Spleen Cystic Echinococcosis: Clinical Manifestations and Treatment

Abstract Aim: The aim of our study was to demonstrate clinical manifestations and diagnostic methods of splenic echinococcosis and suggest surgical approach. Methods: The study involved 20 patients of previously diagnosed spleen echinococcosis. A diagnosis was made for each patient, based on medical...

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Bibliographic Details
Published in:Scandinavian journal of gastroenterology 2010-01, Vol.45 (2), p.186-190
Main Authors: ulafi, or e M., Kerkez, Mirko D., Mija, Dragana D., Leki, Nebojša S., Rankovi, Vitomir I., Leki, Dragana D., or evi, Zoran Lj
Format: Article
Language:English
Subjects:
Adult
Aged
Biological and medical sciences
Diagnosis
Diseases caused by cestodes
Echinococcoses
Echinococcosis - diagnosis
Echinococcosis - pathology
Echinococcosis - surgery
Echinococcus granulosus
Female
Gastroenterology. Liver. Pancreas. Abdomen
Helminthic diseases
Humans
Infectious diseases
Male
Medical sciences
Middle Aged
Parasitic diseases
Spleen
Splenic Diseases - diagnosis
Splenic Diseases - parasitology
Splenic Diseases - surgery
Surgical approach
Tomography, X-Ray Computed
Young Adult
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Summary:Abstract Aim: The aim of our study was to demonstrate clinical manifestations and diagnostic methods of splenic echinococcosis and suggest surgical approach. Methods: The study involved 20 patients of previously diagnosed spleen echinococcosis. A diagnosis was made for each patient, based on medical history, biochemical and serological tests, physical examination and abdominal ultrasonography. All the patients received a CT scan of the abdomen. These patients had undergone the following surgery procedures: total splenectomy 13 (60%), and spleen-preserving surgery 7 (35%) patients. Histological examination confirmed the spleen echinoccocosis in all the patients. Results: Nonspecific left upper abdominal pain was present in 10 (50%) cases, while 5 (25%) patients presented with the right upper abdominal pain with dyspepsia and five patients (25%) were asymptomatic. Postoperative complications developed in 2/13 (15.4 %) patients who underwent total splenectomy, while there were no complications after spleen-preserving surgery. Conclusion: Spleen-preserving surgery should be undertaken if possible in patients with spleen echinococcosis, and total splenectomy is reserved for the patients with large cysts located centrally or near the hilus.
ISSN:0036-5521
1502-7708
DOI:10.3109/00365520903428598