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Case Report: A giant ruptured splenic hydatic cyst in a patient with a complete situs inversus: Diagnostic challenge and intra-operative difficulties [version 2; peer review: 1 approved, 1 approved with reservations]

Authors :
Amina Chaka
Wael Boujelbène
Amin Chaabouni
Mohamed Ali Bahloul
Nizar Kardoun
Salah Boujelben
Author Affiliations :
<relatesTo>1</relatesTo>General Surgery, Department-Habib Bourguiba Hospital, Universite de Sfax Faculte de Medecine de Sfax, Sfax, Sfax, Tunisia
Source :
F1000Research. 13:1480
Publication Year :
2025
Publisher :
London, UK: F1000 Research Limited, 2025.

Abstract

The splenic localization of hydatid cysts is extremely rare. A 50-year-old obese female who consults with a painful and febrile syndrome of the right hypochondrium. Abdominal ultrasound and a CT scan computed tomography revealed a complete situs inversus, a mass of the right hypochondrium measuring 152 mm with membrane detachment, and infiltration of the surrounding fat, evoking a type II complicated splenic hydatic cyst. The patient was operated on in an emergency via midline laparotomy. Exploration revealed situs inversus, an angiant cyst of the spleen. Exposition of the splenic pedicle is difficult. The samples were then infected. Total splenectomy was performed. The postoperative period was unproblematic, and the patient was discharged with antibiotic and antiparasitic treatment and habitual vaccination.

Details

ISSN :
20461402
Volume :
13
Database :
F1000Research
Journal :
F1000Research
Notes :
Revised Amendments from Version 1 The revised version of the article addresses several important aspects raised during the review process. Firstly, the manuscript has undergone a thorough revision to correct the typos and grammatical errors identified in the previous version, ensuring a higher standard of clarity and professionalism throughout. In response to the comment about the role of medical treatment in preoperative preparation and postoperative regimens, the updated version includes a more detailed discussion on the importance of medical management. This section now highlights the specific interventions that contributed to the patient’s recovery and provides a clearer rationale for the medical approaches used. Additionally, the revised article incorporates a more comprehensive analysis of the significance of the case findings in relation to broader disease processes, diagnosis, and treatment. The importance of the case is now framed in the context of future understanding, specifically addressing how the findings can inform future research and clinical practice. To improve the utility of the case for other practitioners, more practical details have been added to ensure that the report is not only informative but also useful for clinical application. Lastly, the structure of the article has been aligned with the accepted standards for writing case reports, ensuring that it meets the required format and includes all essential sections for a complete and scientifically rigorous presentation., , [version 2; peer review: 1 approved, 1 approved with reservations]
Publication Type :
Academic Journal
Accession number :
edsfor.10.12688.f1000research.159480.2
Document Type :
case-report
Full Text :
https://doi.org/10.12688/f1000research.159480.2