen.
Emergency surgery is the main treatment for ruptured SHC. For relapses, patient should be followed up in post-op period with 4-6 month intervals by abdomen ultrasonography, computerized tomography and indirect haemagglutination.

Keywords

TRAUMA, HYDATID CYST, SPLENIC

References

• 1. Kiresi DA, Karabacakoglu A, Odev K, Karaköse S. Uncommon locations of hydatid cysts. Acta Radiol 2003;44:622-636.
• 2. Fernández-Ruiz M, Guerra-Vales JM, Enguita-Valls AB, Vila-Santos J, García-Borda FJ, Morales-Gutiérrez C. Splenic hydatid cyst, a rare location of extrahepatic echinococcosis: Report of six cases. Eur J Intern Med 2008;19:51-53.
• 3. Magistrelli P, Masetti R, Coppola R, Messia A, Nuzzo G, Picciochi A. Surgical treatment of hydatid disease of the liver. World J Surg 1991;126:518-523.
• 4. Prousalidid J, Tzardinoglou K, Sgouradis L, Katsohis C, Aletras H. Uncommon sites of hydatid disease. World J Surg 1988;22:17-22. 5. Gregg RO, Halsey WS. Echinococcal cyst of splee. N Y State J Med 1973;73:693-4.
• 6. Tarcoveanu E, Pleşa A, Dănilă N, Lupaşcu C, Cotea E, Negru R. Splenic hydatic cyst. Observations upon 38 cases of splenic echi¬nococcosis. Rev Med Chir Soc Med Nat Iasi 2002;107:311-315.
• 7. Placer C, Martin R, Sanches E, et al. Rupture of abdominal hydatid cysts. Br J Surg 1988;75:157-161. 8. Bourée P. Hydatidosis: dynamics of transmission. World J Surg 2001;25:4-9.
• 9. Eckert J, Deplazes P. Biological, epidemiological, and clinical aspects of echinococcosis, a zoonosis of increasing concern. Clin Microbiol Rev 2004;17:107-135.
• 10. Gunay K, Taviloğlu K, Berber E, Ertekin C. Trumatic rupture of hydatid cysts: a 12-year experience from an endemic region. J Trauma 1999;46:164-7.
• 11. Sayek I, Onat D. Diagnosis and treatment of uncomplicated hydatid of the liver. World J Surg 2001;25:21-27.
• 12. Sozuer EM, Ok E, Arslan M. The perforation problem in hydatid disease. Am J Trop Med Hyg 2002;66:575-577.
• 13. Paraskevopoulos JA, Baer H, Dennison AR. Liver hydatid disease audit of surgical management. Int J Surg Sci 1998;5:21-24.
• 14. Derici H, Tansug T, Reyhan E, Bozdağ AD, Nazlı O. Acute intraperitoneal rupture of hydatid cysts. World J Surg 2006;30:1879-1883.