Surgical treatment and outcomes of hydatid cyst of the spleen - Open Journal of Gastroenterology

OJGas > Vol.4 No.2, February 2014

Surgical treatment and outcomes of hydatid cyst of the spleen ()

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DOI: 10.4236/ojgas.2014.42009 4,826 Downloads 7,054 Views Citations

Author(s)

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

Affiliation(s)

Department of Surgery, Bizerte Hospital, Bizerte, Tunisia.

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

Share and Cite:

Oussama, B. , Makrem, M. , Karim, A. , Brahim, K. , Mohamed, B. and Samy, B. (2014) Surgical treatment and outcomes of hydatid cyst of the spleen. Open Journal of Gastroenterology, 4, 51-55. doi: 10.4236/ojgas.2014.42009.

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