Splenic HC is often asymptomatic.

Intraperitoneal rupture of splenic HC can cause life-threatening anaphylaxis.

Diagnosis of splenic HC requires a high index of suspicion.

Abdominal ultrasound and computed tomography are modalities of choice for diagnosis.

Standard treatment for splenic HC is splenectomy.

and importance: Hydatid cyst disease is caused by Echinococcus tapeworm and is one of the major health problems in endemic regions like Nepal. The cases of splenic hydatidosis are quite rare and giant isolated primary splenic hydatidosis is even rarer. The patients present with vague symptoms or no symptoms at all. Here we report a case of isolated splenic hydatid cyst. So, we should think the differential diagnosis of splenic hydatidosis in any abdominal case of endemic regions.

A 27-year-old female presented with left-side abdominal pain for the past 7 months without any particular attraction. Abdominal ultrasound showed a well-defined cystic mass on the upper pole with low-level internal floating debris. Contrast Enhanced CT scan showed well defined cystic lesion measuring about 10.8 × 9.6 × 8.5 cm in the upper pole of the spleen with an exophytic component and minimal homogenous wall enhancement. Laparoscopic Splenectomy was done and albendazole for 3 weeks was prescribed after all the patient was completely normal.

In this case, the optimal treatment of giant isolated splenic hydatidosis was splenectomy and prescription of albendazole.

We believe in any abdominal case of the endemic region, the hydatid cyst of the spleen should be taken as one of the differential diagnoses and should be managed appropriately before the complication arises.

Hydatid disease

Splenic hydatid

Ultrasonography

Case report

© 2022 The Authors. Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd.