Document Detail

Surgical treatment for splenic hydatidosis.
MedLine Citation:
PMID:  9143567     Owner:  NLM     Status:  MEDLINE    
Splenic involvement is rare in patients with hydatid disease even in endemic countries. The spleen is the third most commonly involved organ after the liver and the lung. In our series splenic echinococcosis represents 5.8% of abdominal hydatid disease. During the last 22 years, 14 patients were operated on for splenic hydatid cysts in our department. In 10 patients the spleen was the only location of hydatid disease; in 2 patients there was concomitant liver hydatid disease; one patient had disseminated intraabdominal disease; and one patient had a coexisting hydatid cyst in the quadriceps femoris muscle. Plain abdominal films, ultrasonography, and computed tomography scans were most useful for establishing the diagnosis. All patients underwent splenectomy alone or combined with management of cysts at other sites, except for two patients who underwent omentoplasty and one patient who underwent external drainage. One patient died during the early postoperative period (mortality rate 7%), and three patients had minor complications. Splenic hydatid disease should be included in the differential diagnosis when a splenic cyst is identified, especially in patients with a history of hydatid disease. Surgery remains the treatment of choice to avoid serious complications.
M Safioleas; E Misiakos; C Manti
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  World journal of surgery     Volume:  21     ISSN:  0364-2313     ISO Abbreviation:  World J Surg     Publication Date:  1997 May 
Date Detail:
Created Date:  1997-06-05     Completed Date:  1997-06-05     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7704052     Medline TA:  World J Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  374-7; discussion 378     Citation Subset:  IM    
Second Department of Propedeutic Surgery, Athens University Medical School, Laiko General Hospital, Greece.
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MeSH Terms
Aged, 80 and over
Echinococcosis / diagnosis,  surgery*
Middle Aged
Splenic Diseases / diagnosis,  surgery*
Tomography, X-Ray Computed
Comment In:
World J Surg. 1998 Apr;22(4):423   [PMID:  9523527 ]

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