Surgical treatment and outcomes of hydatid cyst of the spleen

Baraket Oussama, Moussa Makrem, Ayed Karim, Kort Brahim, Ben Moussa Mohamed, Bouchoucha Samy

Department of Surgery, Bizerte Hospital, Bizerte, Tunisia.

DOI: 10.4236/ojgas.2014.42009                

Abstract

Aim: Discuss the different modalities of surgical treatment of splenic hydatid cyst and outcomes after treatment. Patients and Methods: Retrospectively, 14 patients were operated in our institution between 2002 and 2011. Results: A total splenectomy was performed in 8 cases. A conservative treatment was preferred in 6 cases: 2 patients underwent partiel splenctomy and two patients underwent partial cystectomy. The duration of hospitalization ranged from 5 to 15 days. The morbidity rate was 14%. One patient presented a recurrent hemorrhage and one patient developed a left pneumonia. There is no death in our series. The mean duration follow-up was 20 months and there is no recurrence. Conclusion: Management of a splenic hydatid cyst is not consensual. Surgery remains the treatment of choice to avoid serious complications. Total splenectomy is optimal because it provides definitive treatment. However, spleen-preserving surgery is the preferred treatment in some selected patients.

Keywords

Hydatid Cyst; Spleen; Surgery; Outcomes

Conflicts of Interest

The authors declare no conflicts of interest.

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