{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T17:24:45Z","timestamp":1788456285836,"version":"build-2803163510"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2024,4,1]],"date-time":"2024-04-01T00:00:00Z","timestamp":1711929600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,4,1]],"date-time":"2024-04-01T00:00:00Z","timestamp":1711929600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,3,15]],"date-time":"2024-03-15T00:00:00Z","timestamp":1710460800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and importance:<\/jats:title>\n                    <jats:p>Primary (isolated) splenic hydatid cyst is rare and accounts for less than 2 % of hydatid patients, even in endemic regions. Diagnosis of splenic hydatid cyst can be challenging due to the rarity of the condition and its nonspecific symptoms. Surgery is the mainstay of treatment. This case report discusses management options for such a rare condition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>We present a 33-year-old female patient with abdominal pain for six months and splenomegaly. Ultrasonography and CT scan showed a giant splenic cyst with clear walls and multi-vesicular contents suggestive of a hydatid cyst. There was no involvement of the liver or other organs. Indirect hemagglutination was positive for Echinococcus. Through a left subcostal incision total splenectomy was performed. The patient was discharged from hospital on the sixth postoperative day. No local recurrence was detected during postoperative follow up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case discussion:<\/jats:title>\n                    <jats:p>Primary splenic hydatid disease is rare. It may be detected incidentally or present with nonspecific complaints. If untreated, a splenic hydatid cyst can lead to various potentially severe complications, including cyst rupture and secondary infection. Standard treatment is open total or partial splenectomy: preservation surgery should always be considered, to avoid post splenectomy infection, especially in young patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Primary splenic hydatid cyst is rare even in endemic areas. Symptoms may be non-specific. Standard treatment is open total or partial splenectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2024.109552","type":"journal-article","created":{"date-parts":[[2024,3,16]],"date-time":"2024-03-16T05:19:49Z","timestamp":1710566389000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":10,"title":["Primary isolated hydatid cyst of the spleen: A case report"],"prefix":"10.1097","volume":"117","author":[{"given":"Maissa","family":"Jallali","sequence":"first","affiliation":[{"name":"Department of Visceral and Digestive Surgery, Monastir University Hospital, Monastir, Tunisia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed Ali","family":"Chaouch","sequence":"additional","affiliation":[{"name":"Department of Visceral and Digestive Surgery, Monastir University Hospital, Monastir, Tunisia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanen","family":"Zenati","sequence":"additional","affiliation":[{"name":"Department of Visceral and Digestive Surgery, Monastir University Hospital, Monastir, Tunisia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiba Ben","family":"Hassine","sequence":"additional","affiliation":[{"name":"Department of Visceral and Digestive Surgery, Monastir University Hospital, Monastir, Tunisia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jamel","family":"Saad","sequence":"additional","affiliation":[{"name":"Department of radiology, Monastir University Hospital, Monastir, Tunisia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faouzi","family":"Noomen","sequence":"additional","affiliation":[{"name":"Department of Visceral and Digestive Surgery, Monastir University Hospital, Monastir, Tunisia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-88-20260423","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1186\/s13071-022-05474-6","article-title":"Africa-wide meta-analysis on theprevalence and distribution of human cystic echinococcosis and canine Echinococcus granulosus infections. Karshima et al","volume":"15","author":"Karshima,","year":"2022","journal-title":"Parasit. Vectors"},{"issue":"3\/4","key":"R2-88-20260423","article-title":"Severe hypernatremia during hydatid cyst surgery: an unusual cause of acute abdomen: severe hypernatremia during hydatid cyst surgery","volume":"69","author":"Chaouch,","year":"2023","journal-title":"Annals of Parasitology"},{"key":"R3-88-20260423","first-page":"E209","article-title":"Splenic hydatid cyst","volume":"52","author":"Karabicak,","year":"2009","journal-title":"Can. J. 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Dis."},{"key":"R7-88-20260423","doi-asserted-by":"crossref","first-page":"1784","DOI":"10.1007\/s11605-013-2303-5","article-title":"Hydatid disease of the spleen: singlecenter experience and a brief literature review","volume":"17","author":"Akbulut,","year":"2013","journal-title":"J. Gastrointest. Surg."},{"issue":"4","key":"R8-88-20260423","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1007\/s12664-011-0104-x","article-title":"Primary splenic hydatidosis","volume":"30","author":"Lik,","year":"2011","journal-title":"Indian J. Gastroenterol."},{"key":"R10-88-20260423","doi-asserted-by":"crossref","first-page":"515","DOI":"10.1007\/s12262-013-0905-5","article-title":"Hydatid cyst of the spleen: Tunisian series of 21 cases","volume":"77","author":"Ben Ameur,","year":"2015","journal-title":"Indian J. Surg."},{"issue":"12","key":"R11-88-20260423","doi-asserted-by":"crossref","first-page":"771","DOI":"10.3390\/medicina55120771","article-title":"Laparoscopic management of initially unrecognized splenic hydatid cysts: a case report and review of the literature","volume":"55","author":"Milosavljevic,","year":"2019","journal-title":"Medicina"},{"key":"R12-88-20260423","doi-asserted-by":"crossref","first-page":"821","DOI":"10.4269\/ajtmh.19-0400","article-title":"Case report: laparoscopic excision of a primary giant splenic hydatid cyst: literature review","volume":"101","author":"Zhuoli,","year":"2019","journal-title":"Am. J. Trop. Med. Hyg."},{"key":"R13-88-20260423","doi-asserted-by":"crossref","first-page":"346","DOI":"10.9738\/INTSURG-D-13-00138.1","article-title":"Surgical approach to splenic hydatid cyst: single center experience","author":"Eris,","year":"2013","journal-title":"Int. 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