Hand Assisted Laparoscopic Splenectomy (HALS) in a Case of Primary Solitary Unilocular Gaint Splenic Hydatid.

ABSTRACT

Hydatid disease, a zoonotic parasitic infestation mainly caused by Echinococcus granulosus is a significant problem in endemic areas. Primary splenic hydatidosis is rare. A case is described in a 52 year male who presented with left upper quadrant swelling and pain. Ultrasonography of the abdomen revealed enlarged spleen with span of 14 cm with intraparenchymal cyst measuring 93.1mm x 92 3mm x83.3mm with approximate volume of 378.3 cc. CT scan of the abdomen showed spleen enlarged in size and measures 14.1cm with well defined cystic lesion of 10.1 x 9.2 cm.cyst shows internal serpentine structure suggestive of membranes with no calcification and no liver involvement. Hand assisted laparoscopic splenectomy (HALS) was performed.