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Open AccessCase Report

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

1
General Hospital “Stefan Visoki”, 11420 Smederevska Palanka, Serbia
2
Clinical Centre of Serbia, Clinic for Digestive Surgery, 11000 Belgrade, Serbia
*
Author to whom correspondence should be addressed.
Medicina 2019, 55(12), 771; https://doi.org/10.3390/medicina55120771
Received: 27 October 2019 / Revised: 28 November 2019 / Accepted: 29 November 2019 / Published: 3 December 2019
We 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. View Full-Text
Keywords: hydatid disease; echinococcus granulosus; cyst; spleen; laparoscopy; splenic cyst hydatid disease; echinococcus granulosus; cyst; spleen; laparoscopy; splenic cyst
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Milosavljevic, V.; Veselinovic, M.; Tadic, B.; Galun, D.; Ceranic, M.; Eric, D.; Bjelovic, M. Laparoscopic Management of Initially Unrecognized Splenic Hydatid Cysts: A Case Report and Review of the Literature. Medicina 2019, 55, 771.

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