{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T07:05:30Z","timestamp":1782975930655,"version":"3.54.5"},"reference-count":11,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T00:00:00Z","timestamp":1780012800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"},{"start":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T00:00:00Z","timestamp":1780012800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"}],"funder":[{"name":"Private Universit\u00e4t Witten\/Herdecke gGmbH"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Unfallchirurgie"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>\n                    Wir berichten \u00fcber einen seltenen Fall einer traumatischen Milzruptur mit gleichzeitiger Ruptur einer intraparenchymat\u00f6sen\n                    <jats:italic>Echinococcus<\/jats:italic>\n                    -Zyste bei einem 48-j\u00e4hrigen Patienten nach Leitersturz aus ca.\u00a03\u202fm H\u00f6he. Die initiale Schockraumdiagnostik gem\u00e4\u00df ATLS-Standard ergab sonographisch einen perisplenischen Fl\u00fcssigkeitssaum sowie eine atypische, teilweise verkalkte Struktur im Milzparenchym. In der kontrastmittelgest\u00fctzten Computertomographie (CT) zeigten sich eine hochgradige Milzlazeration mit massiver intraabdomineller Blutung sowie eine gro\u00dfe kalzifizierte Zyste mit einem Volumen von 265\u202fml im kaudalen Milzpol mit Rupturzeichen. Trotz initial stabiler Kreislaufverh\u00e4ltnisse wurde aufgrund des Verletzungsausma\u00dfes die Indikation zur sofortigen operativen Versorgung gestellt. Intraoperativ best\u00e4tigten sich die CT-Befunde; die Splenektomie mit Lavage war indiziert. Die histopathologische Untersuchung best\u00e4tigte eine rupturierte intraparenchymat\u00f6se\n                    <jats:italic>Echinococcus<\/jats:italic>\n                    -Zyste. Postoperativ erfolgten deshalb eine antiparasit\u00e4re Therapie mit Albendazol sowie die empfohlene Impfprophylaxe nach Splenektomie. Der Patient konnte nach 8\u00a0Tagen entlassen werden. Der Fall unterstreicht, dass auch in nichtendemischen Regionen bei Milzverletzungen mit atypischen zystischen oder kalzifizierten Befunden seltene parasit\u00e4re Erkrankungen differenzialdiagnostisch ber\u00fccksichtigt werden sollten. Die therapeutische Entscheidung im Akuttrauma richtet sich dann nicht nur nach dem h\u00e4modynamischen Status, sondern ber\u00fccksichtigt das gesamte Verletzungsausma\u00df.\n                  <\/jats:p>","DOI":"10.1007\/s00113-026-01707-w","type":"journal-article","created":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T10:49:00Z","timestamp":1780051740000},"page":"495-499","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Traumatische Milzverletzung mit unerwarteter Ruptur einer Echinococcus-Zyste","Traumatic splenic injury with unexpected rupture of an echinococcal cyst"],"prefix":"10.1007","volume":"129","author":[{"given":"P.","family":"Sch\u00f6ttes","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-4818-4311","authenticated-orcid":false,"given":"J.","family":"Richter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. M.","family":"Schmidt-Dresely","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Mertens","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Strohmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.-P.","family":"Stahl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,5,29]]},"reference":[{"issue":"6","key":"1707_CR1","doi-asserted-by":"publisher","first-page":"1119","DOI":"10.1097\/ta.0000000000002058","volume":"85","author":"RA Kozar","year":"2018","unstructured":"Kozar\u00a0RA, Crandall\u00a0M, Shanmuganathan\u00a0K, Zarzaur\u00a0BL, Coburn\u00a0M, Cribari\u00a0C, Kaups\u00a0K, Schuster\u00a0K, Tominaga\u00a0GT (2018) Organ injury scaling 2018 update: Spleen, liver, and kidney. 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Trauma Case Rep 1(1-2):1\u20133. https:\/\/doi.org\/10.1016\/j.tcr.2015.02.001","journal-title":"Trauma Case Rep"},{"issue":"6","key":"1707_CR4","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.63372","volume":"16","author":"R Bhatnagar","year":"2024","unstructured":"Bhatnagar\u00a0R, Hingway\u00a0S, Chatterjee\u00a0PB (2024) A Stellar Case of Splenic Hydatid Cyst. Cureus 16(6):e63372. https:\/\/doi.org\/10.7759\/cureus.63372","journal-title":"Cureus"},{"key":"1707_CR5","unstructured":"G\u00f6rg C Fokale Milzver\u00e4nderungen - Differenzialdiagnose zystischer und liquider Milzprozesse Seitz, Schuler et\u00a0al. (2008). Klinische Sonographie und sonographische Differenzialdiagnose, Bd 1, S\u00a0353\u2013365"},{"issue":"4","key":"1707_CR6","doi-asserted-by":"publisher","first-page":"270","DOI":"10.1007\/s00117-017-0235-x","volume":"57","author":"M Scharitzer","year":"2017","unstructured":"Scharitzer\u00a0M, Tamandl\u00a0D, Ba-Ssalamah\u00a0A (2017) Zufallsbefunde von Leber, Gallensystem, Pankreas und Milz bei asymptomatischen Patienten : Bewertung und Managementempfehlung. Radiologe 57(4):270\u2013278. https:\/\/doi.org\/10.1007\/s00117-017-0235-x","journal-title":"Radiologe"},{"issue":"4","key":"1707_CR7","first-page":"293","volume":"39","author":"S Leviav","year":"1996","unstructured":"Leviav\u00a0S, Weissberg\u00a0D (1996) Traumatic rupture of hydatid cysts. 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F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien. F\u00fcr Bildmaterial oder anderweitige Angaben innerhalb des Manuskripts, \u00fcber die Patient\/-innen zu identifizieren sind, liegt von ihnen und\/oder ihren gesetzlichen Vertretern\/Vertreterinnen eine schriftliche Einwilligung vor. Es liegt das Einverst\u00e4ndnis des Patienten zur Ver\u00f6ffentlichung seiner Bilder vor.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}