RESUMO
Hidatid cysts of the spleen are a rare occurrence, the spleen being the third most common organ for the development of Echinococcus Granulosus. Splenic hydatid cysts are commonly part of multi-organ hydatid disease. Diagnosis is often established when investigating a splenomegaly or by chance during an unrelated consult. It can also be diagnosed after rupture, be it following trauma (the most common occurrence)or spontaneous. Splenic hydatid cyst rupture requires immediate action and is a life-threatening condition. It results, most often, in splenectomy. We present the case of a patient with multi-organ hydatid disease that presented with a ruptured splenic cyst and developed anaphylaxis. The case was resolved by splenectomy and recovered well.
Assuntos
Anafilaxia/parasitologia , Equinococose/diagnóstico , Echinococcus granulosus/isolamento & purificação , Cisto Mesentérico/parasitologia , Esplenopatias/parasitologia , Ruptura Esplênica/parasitologia , Adulto , Albendazol/uso terapêutico , Anafilaxia/imunologia , Animais , Antibacterianos/uso terapêutico , Anticestoides/uso terapêutico , Colectomia , Colo Sigmoide , Diagnóstico Diferencial , Quimioterapia Combinada , Equinococose/imunologia , Equinococose/terapia , Emergências , Feminino , Humanos , Cisto Mesentérico/terapia , Ruptura Espontânea/parasitologia , Esplenectomia , Esplenopatias/imunologia , Esplenopatias/terapia , Ruptura Esplênica/cirurgia , Resultado do TratamentoRESUMO
Hydatid disease mostly caused by Echinococcus granulosus is a common parasitic infestation of the liver. Most common sites are liver (70%) and lungs (25%). Intraperitoneal hydatid cyst is found in 13% and it is usually secondary to rupture of primary hepatic cyst. Primary intraperitoeal hydatid cyst is rare (2%). Primary hydatid cyst in mesentery is very rare. In this article, the author presents a case of primary mesenteric hydatid cyst with chronic pain in lower abdomen.
