Журнал клинических случаев

Simultaneous Huge Splenomegaly and Large Liver Hydatid Cyst: A Rare Case

Abstract

Reza Shojaee*, Hormoz Larijani, Mohamadreza Rohani, Efat Mashhadi and Negar Nabizadeh

Background: Splenectomy and hydatid cyst resection using either laparoscopy or laparotomy methods are frequently performed procedures. However, cases of patients suffering from both massive splenomegaly and hydatid cyst are rare.

Case presentation: Patient was a 62-year-old man who complained of upper abdominal pain and was diagnosed with massive splenomegaly. In a Computed Tomography (CT) scan performed prior to surgery, a hypodense lesion with the measurements of the (45 x 43) m m² was found in the sixth segment of the liver. Therefor we performed an open splenectomy and hydatid cyst resection through one incision.

Conclusion: Simultaneous surgical procedures on both massive splenomegaly and hydatid cysts are rare. We suggest a CT scan be performed and the best type of incision be chosen based on the pathology and site of lesion, before performing a midline incision.