DISCOVERIES REPORTS (ISSN 2393249X), 2025, volume 8
ORIGINAL ARTICLE
CITATION: Hameed MA, Zahra Q, Hameed F. Giant Isolated Splenic Hydatid Cyst with Multiorgan Compression and Pressure-related Atrophy of the Left Hepatic Lobe: A Case Report. Discoveries Reports 2025, 8: e43. DOI: 10.15190/drep.2025.1
Giant Isolated Splenic Hydatid Cyst with Multiorgan Compression and Pressure-related Atrophy of the Left Hepatic Lobe: A Case Report
Mohammad Abdullah Hameed1*, Qateen Zahra2, Fakhar Hameed3
1 CMH Lahore Medical College & Institute of Dentistry, Lahore, Pakistan
2 Shalamar Medical and Dental College, Lahore, Pakistan
3 Professors Hospital, Faisalabad, Pakistan
* Corresponding author: Mohammad Abdullah Hameed, CMH Lahore Medical College & Institute of Dentistry, Lahore, Pakistan; Email: abdullahfakhar1234@gmail.com.
Abstract
Cystic echinococcosis (CE) typically involves the liver and lungs, with primary isolated splenic hydatid cysts being rare, accounting for only 2–3.5% of cases. We report the case of a 58-year-old woman with a giant splenic cyst (20.5 × 15 × 12.2 cm) showing active, multivesicular pattern of. Diagnosis was confirmed through serology, ultrasonography, and computed tomography. Imaging showed near-complete splenic replacement and marked mass effect, including displacement of adjacent organs and pressure-related atrophy of the left hepatic lobe, a rarely documented finding. The patient underwent successful splenectomy with complete cyst excision; histopathology confirmed hydatid disease, and postoperative albendazole therapy was completed without complications. This case underscores the importance of comprehensive imaging in the diagnosis of splenic hydatid cysts and careful preoperative evaluation of adjacent organs due to possible secondary compression. Splenectomy remains the preferred treatment for large, multivesicular cysts to prevent serious complications.
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