Splenic Hydatid Cyst:Clinical Study Of 10 Cases

Objective: To investigate the clinical features of the patient with splenic hydatid cyst,improve the diagnostic and therapic levels of clinicians.Methods: Clinical data of 10 cases with splenic hydatid cyst through the surgical treatment diagnosed from January 2007 to January 2016 was analyzed retrospectively.Results: Ten patients are living in the endemic area of cystic echinococcosis in Xinji-ang,China,with close contacted history of sheep dogs.Eight patients in ten cases of SHC patients have surgical history of cystic echinococcosis,one or more,and two cases have no history of operation or injury.The most common symptom of ten patients is abdominal pain and abdominal distension implicated by hydatid disease.Always physical examination don't touch the enlarged spleen.Laboratory tests are not special,but imaging examination revealed that multiple cystic lesions exsit in liver and spleen abdominal organ,and partial images showes typical characteristics of cystic echinococcosis.Five patients received splenic hydatid internal capsule excision and other parts of hydatid enucleation,four with splenic multiple hydatid involving splenoportal underwent splenectomy and other parts of hydatid enucleation,and one cases with splenic hydatid cyst calcified did not treated splenic hydatid,only did other parts of hydatid enucleation.Ten patients take orally albendazole for 3-6 months to postoperativly prevent.The platelet count of one patient with portal hypertension remained in the upper limit of normal reference with the splenectomy and occurred a little bilateral pleural effusion,one appeared adhesive intestinal obstruction after operation,two patients occurred a little bilateral pleural effusion,and other six cases had no early postoperative complication.Followed up for 1 to 3 years,all patients had good recovery and no recurrence of spleen cystic hydatid.Conclusion:1.The incidence of splenic hydatid disease rate is low.SHC patients? hydatid cyst not only hurt the spleen,but also other organ get implicated on the same time.2.Patients with secondary splenic hydatid cyst had been a history of other organs hydatidosis.Patients with secondary splenic cystic hydatid disease has no typical clinical symptoms,blood routine test has no special significance for the diagnosis of SSHC.3.Based on the typical image of hydatid cyst of spleen or other organs and disease history the reliminary diagnosis of SSHC can be obtained,and accurate diagnosis should be dependent on the results of surgical pathology.4.Open surgery combined with postoperative oral medication is not only the best treatment of SSHC,but also can reduce the recurrence rate.