An unusual case of splenic hydatid cyst perforating into posterior wall of stomach

Q4 Medicine

Radiology Case Reports Pub Date : 2024-10-30 DOI:10.1016/j.radcr.2024.09.157

Sabir Shah MBBS , Haseeb Ahmad MD , Ahmed Khan Jadoon MD , Muhammad Mursaleen MBBS , Noor e Saba MBBS , Rasheed Ul Haq MBBS

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Abstract

Hydatid disease (cystic echinococcosis) is a parasitic infection caused by Echinococcus granulosus. Hydatid cysts are typically found in the liver and lungs, but they can also rarely occur in the spleen. This case report describes an unusual occurrence of a splenic hydatid cyst that perforated the posterior wall of the stomach. The patient, a 55-year-old female, presented with severe pain in the left hypochondrium and nausea. A computed tomography (CT) scan revealed a large, complex mass in the spleen with multiple hydatid cysts and a perforation of approximately 5 × 5 cm into the stomach wall. The patient underwent peri-cystectomy for the infected splenic hydatid cyst and repair of the gastric perforation. Histopathological examination confirmed the presence of hydatid cysts. This case highlights the importance of considering hydatid cysts in the differential diagnosis of abdominal masses that erode into the stomach to prevent overtreatment and ensure an accurate diagnosis.

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脾包虫囊肿穿入胃后壁的罕见病例

包虫病（囊肿性棘球蚴病）是一种由颗粒棘球蚴引起的寄生虫感染。包虫囊肿通常发生在肝脏和肺部，但也很少发生在脾脏。本病例报告描述了一起不寻常的脾包虫囊肿穿孔胃后壁的病例。患者是一名 55 岁的女性，因左下腹剧烈疼痛和恶心而就诊。计算机断层扫描（CT）显示脾脏内有一个巨大的复杂肿块，肿块内有多个包虫囊肿，胃壁上有一个约 5 × 5 厘米的穿孔。患者接受了脾周围切除术，切除了受感染的脾包虫囊肿，并修补了胃穿孔。组织病理学检查证实了水瘤囊肿的存在。本病例强调了在鉴别诊断侵蚀到胃部的腹部肿块时考虑包虫囊肿的重要性，以防止过度治疗并确保准确诊断。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Radiology Case Reports Medicine-Radiology, Nuclear Medicine and Imaging

CiteScore

1.10

自引率

0.00%

发文量

1074

审稿时长

30 days

期刊介绍： The content of this journal is exclusively case reports that feature diagnostic imaging. Categories in which case reports can be placed include the musculoskeletal system, spine, central nervous system, head and neck, cardiovascular, chest, gastrointestinal, genitourinary, multisystem, pediatric, emergency, women''s imaging, oncologic, normal variants, medical devices, foreign bodies, interventional radiology, nuclear medicine, molecular imaging, ultrasonography, imaging artifacts, forensic, anthropological, and medical-legal. Articles must be well-documented and include a review of the appropriate literature.