Surgical decision-making in splenic hydatid cyst management via successful total splenectomy: a case report

Thus far, only consensus among experts can be retrieved when making decisions regarding the treatment of splenic involvement of hydatid cysts. This unique case of successful cyst removal via total splenectomy, with an uncomplicated postoperative course, contributes to the development of treatment guidelines for splenic hydatid cysts. The Valais region should be recognized as an additional risk factor for echinococcal infection, particularly owing to the consumption of wild berries and contaminated food or water. Given the chronic inflammation, potential adhesions, and cyst size-twice the size of the spleen-an open surgical approach was deemed necessary. The risk of hemorrhage and spontaneous rupture further justified surgical excision to minimize recurrence and complications. Adequate perioperative immunization was implemented to prevent overwhelming postsplenectomy infection. Although hepatic hydatid cyst management is well-established, splenic involvement requires a patient-centered, organ-specific approach owing to unique anatomical and immunological considerations.