Complicated Giant Splenic Hydatid Cyst: Case Report and Literature Review
Bibliographic record
Abstract
Turyalai Hakimi,1 Said Karim Zarif,2 Farida Rezavi,1 Mansoor Aslamzai,3 Sultan Ahmad Halimi,4 Mohammad Ayoub Aslamy,1 Mohammad Anwar Jawed1 1Department of Pediatric Surgery, Kabul University of Medical Science, Maiwand Teaching Hospital, Kabul, Afghanistan; 2Department of Emergency and Trauma Surgery, Kabul University of Medical Science, Ali Abad Teaching Hospital, Kabul, Afghanistan; 3Department of Neonatology, Kabul University of Medical Science, Maiwand Teaching Hospital, Kabul, Afghanistan; 4Department of Pathology, Kabul University of Medical Science, Ali Abad Teaching Hospital, Kabul, AfghanistanCorrespondence: Turyalai Hakimi, Email dr.turyalaihakimi@gmail.comAbstract: Hydatid disease is a zoonotic parasitic infection predominantly caused by the tapeworm Echinococcus granulosus. It remains endemic across various regions globally. In nearly 90% of cases, hydatid cysts develop in the liver and lungs; however, other organs, including the spleen, may rarely be affected, particularly in regions with high disease prevalence. A 15-year-old female patient was referred to our pediatric surgery emergency department with a complaint of a splenic cystic mass. The patient had a history of previous surgery for a hepatic hydatid cyst. Clinical evaluation confirmed the diagnosis of a splenic hydatid cyst. During surgical procedure, the cyst was found to be infected, containing straw-colored fluid, with significant adhesions to the diaphragm and surrounding tissues, complicating the procedure. A splenectomy was performed, and the patient had an uneventful postoperative recovery. Diagnosing splenic hydatid cysts can be challenging due to their nonspecific clinical presentation and the rarity of the condition. If left untreated, these cysts may lead to serious complications, including rupture and secondary infection. This case highlights an unusual location of the hydatid cyst in a patient with limited access to appropriate and definitive treatment.Keywords: spleen, giant, hydatic cyst, diaphragm, complication, splenectomy
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.002 |
| Meta-epidemiology (narrow) | 0.002 | 0.001 |
| Meta-epidemiology (broad) | 0.002 | 0.001 |
| Bibliometrics | 0.009 | 0.008 |
| Science and technology studies | 0.002 | 0.002 |
| Scholarly communication | 0.002 | 0.005 |
| Open science | 0.002 | 0.002 |
| Research integrity | 0.003 | 0.002 |
| Insufficient payload (model declined to judge) | 0.003 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".