# Case Report: A giant ruptured splenic hydatic cyst in a patient with a complete situs inversus: Diagnostic challenge and intra-operative difficulties

## TL;DR

A rare case of a ruptured splenic hydatid cyst in a patient with complete situs inversus is reported, highlighting the diagnostic and surgical challenges involved.

## Contribution

This case report presents a rare clinical scenario involving a complicated splenic hydatid cyst in a patient with situs inversus.

## Key findings

- A 50-year-old patient with situs inversus had a giant ruptured splenic hydatid cyst.
- Surgical intervention was complicated by the anatomical inversion and cyst rupture.
- The patient recovered well post-splenectomy with appropriate treatment.

## 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.