Journal des rapports de cas cliniques

Simultaneous Huge Splenomegaly and Large Liver Hydatid Cyst: Rare Case

Abstract

Reza Shojaee, Mohamadreza Rohani, Hormoz Larijani, Efat Mashhadi and Negar Nabizadeh

Background: Splenectomy and hydatid cyst resection using either laparoscopy or laparotomy methods are frequently performed procedures. However, cases of patients sufering from both massive splenomegaly and hydatid cyst are rare. Case Presentation: Patient was a 62-year-old man who complained of upper abdominal pain and was diagnosed with massive splenomegaly. In a Computed Tomography (CT) scan performed prior to surgery, a hypodense lesion with the measurements of 45 × 43 mm was found in the sixth segment of the liver. Therefor we performed an open splenectomy and hydatid cyst resection through one incision. Discussion: Splenomegaly is a rare condition with the prevalence rate of around 2% in the US. However, tropical splenomegaly is common in Asia and Africa. Splenomegaly may occur due to various reasons, including ET Symptomatic splenomegaly is the most common cause of splenectomy. In myeloproliferative complications, splenectomy is performed to relieve the patient’s pain, early satiety and other splenomegaly related symptoms. Conclusion: Simultaneous surgical procedures on both massive splenomegaly and hydatid cysts are rare. We suggest a CT scan be performed and the best type of incision be chosen based on the pathology and site of lesion, before performing a midline incision. Keywords: Massive splenomegaly • Mercedes benz incision • Hydatid cyst