Zafer Cenk Koyuncu

Abstract :

Cystic hydatid disease is an important public health problem in some countries including Turkey. It is localized in liver and lungs in most of the cases, but also can be observed everywhere in the body. Isolated splenic involvement is rare. In this report, a case of isolated splenic hydatid cyst was evaluated; diagnosis and treatment options were reviewed. A year-old man, presented with left upper quadrant pain. Physical examination revealed no specific signs or symptoms. The patient was referred from urology department with abdominal CT. Abdominal ultrasonography and computed tomography demonstrated a cystic mass in spleen. Splenectomy was performed and the patient was discharged from the hospital without problem. Splenomegaly is the most important physical examination finding in isolated splenic hydatid cyst. Abdominal ultrasonography and computed tomography are valuable diagnostic tools. Splenectomy is the standard treatment modality, but laparoscopic splenectomy, conservative surgical procedures or modalities can be used in suitable patients. (The Medical Bulletin of Haseki ; ) Key Words: Hydatid cyst, spleen, diagnosis, treatment Kist hidatik hastaligi, Turkiye'nin de aralarinda bulundugu pek cok ulke icin onemli bir saglik sorunudur. Agirlikli olarak karaciger ve akcigerde yerlesim gosterse de vucudun tum dokularinda gorulebilir. Izole dalak tutulumu nadirdir. Sunumuzda, dalagi tutan izole bir kist hidatik olgusu esliginde hastaligin tani ve tedavi yontemleri degerlendirilmistir. 55 yasinda erkek hasta, sol ust kadranda agri sikayetleri ile uroloji kliniginden tarafimiza yonlendirilmisti. Fizik muayenede spesifik bulgu yoktu. Ultrasonografi ve bilgisayarli tomografi ile dalakta ve kistik kitle saptandi. Splenektomi uygulanan hasta sorunsuz olarak taburcu edildi. Nadir gorulen bir durum olan izole dalak kist hidatiginde en onemli bulgu splenomegalidir. Hastaligin tanisinda ultrasonografi ve bilgisayarli tomografi onemli yer tutmaktadir. Splenektomi standart tedavi sekli olmakla beraber, laparoskopik splenektomi, dalak koruyucu yontemlerde uygun hastalarda denenebilir. (Haseki Tip Bulteni ; ) Anahtar Kelimeler: Kist hidatik, dalak, tani, tedavi