Multimodal Treatment of a Spontaneously Ruptured Echinococcus Cyst of the Spleen and Its Complications
Corresponding Author
Sévérine De Bruijn
Department of Intensive Care Medicine , Antwerp University Hospital , University of Antwerp , Edegem , Belgium , uantwerpen.be
Department of Hematology of the Antwerp University Hospital , University of Antwerp , Edegem , Belgium , uantwerpen.be
Search for more papers by this authorAnnick De Weerdt
Department of Intensive Care Medicine , Antwerp University Hospital , University of Antwerp , Edegem , Belgium , uantwerpen.be
Search for more papers by this authorGlenn Broeckx
Department of Pathology , Antwerp University Hospital , University Hospital of Antwerp , Edegem , Belgium , uza.be
Department of Pathology of the ZNA Middelheim Hospital , Antwerp , Belgium
Search for more papers by this authorMaarten Spinhoven
Department of Radiology , Antwerp University Hospital , University of Antwerp , Edegem , Belgium , uantwerpen.be
Search for more papers by this authorRudi De Paep
Department of Intensive Care Medicine , Antwerp University Hospital , University of Antwerp , Edegem , Belgium , uantwerpen.be
Search for more papers by this authorDominique Robert
Department of Intensive Care Medicine , Antwerp University Hospital , University of Antwerp , Edegem , Belgium , uantwerpen.be
Search for more papers by this authorNiels Komen
Department of Abdominal and Reconstructive Surgery , Antwerp University Hospital , University of Antwerp , Edegem , Belgium , uantwerpen.be
Antwerp ReSURG , Antwerp Surgical Training , Anatomy and Research Centre (ASTARC) , Faculty of Medicine and Health Sciences , University of Antwerp , Wilrijk , Belgium , uantwerpen.be
Search for more papers by this authorPhilippe G. Jorens
Department of Intensive Care Medicine , Antwerp University Hospital , University of Antwerp , Edegem , Belgium , uantwerpen.be
Search for more papers by this authorCorresponding Author
Sévérine De Bruijn
Department of Intensive Care Medicine , Antwerp University Hospital , University of Antwerp , Edegem , Belgium , uantwerpen.be
Department of Hematology of the Antwerp University Hospital , University of Antwerp , Edegem , Belgium , uantwerpen.be
Search for more papers by this authorAnnick De Weerdt
Department of Intensive Care Medicine , Antwerp University Hospital , University of Antwerp , Edegem , Belgium , uantwerpen.be
Search for more papers by this authorGlenn Broeckx
Department of Pathology , Antwerp University Hospital , University Hospital of Antwerp , Edegem , Belgium , uza.be
Department of Pathology of the ZNA Middelheim Hospital , Antwerp , Belgium
Search for more papers by this authorMaarten Spinhoven
Department of Radiology , Antwerp University Hospital , University of Antwerp , Edegem , Belgium , uantwerpen.be
Search for more papers by this authorRudi De Paep
Department of Intensive Care Medicine , Antwerp University Hospital , University of Antwerp , Edegem , Belgium , uantwerpen.be
Search for more papers by this authorDominique Robert
Department of Intensive Care Medicine , Antwerp University Hospital , University of Antwerp , Edegem , Belgium , uantwerpen.be
Search for more papers by this authorNiels Komen
Department of Abdominal and Reconstructive Surgery , Antwerp University Hospital , University of Antwerp , Edegem , Belgium , uantwerpen.be
Antwerp ReSURG , Antwerp Surgical Training , Anatomy and Research Centre (ASTARC) , Faculty of Medicine and Health Sciences , University of Antwerp , Wilrijk , Belgium , uantwerpen.be
Search for more papers by this authorPhilippe G. Jorens
Department of Intensive Care Medicine , Antwerp University Hospital , University of Antwerp , Edegem , Belgium , uantwerpen.be
Search for more papers by this authorAbstract
Introduction: Cystic echinococcosis, also known as hydatid cyst, is a parasitic infection of mammals that can affect any organ. Although the diagnosis of primary splenic echinococcosis is challenging, especially in nonendemic areas, it can be life-saving because an anaphylactic shock may occur when the cyst ruptures. Recommendations regarding optimal treatment options after rupture are scarce, and the overall prognosis remains poor.
Case Presentation: A patient with a spontaneous rupture of an isolated splenic hydatid cyst was treated with splenectomy and peritoneal lavage with a hypertonic salt solution. The patient survived despite rapidly progressive hypernatremia, which was treated with conventional therapy along with continuous venovenous hemofiltration with gradient sodium replacement.
Discussion: When the decision is made to treat a patient with a spontaneously ruptured splenic echinococcus cyst, splenectomy is the only surgical option. Hypernatremia is a complication to be expected when hypertonic saline is used to rinse the splenic and abdominal cavities.
Conclusion: This case highlights the importance of prompt surgical intervention and the management of hypernatremia in patients with ruptured splenic hydatid cysts.
Conflicts of Interest
The authors declare no conflicts of interest.
Open Research
Data Availability Statement
The data that support the findings of this study are available from the corresponding author upon reasonable request.
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