Alveolar Echinococcosis with Involvement of the Ureter and Testis

Strohmaier, Walter; Bichler, K.-H.; Wilbert, D. M.; Seitz, H. M.

doi:10.1016/s0022-5347(17)39569-1

Cited by 18 publications

(9 citation statements)

References 3 publications

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“…2 To best of our knowledge nine papers of scrotal hydatid cysts have been found in medical literature. [1][2][3][4][5][6][7][8][9] Out of these nine case reports, two are testicular hydatid cysts and one is scrotal extension of retroperitoneal hydatid cyst resulting from acute scrotal swelling in a seven years old child. 1,6,8 Remaining six case reports are primary hydatid cysts in scrotum separate from testis.…”

Section: Discussionmentioning

confidence: 99%

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Scrotal hydatidosis: a case report and review of literature

et al. 2015

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Section: Discussionmentioning

confidence: 99%

“…To our knowledge there were only nine reports of hydatid disease involving the scrotum or testis. [1][2][3][4][5][6][7][8][9] We are reporting the tenth case of primary hydatid cysts of left hemiscrotum.…”

Section: Introductionmentioning

confidence: 99%

Scrotal hydatidosis: a case report and review of literature

et al. 2015

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“…In this unique case report, a 45-year-old male suffered from a painless mass in the scrotum and a cystic cavity of the testis with hydatic cyst was shown macro-and microscopically. On the other hand Strohmaier et al [2] reported an alveolar echinococcosis case with involvement of the ureter and the testis. In this unique testicular alveolar echinococcosis, testis microscopically revealed granulomatous inflammation with small cysts, which contained caseous necrosis misdiagnosed as tuberculosis at the first evaluation.…”

Section: Discussionmentioning

confidence: 99%

“…On the other hand, in Central Europe usually fox and rarely cats are the sources of the alveolar type of the disease [2]. In each instance, cysts are acquired by humans who accidentally eat the eggs excreted in the feces of dogs or alternate feral hosts.…”

Section: Introductionmentioning

confidence: 99%

The Experimental Model of Hydatidosis in Rabbit Testis

Verit¹,

Özbilge²,

Yeni³

et al. 2004

Urol Int

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Objectives: Although no part of the human anatomy is invulnerable to hydatid disease, it has been reported to occur mostly in vital organs such as liver, lungs and brain. Hydatid disease of the urinary tract is uncommon accounting for only 2% of all such cases. Testes are extremely rare sites for echinococcosis. To our knowledge there are only 3 cases of testicular hydatid cyst described. In this animal model, we studied echinococcosis in rabbit testis. Methods: We directly infected the unilateral testis of 4 male rabbits with infective protoscolices via intratesticular injection and housed them under pathogen-free conditions for 10 weeks. All rabbits survived during the follow-up period and then, at the 10th week, all testes were removed for histopathologic investigation. Results: Despite of the direct infection of the rabbit testes with Echinococcus granulosus, there was no demonstrable hydatid cyst after a 10-week period except from some fibrosis in the injection tract of the testicular tissue in 1 case. Conclusion: The testes are extremely rare anatomic locations for echinococcosis infection. The mechanism of this resistance should be another reason apart from blood-testicular barrier. We think that low temperature in the scrotum or different properties of the testicular tissue may be the reasons of this defense mechanism. If this hypothesis clarifies with the further studies, new treatment options may be defined in the medical literature for the hydatid cyst.

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“…Echinococcosis or hydatid disease in humans is caused by larval forms of cestode Echinococcus granulosus and rarely by E. multilocularis [1]. It's a cyclozoonotic parasitic infection with the liver (45%-75%) and the lung (10%-50%) being the most commonly involved organs [2].…”

Section: Introductionmentioning

confidence: 99%

Genitourinary Hydatid Disease

Kumar¹,

Singh²

2015

Current Topics in Echinococcosis

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Genitourinary echinococcosis is an uncommon cyclo-zoonotic disease. It is caused by Echinococcus species. Kidneys are the common target organs in the genitourinary tract. Clinical presentation is usually non-specific. Pre-operative diagnosis requires a high index of suspicion. It should be considered in differential diagnosis of cystic mass of genitourinary tract, especially in endemic regions. Computed tomography, ultrasonography, and antibody testing aid in diagnosing and classifying the stage of the cyst. Although a number of operative techniques have been described, complete removal of germinal layer with daughter cysts without spillage of viable cyst contents with perioperative medical therapy provides an optimum chance of cure with minimal morbidity. Considering the benign nature of the disease, organ preservation is feasible in majority of the cases. The conventional open surgical treatment has evolved into minimally invasive laparoscopic, endoscopic, and even robotic techniques with concomitant improvement in postoperative and cosmetic outcome. Given the rarity of the disease, no randomized control trial comparing the treatment modalities for genitourinary hydatid exists. Moreover, long-term follow up in many cases is unavailable. Overall, the incidence of local and systemic recurrence is low.

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Alveolar Echinococcosis with Involvement of the Ureter and Testis

Cited by 18 publications

References 3 publications

Scrotal hydatidosis: a case report and review of literature

Scrotal hydatidosis: a case report and review of literature

The Experimental Model of Hydatidosis in Rabbit Testis

Genitourinary Hydatid Disease

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