Postpartum Spontaneous Rupture of a Primary Splenic Hydatid Cyst: A Case Report
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Abstract
Hydatid disease is endemic in some regions of the world. Even in endemic regions, splenic hydatid cysts are rare, especially in pregnancy. The most serious presentation is intra peritoneal rupture, which is a surgical emergency. Exploration with splenectomy is the favoured management. We present a case of splenic hydatid cyst, detected late in pregnancy, with intraperitoneal rupture in the postpartum period. Cystic lesions located anywhere in the body in endemic regions could be hydatid cysts. Prompt treatment should be planned immediately on detection in order to prevent potentially serious complications like rupture.
1. Khalili N, Iranpour P, Khalili N, Haseli S. Hydatid Disease: A Pictorial Review of Uncommon Locations. Iran J Med Sci. 2023;48(2):118-129.
2. Celebi S, Basaranoglu M, Karaaslan H, et al. A splenic hydatid cyst case presented with lumbar pain. Intern Med. 2006; 45(17):1023-4.
3. Bitton M, Kleiner-Baumgarten A, Peiser J, Barki Y, Sukenik S. Anaphylactic shock after traumatic rupture of a splenic echinococcal cyst. Harefuah. 1992:122(4):226-8.
4. Sedat Belli, Sami Akbulut, Gurcan Erbay, Nazım Emrah Kocer. Spontaneous giant splenic hydatid cyst rupture causing fatal anaphylactic shock: A case report and brief literature review. Turk J Gastroenterol. 2014; 25: 88-91.
5. 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(7):e51-3.
6. Örmeci N, Soykan I, Palabiyikoğlu M, Idilman R, Erdem H, et al. A new therapeutic approach for treatment of hydatid cysts of the spleen. Dig Dis Sci. 2002; 47(9): 2037–44.
7. Durgun V, Kapan S, Kapan M, Karabiçak I, Aydogan F. Primary splenic hydatidosis. Dig Surg. 2003; 20(1): 38–41.
8. Manouras AJ, Nikolaou CC, Katergiannakis VA, Apotolidis NS, Golematis BC. Spleen-sparing surgical treatment for echinococcosis of the spleen. Br J Surg. 1997; 84: 1162.
9. Safioleas M, Misiakos E, Manti C. Surgical treatment for splenic hydatidosis. World J Surg. 1997;21:374–7.
10. Prousalidis J, Tzardinoglou K, Sgouradis L, Katsohis C, Aletras H. Uncommon sites of hydatid disease. World J Surg. 1998;22:17–22.
11. Qureshi MA, Hafner CD. Clinical manifestations of splenic cysts: Study of 75 cases. Am Surg. 1965;31:605–8.
12. Alfageme I, Martin M, Hernandez J, Huertas C. Rupture of a long-standing splenic hydatid cyst into the bronchial tree. Clin Infect Dis. 1994;19:992–4.
13. Mc Manus DP, Zhang W, Li J, Bartley PB. Echinococcosis. Lancet. 2003; 362: 1295–304.
14. Rasheed K, Zargar SA, Telwani AA. Hydatid cyst of spleen: a diagnostic challenge. N Am J Med Sci. 2013; 5: 10–20.
15. Herrera Merino N, Díaz del Río Botas M, Marinelli Ibarreta A, San José Borreguero A, Abascal Morte J, Colas Vicente A. Acute abdomen caused by spontaneous rupture of splenic hydatid cyst. Rev Esp Enferm Dig. 1990;78:102–4.
16. Uriarte C, Pomares N, Martin M, Conde A, Alonso N, Bueno MG. Splenic hydatidosis. Am J Trop Med Hyg. 1991;44:420–3.
17. Dirican A, Yilmaz M, Unal B, et al. Ruptured hydatid cysts into the peritoneum: a case series Eur J Trauma Emerg Surg. 2010; 36: 375-9.
18. Limas C, Soultanidis C, Kirmanidis MA, et al. Management of abdomen hydatidosis after rupture of a hydatid splenic cyst: a case report. Cases J. 2009; 2: 8416.
19. Erel S, Kilicoglu B, Kismet K, Gollu A, Akkus MA. Peritoneal hydatid cyst perforation: a rare cause of emergency abdominal surgeries. Adv Ther. 2008; 25: 943-50.
20. Rahman MS, Rahman J, Lysikiewicz A. Obstetric and gynaecological presentations of hydatid disease. Br J Obstet Gynaecol. 1982;89:665–670.
21. Ustunsoz B, Alemdaroglu A, Bulakbasi N, Uzar AI, Duru NK. Percutaneous treatment of hepatic hydatid cyst in pregnancy. Arch Gynecol Obstet. 1999;262:181–184.
22. Dabrowski W, Luterek K, Szczepanik A, Niedzwiedzka B, Wielgos M. Management of a large splenic cyst in pregnancy – a case report. Ginekol Pol. 2012;83:862–4.
23. Gharaibeh KI. Laparoscopic excision of splenic hydatid cyst. Postgrad Med J. 2001;77:195–6.
24. Can D, Oztekin O, Oztekin O, et al. Hepatic and splenic hydatid cyst during pregnancy: a case report. Arch Gynecol Obstet. 2003; 268:239-240.
25. Menendez-Arzac R, Sanjuan H, Rebolledo G, et al. Splenic hydatid cyst. Case report of a pregnant woman. Rev Gastroenterol Mex. 2002; 67:195-198.
26. Dachman AH, Ros PR, Murari PJ, Olmsted WW, Lichtenstein JE. Nonparasitic splenic cysts: a report of 52 cases with radiologic-pathologic correlation. AJR Am J Roentgenol. 1986; 147(3):537-42.
27. Caballero P, Ocon E, Robledo AG, Diáz FJ. Splenic hydatid cyst opening. AJR Am J Roentgenol. 1986; 147(4):859-60.
28. Safioleas M, Misiakos E, Manti C, Katsikas D, Skalkeas G. Diagnostic evaluation and surgical management of hydatid disease of the liver. World J Surg. 1994; 18(6):859-65.
29. Sarkari B, Fatemi Esfedan A, et al. Clinical and Molecular Evaluation of a Case of Giant Primary Splenic Hydatid Cyst: A Case Report. Iran J Parasitol. 2016;11(4):585-590.
30. Dar MA, Shah OJ, Wani NA, Khan FA, Shah P .Surgical management of splenic hydatidosis. Surg Today. 2002; 32(3):224-9.
31. Arikanoglu Z, Taskesen F, Gumus H, et al. Selecting a surgical modality to treat a splenic hydatid cyst: total splenectomy or spleen-saving surgery? J Gastrointest Surg. 2012;16(6):1189-93.
32. Ellison EC, Fabri PJ Complications of splenectomy. Etiology, prevention, and management. Surg Clin North Am. 1983; 63(6):1313-30.
33. Atmatzidis K, Papaziogas B, Mirelis C, Pavlidis T, Papaziogas T .Splenectomy versus spleen-preserving surgery for splenic echinococcosis. Dig Surg. 2003; 20(6):527-31.
34. Rahmani SH, Mohammadi Tofigh A. Spleen-Preserving surgery versus spleenectomy for spleenic hydatid cyst. Ten years’ experience. Shiraz E Med J. 2008-9;2:82–6.
35. Khoury G, Abiad F, Geagea T, Nabout G, Jabbour S. Laparoscopic treatment of hydatid cysts of the liver and spleen. Surg Endosc. 2000; 14(3):243-5.
36. Ballaux KE, Himpens JM, Leman G, Van den Bossche MR. Hand-assisted laparoscopic splenectomy for hydatid cyst. Surg Endosc. 1997; 11(9):942-3.
2. Celebi S, Basaranoglu M, Karaaslan H, et al. A splenic hydatid cyst case presented with lumbar pain. Intern Med. 2006; 45(17):1023-4.
3. Bitton M, Kleiner-Baumgarten A, Peiser J, Barki Y, Sukenik S. Anaphylactic shock after traumatic rupture of a splenic echinococcal cyst. Harefuah. 1992:122(4):226-8.
4. Sedat Belli, Sami Akbulut, Gurcan Erbay, Nazım Emrah Kocer. Spontaneous giant splenic hydatid cyst rupture causing fatal anaphylactic shock: A case report and brief literature review. Turk J Gastroenterol. 2014; 25: 88-91.
5. 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(7):e51-3.
6. Örmeci N, Soykan I, Palabiyikoğlu M, Idilman R, Erdem H, et al. A new therapeutic approach for treatment of hydatid cysts of the spleen. Dig Dis Sci. 2002; 47(9): 2037–44.
7. Durgun V, Kapan S, Kapan M, Karabiçak I, Aydogan F. Primary splenic hydatidosis. Dig Surg. 2003; 20(1): 38–41.
8. Manouras AJ, Nikolaou CC, Katergiannakis VA, Apotolidis NS, Golematis BC. Spleen-sparing surgical treatment for echinococcosis of the spleen. Br J Surg. 1997; 84: 1162.
9. Safioleas M, Misiakos E, Manti C. Surgical treatment for splenic hydatidosis. World J Surg. 1997;21:374–7.
10. Prousalidis J, Tzardinoglou K, Sgouradis L, Katsohis C, Aletras H. Uncommon sites of hydatid disease. World J Surg. 1998;22:17–22.
11. Qureshi MA, Hafner CD. Clinical manifestations of splenic cysts: Study of 75 cases. Am Surg. 1965;31:605–8.
12. Alfageme I, Martin M, Hernandez J, Huertas C. Rupture of a long-standing splenic hydatid cyst into the bronchial tree. Clin Infect Dis. 1994;19:992–4.
13. Mc Manus DP, Zhang W, Li J, Bartley PB. Echinococcosis. Lancet. 2003; 362: 1295–304.
14. Rasheed K, Zargar SA, Telwani AA. Hydatid cyst of spleen: a diagnostic challenge. N Am J Med Sci. 2013; 5: 10–20.
15. Herrera Merino N, Díaz del Río Botas M, Marinelli Ibarreta A, San José Borreguero A, Abascal Morte J, Colas Vicente A. Acute abdomen caused by spontaneous rupture of splenic hydatid cyst. Rev Esp Enferm Dig. 1990;78:102–4.
16. Uriarte C, Pomares N, Martin M, Conde A, Alonso N, Bueno MG. Splenic hydatidosis. Am J Trop Med Hyg. 1991;44:420–3.
17. Dirican A, Yilmaz M, Unal B, et al. Ruptured hydatid cysts into the peritoneum: a case series Eur J Trauma Emerg Surg. 2010; 36: 375-9.
18. Limas C, Soultanidis C, Kirmanidis MA, et al. Management of abdomen hydatidosis after rupture of a hydatid splenic cyst: a case report. Cases J. 2009; 2: 8416.
19. Erel S, Kilicoglu B, Kismet K, Gollu A, Akkus MA. Peritoneal hydatid cyst perforation: a rare cause of emergency abdominal surgeries. Adv Ther. 2008; 25: 943-50.
20. Rahman MS, Rahman J, Lysikiewicz A. Obstetric and gynaecological presentations of hydatid disease. Br J Obstet Gynaecol. 1982;89:665–670.
21. Ustunsoz B, Alemdaroglu A, Bulakbasi N, Uzar AI, Duru NK. Percutaneous treatment of hepatic hydatid cyst in pregnancy. Arch Gynecol Obstet. 1999;262:181–184.
22. Dabrowski W, Luterek K, Szczepanik A, Niedzwiedzka B, Wielgos M. Management of a large splenic cyst in pregnancy – a case report. Ginekol Pol. 2012;83:862–4.
23. Gharaibeh KI. Laparoscopic excision of splenic hydatid cyst. Postgrad Med J. 2001;77:195–6.
24. Can D, Oztekin O, Oztekin O, et al. Hepatic and splenic hydatid cyst during pregnancy: a case report. Arch Gynecol Obstet. 2003; 268:239-240.
25. Menendez-Arzac R, Sanjuan H, Rebolledo G, et al. Splenic hydatid cyst. Case report of a pregnant woman. Rev Gastroenterol Mex. 2002; 67:195-198.
26. Dachman AH, Ros PR, Murari PJ, Olmsted WW, Lichtenstein JE. Nonparasitic splenic cysts: a report of 52 cases with radiologic-pathologic correlation. AJR Am J Roentgenol. 1986; 147(3):537-42.
27. Caballero P, Ocon E, Robledo AG, Diáz FJ. Splenic hydatid cyst opening. AJR Am J Roentgenol. 1986; 147(4):859-60.
28. Safioleas M, Misiakos E, Manti C, Katsikas D, Skalkeas G. Diagnostic evaluation and surgical management of hydatid disease of the liver. World J Surg. 1994; 18(6):859-65.
29. Sarkari B, Fatemi Esfedan A, et al. Clinical and Molecular Evaluation of a Case of Giant Primary Splenic Hydatid Cyst: A Case Report. Iran J Parasitol. 2016;11(4):585-590.
30. Dar MA, Shah OJ, Wani NA, Khan FA, Shah P .Surgical management of splenic hydatidosis. Surg Today. 2002; 32(3):224-9.
31. Arikanoglu Z, Taskesen F, Gumus H, et al. Selecting a surgical modality to treat a splenic hydatid cyst: total splenectomy or spleen-saving surgery? J Gastrointest Surg. 2012;16(6):1189-93.
32. Ellison EC, Fabri PJ Complications of splenectomy. Etiology, prevention, and management. Surg Clin North Am. 1983; 63(6):1313-30.
33. Atmatzidis K, Papaziogas B, Mirelis C, Pavlidis T, Papaziogas T .Splenectomy versus spleen-preserving surgery for splenic echinococcosis. Dig Surg. 2003; 20(6):527-31.
34. Rahmani SH, Mohammadi Tofigh A. Spleen-Preserving surgery versus spleenectomy for spleenic hydatid cyst. Ten years’ experience. Shiraz E Med J. 2008-9;2:82–6.
35. Khoury G, Abiad F, Geagea T, Nabout G, Jabbour S. Laparoscopic treatment of hydatid cysts of the liver and spleen. Surg Endosc. 2000; 14(3):243-5.
36. Ballaux KE, Himpens JM, Leman G, Van den Bossche MR. Hand-assisted laparoscopic splenectomy for hydatid cyst. Surg Endosc. 1997; 11(9):942-3.
| Files | ||
| Issue | Vol 19 No 2 (2024) | |
| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/ijpa.v19i2.15862 | |
| Keywords | ||
| Hydatid cyst Spleen Pregnancy Rupture Splenectomy | ||
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How to Cite
1.
Ashraf A, Mittal R. Postpartum Spontaneous Rupture of a Primary Splenic Hydatid Cyst: A Case Report. Iran J Parasitol. 2024;19(2):260-266.
