A case report: approach to concurrent large splenic and multiple liver hydatid cysts with various interventions in one surgery

Presenter: Bahareh Ghane BS | Tehran University of Medical Sciences Background: Hydatid cysts can occur in any organ or soft tissue; however, the most common sites are liver (60% -70%), lungs (30%), and rarely other organs such as spleen, bone, thyroid, pancreas, breast. The patient was a 23-year-old man presenting with abdominal pain, early satiety feeling mass LUQ from 2 months ago. On physical examination, abdomen no tenderness, spleen could be palpated below costal margins. aim is to choose best surgical intervention possible for this patient. Methods: To approach patient, imaging studies interventions were done. Sonography showed 110 × 120 mm cyst lateral part compressing on left kidney along multiple hypodense areas both lobes largest being size 38×43 segment 8 liver. Due large splenic hydatid better access cysts, underwent splenectomy cholecystectomy respectively. As drained by open evacuation less accessible ones under ultrasound guidance intraoperatively aspiration, injection hypertonic saline solution into respirating them again after 20 minutes. Results: All removed discharged good condition. Conclusion: rarity cyst, its simultaneous presence utilizing (which not very cyst), all one surgery success, has made novel.