Quiste Hidatídico Esplénico: A propósito de un caso.

Introduction: Hydatidosis is an endemic disease in Chile, A high index of suspicion should be had in patients with symptoms in risk areas. Splenic hydatidosis is a rare clinical presentation to watch, patients may be asymptomatic or present symptoms due to organ compression and / or complications. Treatment ranges from partial to total splenectomy, open or laparoscopic. Objectives: Present the clinical case report of a patient with a splenic cyst, diagnosed and treated in the pediatric and surgical services of the Herminda Martín Clinical Hospital. Clinical case: 14-year-old male patient, with no morbid history, admitted for fever of unknown origin associated with jaundice; During the ultrasound examination, the clinical finding of hepatosplenomegaly associated with free subhepatic peritoneal fluid, a 15.5-cm spleen with a 4.1-cm hypoechoic area was recorded. Due to a diagnostic doubt, it was decided to perform an abdominal CT that reported a hypodense replacement area in the spleen, of an uncertain nature. Due to a good clinical evolution, medical discharge and ultrasound control associated with serology for hydatidosis were decided. In control at two months, growth of the splenic collection is observed, deciding surgical resolution of the case, by means of partial splenectomy due to operative difficulty. Discussion: There is controversy about surgical treatment regarding the type of resection and surgical approach; The choice of total splenectomy has been described, however, recently there is a tendency to preserve all the spleen or at least a part of it when possible to avoid postplenectomy infection, especially in young patients. [ABSTRACT FROM AUTHOR]