• Medicina · Dec 2019

    Review Case Reports

    Laparoscopic Management of Initially Unrecognized Splenic Hydatid Cysts: A Case Report and Review of the Literature.

    • Vladimir Milosavljevic, Milan Veselinovic, Boris Tadic, Danijel Galun, Miljan Ceranic, Dragan Eric, and Milos Bjelovic.
    • General Hospital "Stefan Visoki", 11420 Smederevska Palanka, Serbia.
    • Medicina (Kaunas). 2019 Dec 3; 55 (12).

    AbstractWe present a case report that demonstrates diagnostic and intraoperative challenges in the laparoscopic management of initially unrecognized splenic hydatid disease. A male patient, aged 44, was admitted to our department with a big unilocular splenic cyst, radiologically (ultrasonography, computed tomography) characterized as a simple cyst. Serological tests for anti-Echonococcus antibody were negative, and chests X-ray findings were unremarkable, so laparoscopic cyst fenestration with omentoplasty was planned. The intraoperative finding did not correspond to a simple splenic cyst. Hydatid daughter cysts were recognized after the careful opening of the cyst wall. The operation was completed without shifting to open procedures. Laparoscopic partial pericystectomy with omentoplasty is a safe and effective surgical procedure for the management of splenic hydatid disease.

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