A young man with a 12 cm cyst of the spleen

Photo-Quiz

Yıl 2014, Cilt: 27 Sayı: 2, 151 - 152, 20.05.2014

1. Hepgül G, Tihan D, Kocael P. Case report: primary splenic hydatidosis. Turkish S Paras 2010;34:184-6.
2. Fernandez-Ruiz M,Guerra-Vales JM, Enguita-Valls AB, Vila-Santos J, García-Borda FJ, Morales-Gutiérrez C. Splenic hydatid cyst, a rare location of extrahepatic echinococcosis: Report of six cases. Eur J Intern Med 2008;19:e51-3. doi: 10.1016/j.ejim.2008.02.003
3. Culafic DM, Kerkez MD. Spleen cystic echinococcosis: clinical manifestations and treatment. Scan J Gastro 2010;45:186-90.
4. el-Tahir MI, Omojola MF, Malatani T. Hydatid disease of the liver: evaluation of ultrasound and computed tomography. Br J Radiol 1992;65:390-2. doi: 10.1259/0007-1285-65-773-390.
5. Yardimci S, Ulas M, Surmelioglu A. Splenic recurrence of liver hydatid cyst and spleen preserving therapy. Singapore Med J 2011;52:223-5.
6. Bildik N, Cevik A, Altintas M. Efficacy of preoperative albendazole use according to months in hydatid cyst of the liver. J Clin Gastro 2007;41:312-6. doi: 10.1097/01.mcg.0000225572.50514.e6.
7. Dar MA, Shah OJ, Wani NA. Surgical management of splenic hydatidosis. Surg Today 2002;32:224-9.
8. Atmanzidis K, Papaziogas B, Mirelis C. Splenectomy versus spleenpreserving surgery for splenic echinococcosis. Dig Surg 2003;20:527- 31.

Yıl 2014, Cilt: 27 Sayı: 2, 151 - 152, 20.05.2014

A 45-year-old man was admitted to the general surgery

clinic with abdominal pain, especially on his left side. He

also complained about abdominal distension for the last

few months. Physical examination revealed both tenderness

and a mass in the left upper quadrant of the abdomen.

There were no other pathological findings. There were no

chronic diseases or surgery in his medical history.

In laboratory examinations, complete blood count

(CBC), biochemistry and urine tests were normal. There

was no sign for hypersplenism. On radiological

examination, the abdominal X-ray was normal but

abdominal ultrasonography (USG) and computed

tomography (CT) revealed a pure cystic mass in the spleen

which was 12 cm in radius with a thick wall structure that

was pushing the spleen superiorly and left kidney inferiorly

(Figure 1).

An operation was planned for the patient, who was

diagnosed as having a splenic cyst. Pneumococcus

vaccination administered to the patient preoperatively.

During the exploration through a median incision, it was

observed that in addition to the splenomegaly, the spleen

was attached to surrounding tissues. A total splenectomy

was performed without opening the cyst. The patient had

oral nutrition on the postoperative first day and he was

discharged on the postoperative fifth day. There were no

pathological findings at the patient’s first month follow-up

examination.

1. Hepgül G, Tihan D, Kocael P. Case report: primary splenic hydatidosis. Turkish S Paras 2010;34:184-6.
2. Fernandez-Ruiz M,Guerra-Vales JM, Enguita-Valls AB, Vila-Santos J, García-Borda FJ, Morales-Gutiérrez C. Splenic hydatid cyst, a rare location of extrahepatic echinococcosis: Report of six cases. Eur J Intern Med 2008;19:e51-3. doi: 10.1016/j.ejim.2008.02.003
3. Culafic DM, Kerkez MD. Spleen cystic echinococcosis: clinical manifestations and treatment. Scan J Gastro 2010;45:186-90.
4. el-Tahir MI, Omojola MF, Malatani T. Hydatid disease of the liver: evaluation of ultrasound and computed tomography. Br J Radiol 1992;65:390-2. doi: 10.1259/0007-1285-65-773-390.
5. Yardimci S, Ulas M, Surmelioglu A. Splenic recurrence of liver hydatid cyst and spleen preserving therapy. Singapore Med J 2011;52:223-5.
6. Bildik N, Cevik A, Altintas M. Efficacy of preoperative albendazole use according to months in hydatid cyst of the liver. J Clin Gastro 2007;41:312-6. doi: 10.1097/01.mcg.0000225572.50514.e6.
7. Dar MA, Shah OJ, Wani NA. Surgical management of splenic hydatidosis. Surg Today 2002;32:224-9.
8. Atmanzidis K, Papaziogas B, Mirelis C. Splenectomy versus spleenpreserving surgery for splenic echinococcosis. Dig Surg 2003;20:527- 31.

Toplam 8 adet kaynakça vardır.

Birincil Dil	İngilizce
Konular	Klinik Tıp Bilimleri
Bölüm	Photo Quiz
Yazarlar	Metin Senol Hakan Özdemir Bu kişi benim Zehra Ünal Özdemir Bu kişi benim İbrahim Tayfun Şahiner Bu kişi benim
Yayımlanma Tarihi	20 Mayıs 2014
Yayımlandığı Sayı	Yıl 2014 Cilt: 27 Sayı: 2

APA	Senol, M., Özdemir, H., Ünal Özdemir, Z., Şahiner, İ. T. (2014). A young man with a 12 cm cyst of the spleen. Marmara Medical Journal, 27(2), 151-152.
AMA	Senol M, Özdemir H, Ünal Özdemir Z, Şahiner İT. A young man with a 12 cm cyst of the spleen. Marmara Med J. Mayıs 2014;27(2):151-152.
Chicago	Senol, Metin, Hakan Özdemir, Zehra Ünal Özdemir, ve İbrahim Tayfun Şahiner. “A Young Man With a 12 Cm Cyst of the Spleen”. Marmara Medical Journal 27, sy. 2 (Mayıs 2014): 151-52.
EndNote	Senol M, Özdemir H, Ünal Özdemir Z, Şahiner İT (01 Mayıs 2014) A young man with a 12 cm cyst of the spleen. Marmara Medical Journal 27 2 151–152.
IEEE	M. Senol, H. Özdemir, Z. Ünal Özdemir, ve İ. T. Şahiner, “A young man with a 12 cm cyst of the spleen”, Marmara Med J, c. 27, sy. 2, ss. 151–152, 2014.
ISNAD	Senol, Metin vd. “A Young Man With a 12 Cm Cyst of the Spleen”. Marmara Medical Journal 27/2 (Mayıs 2014), 151-152.
JAMA	Senol M, Özdemir H, Ünal Özdemir Z, Şahiner İT. A young man with a 12 cm cyst of the spleen. Marmara Med J. 2014;27:151–152.
MLA	Senol, Metin vd. “A Young Man With a 12 Cm Cyst of the Spleen”. Marmara Medical Journal, c. 27, sy. 2, 2014, ss. 151-2.
Vancouver	Senol M, Özdemir H, Ünal Özdemir Z, Şahiner İT. A young man with a 12 cm cyst of the spleen. Marmara Med J. 2014;27(2):151-2.