{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T19:49:06Z","timestamp":1792698546696,"version":"4.5.0"},"reference-count":26,"publisher":"American Society of Tropical Medicine and Hygiene","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,10,22]]},"abstract":"<jats:title>ABSTRACT.<\/jats:title>\n                  <jats:p>We describe a patient with a giant splenic echinococcal cyst. As surgery was contraindicated and systemic benzimidazole treatment would likely be ineffective, the cyst was successfully managed with courses of catheterization and continuous drainage. Our patient had multiple comorbidities and two previous surgeries for abdominal cystic echinococcosis. Eleven years after the first surgical intervention, a computed tomography scan revealed a giant (18.5 \u00d7 13.5 cm) echinococcal cyst in stage CE3a (WHO-Informal Working Group on Echinococcosis classification) of the spleen. Percutaneous treatment (PT) was performed leaving the catheter in situ for spontaneous drainage in association with albendazole. The procedure was repeated four times over a 10-year period, without any complications. Albendazole administration was discontinued in 2009. Annual US follow-up showed a progressively smaller splenic cavity (final dimensions 7.2 \u00d7 6.8 cm). Although unconventional, the procedure was safe and effective. PT is a viable alternative when surgery is contraindicated and should only be performed by experts.<\/jats:p>","DOI":"10.4269\/ajtmh.26-0153","type":"journal-article","created":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T19:27:09Z","timestamp":1792697229000},"source":"Crossref","is-referenced-by-count":0,"title":["Giant Echinococcal Cyst of the Spleen Successfully Managed with Repeated Catheterization"],"prefix":"10.4269","author":[{"given":"Armanda","family":"Leka","sequence":"first","affiliation":[{"name":"Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy;"},{"name":"WHO Collaborating Centre for the Clinical Management of Cystic Echinococcosis, University of Pavia, Pavia, Italy;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gian Luca","family":"D\u2019Alessandro","sequence":"additional","affiliation":[{"name":"Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy;"},{"name":"WHO Collaborating Centre for the Clinical Management of Cystic Echinococcosis, University of Pavia, Pavia, Italy;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammad Ali","family":"Muslimani","sequence":"additional","affiliation":[{"name":"Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sofia","family":"Frattola","sequence":"additional","affiliation":[{"name":"Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy;"},{"name":"WHO Collaborating Centre for the Clinical Management of Cystic Echinococcosis, University of Pavia, Pavia, Italy;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcello","family":"Maestri","sequence":"additional","affiliation":[{"name":"Division of General Surgery 1, IRCCS S. Matteo Hospital Foundation, Pavia, Italy;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enrico","family":"Brunetti","sequence":"additional","affiliation":[{"name":"Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy;"},{"name":"WHO Collaborating Centre for the Clinical Management of Cystic Echinococcosis, University of Pavia, Pavia, Italy;"},{"name":"Division of Infectious and Tropical Diseases, IRCCS S. Matteo Hospital Foundation, Pavia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raffaella","family":"Lissandrin","sequence":"additional","affiliation":[{"name":"WHO Collaborating Centre for the Clinical Management of Cystic Echinococcosis, University of Pavia, Pavia, Italy;"},{"name":"Division of Infectious and Tropical Diseases, IRCCS S. Matteo Hospital Foundation, Pavia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2795","reference":[{"issue":"1","key":"b1","series-title":"Acta Trop","first-page":"1","article-title":"Expert consensus for the diagnosis and treatment of cystic and alveolar echinococcosis in humans","volume":"114","author":"Brunetti","year":"2010"},{"issue":"16","key":"b2","series-title":"World J Gastroenterol","first-page":"2633","article-title":"A rare case: Spontaneous cutaneous fistula of infected splenic hydatid cyst","volume":"12","author":"Kismet","year":"2006"},{"key":"b3","article-title":"Case Report: Splenopulmonary Fistula Complicating Hydatid Disease.","author":"Ouadnouni","year":"2015"},{"issue":"5","key":"b4","series-title":"Singapore Med J","first-page":"e113","article-title":"Splenic hydatid cyst perforating into the colon manifesting as acute massive lower gastrointestinal bleeding: An unusual presentation of disseminated abdominal 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