Acta Parasitologica

, 53:211 | Cite as

Splenic hydatid cyst: is splenectomy necessary?

  • Mohammad Ezzedien Rabie
  • Awaji Al-Naami
  • Abdul Rahman Arishi
  • Hussein Ageeli
  • Nasser Al-Harbi
  • Abdul Nasser Shaban
Case Report


The spleen is a rare location for hydatid cysts with the larvae reaching the site after escaping the hepatic and pulmonary filters. For most surgeons, splenectomy is the primary treatment in such cases which aims at eradicating the disease while decreasing the chances of recurrence by removing the intact cyst. While this is true, the risks of other two parasitic infections are increased, namely malaria and babesiosis. In the case presented here, the spleen was preserved after extirpating the cyst to keep the patient’s immunity against malaria, which is endemic in our region.


Splenectomy hydatid cyst immune function 


  1. Abu-Eshy S.A. 1998. Some rare presentations of hydatid cyst (Echinococcus granulosus). Journal of the Royal College of Surgeons of Edinburgh & Ireland, 43, 347–352.Google Scholar
  2. Amr S.S., Amr Z.S., Jitawi S., Annab H. 1994. Hydatidosis in Jordan: an epidemiological study of 306 cases. Annals of Tropical Medicine and Parasitology, 88, 623–627.PubMedGoogle Scholar
  3. Annobil S.H., Okeahialam T.C., Jamjoom G.A., Bassuni W.A. 1994. Malaria in children — experience from Asir region, Saudi Arabia. Annals of Saudi Medicine, 14, 467–470.PubMedGoogle Scholar
  4. Bauman R.W. (Ed.). 2004. Microbiology. Pearson Benjamin Cummings. San Francisco, USA, 649–678.Google Scholar
  5. Boone K.E., Watters D.A. 1995. The incidence of malaria after splenectomy in Papua New Guinea. British Medical Journal, 311, 1273.PubMedGoogle Scholar
  6. Bradley D.J., Warhurst D.C., Blaze M., Smith V. 1998. Malaria imported into the United Kingdom in 1996. Eurosurveillance, 3, 40–42.PubMedGoogle Scholar
  7. Cöl C., Cöl M., Lafçi H. 2003. Unusual Localizations of Hydatid Disease. Acta Medica Austriaca, 30, 61–64. DOI: 10.1046/j.1563-2571.2003.30081.x.PubMedCrossRefGoogle Scholar
  8. Dar M.A., Shah O.J., Wani N.A., Khan F.A., Shah P. 2002. Surgical management of splenic hydatidosis. Surgery Today, 32, 224–229.PubMedCrossRefGoogle Scholar
  9. Davidson R.N., Wall R.A. 2001. Prevention and management of infections in patients without a spleen. Clinical Microbiology and Infection, 7, 657–660. DOI: 10.1046/j.1198-743x.2001.00355.x.PubMedCrossRefGoogle Scholar
  10. Franquet T., Montes M., Lecumberri F.J., Esparza J., Bescos J.M. 1990. Hydatid disease of the spleen. Imaging findings in nine patients. American Journal of Roentgenology, 154, 525–528.PubMedGoogle Scholar
  11. Garnham P.C., Donnelly J., Hoogstraal H., Kennedy C.C., Walton G.A. 1969. Human babesiosis in Ireland: further observations and the medical significance of this infection. British Medical Journal, 4, 768–770.PubMedGoogle Scholar
  12. Henríquez C., Hinojosa J.C., Ventosilla P., Infante B., Merello J., Mallqui V., Verastegui M., Maguiña C. 2004. Report of an unusual case of persistent bacteremia by Bartonella bacilliformis in a splenectomized patient. American Journal of Tropical Medicine and Hygiene, 71, 53–55.PubMedGoogle Scholar
  13. Holdsworth R.J., Irving A.D., Cuschieri A. 1991. Postsplenectomy sepsis and its mortality rate: actual versus perceived risks. British Journal of Surgery, 78, 1031–1038. DOI: 10.1002/bjs.1800780904.PubMedCrossRefGoogle Scholar
  14. Kabaalioğlu A., Ceken K., Alimoglu E., Apaydin A. 2006. Percutaneous imaging-guided treatment of hydatid liver cysts: do long-term results make it a first choice? European Journal of Radiology, 59, 65–73. DOI: 10.1016/j.ejrad.2006.01.014.PubMedCrossRefGoogle Scholar
  15. King H., Schmacker H.B. 1952. Splenic studies: Susceptibility to infection after splenectomy performed in infancy. Annals of Surgery, 136, 239–242.PubMedCrossRefGoogle Scholar
  16. Kotsanas D., Al-Souffi M.H., Waxman B.P., King R.W.F., Polkinghorne K.R., Woolley I.J. 2006. Adherence to guidelines for prevention of post splenectomy sepsis. Age and sex are risk factors: a five-year retrospective review. ANZ Journal of Surgery, 76, 542–547. DOI: 10.1111/j.1445-2197.2006.03775.x.PubMedCrossRefGoogle Scholar
  17. Looareesuwan S., Suntharasamai P., Webster H.K., Ho M. 1993. Malaria in splenectomized patients. Report of four cases and review. Clinical Infectious Diseases, 16, 361–366.PubMedGoogle Scholar
  18. Lynch A.M., Kapila R. 1996. Overwhelming postsplenectomy infection. Infectious Disease Clinics of North America, 10, 693–707. DOI: 10.1016/S0891-5520(05)70322-6.PubMedCrossRefGoogle Scholar
  19. Malik G.M., Seidi O., El-Taher A., Mohammed A.S. 1998. Clinical aspects of malaria in the Asir region, Saudi Arabia. Annals of Saudi Medicine, 18, 15–17.PubMedGoogle Scholar
  20. Mitchell I., McNeillis N., Bowden F.J., Nikolic G. 2002. Electrocardiographic myocardial infarction pattern in overwhelming post-splenectomy sepsis due to Capnocytophaga canimorsus. Internal Medicine Journal, 32, 415–418. DOI: 10.1046/j.1445-5994.2002.00236.x.PubMedCrossRefGoogle Scholar
  21. Ozdogan M., Baykal A., Keskek M., Yorgancy K., Hamaloglu E., Sayek I. 2001. Hydatid cyst of the spleen: treatment options. International Surgery, 86, 122–126.PubMedGoogle Scholar
  22. Petithory J.C., Khelil A., Galeazzi G., Ardoin F. 2005. Malaria in splenectomized patients. Three fatal cases. Presse Médicale, 34, 51.Google Scholar
  23. Prousalidis J., Tzardinoglou K., Sgouradis L., Katsohis C., Aletras H. 1998. Uncommon sites of hydatid disease. World Journal of Surgery, 22, 17–22.PubMedCrossRefGoogle Scholar
  24. Versaci A., Scuderi G., Rosato A., Angio L.G., Oliva G., Sfuncia G., Saladino E., Macri A. 2005. Rare localizations of echinococcosis: personal experience. ANZ Journal of Surgery, 75, 986–991. DOI: 10.1111/j.1445-2197.2005.03588.x.PubMedCrossRefGoogle Scholar
  25. Waghorn D.J., Mayon-White R.T. 1997. A study of 42 episodes of overwhelming post-splenectomy infection: is current guidance for asplenic individuals being followed? Journal of Infection, 35, 289–294.PubMedCrossRefGoogle Scholar
  26. Zerem E., Nuhanovic A., Caluk J. 2005. Modified pair technique for treatment of hydatid cysts in the spleen. Bosnian Journal of Basic Medical Sciences, 5, 74–78.PubMedGoogle Scholar

Copyright information

© © Versita Warsaw and Springer-Verlag Berlin Heidelberg 2008

Authors and Affiliations

  • Mohammad Ezzedien Rabie
    • 1
  • Awaji Al-Naami
    • 2
  • Abdul Rahman Arishi
    • 2
  • Hussein Ageeli
    • 1
  • Nasser Al-Harbi
    • 2
  • Abdul Nasser Shaban
    • 1
  1. 1.Faculty of MedicineJazan UniversityJazanSaudi Arabia
  2. 2.King Fahad Central HospitalJazanSaudi Arabia

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