caa a22 4500 606247734 CHVBK 20210128101346.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s12262-013-0905-5 doi (NATIONALLICENCE)springer-10.1007/s12262-013-0905-5 Hydatid Cyst of the Spleen: Tunisian Series of 21 Cases [Elektronische Daten] [Hazem Ben Ameur, Nejmeddine Affes, Cherif Abdelhedi, Ali Kchaou, Salah Boujelbene, Mohamed Beyrouti] Hydatid disease is a parasitic infection caused by Echinococcus granulosus. Splenic involvement is rare even in endemic areas. The aim of this study is to specify epidemiologic features, diagnostic tools, and therapeutic modalities of this uncommon entity. This is a retrospective study of 21 patients operated on for a splenic hydatid cyst between January 1996 and December 2011. The mean age was 43.8years (range 15-72years). Sixteen patients (76.2%) had symptoms related to a splenic location of hydatid disease. While splenic hydatid disease was solitary in 8 patients (38.1%), other locations were present in 13 patients (61.9%), mainly in the liver. Most splenic cysts were type I (39.3%) or III (42.8%). Nine patients (42.8%) underwent resection of the protruding dome with one postoperative complication (suppuration of residual cavity). Total and partial splenectomies were performed in nine and three patients, respectively, without any complication. No death was noted. After a mean follow-up period of 36months (range 2-108months), no recurrence was observed. Splenic hydatid cyst is a rare location. The diagnostic is usually easy, based on serology and imaging. The surgery is the mainstay of treatment. The type of surgical procedure depends on size, number, and location of the cyst. Total splenectomy is more effective but may have high morbidity and mortality and must be reserved to specific situations. Conservative procedure is safer but could increase the rate of recurrence and postoperative collection. Puncture aspiration injection reaspiration could be proposed for small cyst in inoperable patients. Association of Surgeons of India, 2013 Echinococcosis nationallicence Spleen nationallicence Surgery nationallicence Splenectomy nationallicence Ben Ameur Hazem Department of General and Digestive Surgery, Habib Bourguiba's Teaching Hospital, 3029, Sfax, Tunisia aut Affes Nejmeddine Department of General and Digestive Surgery, Habib Bourguiba's Teaching Hospital, 3029, Sfax, Tunisia aut Abdelhedi Cherif Department of General and Digestive Surgery, Habib Bourguiba's Teaching Hospital, 3029, Sfax, Tunisia aut Kchaou Ali Department of General and Digestive Surgery, Habib Bourguiba's Teaching Hospital, 3029, Sfax, Tunisia aut Boujelbene Salah Department of General and Digestive Surgery, Habib Bourguiba's Teaching Hospital, 3029, Sfax, Tunisia aut Beyrouti Mohamed Department of General and Digestive Surgery, Habib Bourguiba's Teaching Hospital, 3029, Sfax, Tunisia aut Indian Journal of Surgery Springer India 77(2015-12-01), 515-519 0972-2068 77<515 2015 77 12262 https://doi.org/10.1007/s12262-013-0905-5 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-013-0905-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Ben Ameur Hazem Department of General and Digestive Surgery, Habib Bourguiba's Teaching Hospital, 3029, Sfax, Tunisia aut NATIONALLICENCE 700 1- Affes Nejmeddine Department of General and Digestive Surgery, Habib Bourguiba's Teaching Hospital, 3029, Sfax, Tunisia aut NATIONALLICENCE 700 1- Abdelhedi Cherif Department of General and Digestive Surgery, Habib Bourguiba's Teaching Hospital, 3029, Sfax, Tunisia aut NATIONALLICENCE 700 1- Kchaou Ali Department of General and Digestive Surgery, Habib Bourguiba's Teaching Hospital, 3029, Sfax, Tunisia aut NATIONALLICENCE 700 1- Boujelbene Salah Department of General and Digestive Surgery, Habib Bourguiba's Teaching Hospital, 3029, Sfax, Tunisia aut NATIONALLICENCE 700 1- Beyrouti Mohamed Department of General and Digestive Surgery, Habib Bourguiba's Teaching Hospital, 3029, Sfax, Tunisia aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer India 77(2015-12-01), 515-519 0972-2068 77<515 2015 77 12262