Atypical Giant Hydatid Cyst at the Thoracic Wall Causing Bone and Soft Tissue Destruction: Report of a Case

Zeybek, Arife; Erdoğan, Abdullah; Akdeniz, Şirin; Kenar, Gökçen; Dertsiz, Levent; Demircan, Abid

doi:10.5812/ircmj.10584

Cited by 5 publications

(5 citation statements)

References 7 publications

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“…1,9,15,16) Despite advanced laboratory and imaging techniques, in some cases a precise diagnosis cannot be established until surgery. 13,17) Costal hydatid cysts can generate multiple complications. Local expansion may cause pathologic fractures, spinal cord compression, thoracic aperture syndrome, pulmonary atelectasis.…”

Section: Discussionmentioning

confidence: 99%

“…Cyst rupture can lead to parasitic dissemination into neighboring organs and to anaphylactic shock. 2,14,17,18) The purpose of treatment in costal hydatidosis is to eliminate all parasitic and pericystic tissues, a similar approach to that of malignant tumors being necessary. 2) Compared to the surgical treatment of osseous hydatid cysts located elsewhere than the ribs, the treatment of costal hydatidosis has the advantage that all of the affected bone tissue can easily be removed with little functional consequences for the patient.…”

Section: Discussionmentioning

confidence: 99%

“…Wide excision of the affected tissues, resection and debridement of pericystic tissues are required. 1,17) We performed a partial costectomy with a margin of approximately 2 cm from the healthy rib, but in some cases a total resection of the rib may be necessary. In order to avoid parasitic dissemination in case of an intraoperative rupture of the cysts, scolicidal agents like hypertonic sodium chloride or formalinized solutions (as used in our case) should be applied on the wound.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Cystic Hydatidosis of the Rib–Case Report and Review of the Literature

Roman¹,

Georgiu

Nicolau³

et al. 2015

ATCS

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The hydatid disease is a zoonosis endemic to rural countries, such as those in the Mediterranean region, South America, North Africa, Central Asia and China. Hydatid cysts commonly affect liver and lungs, but less than 100 cases of costal hydatidosis have been reported in the literature. While diagnosis of the disease in commonly affected organs is relatively easy, uncommon locations can prove to be challenging as is the case with costal hydatidosis. Imaging techniques can suggest the diagnosis, but sometimes it remains uncertain until surgery. The treatment is surgical, assisted by long-time Albendazole chemotherapy. We present a rare case of costal hydatidosis, the first one to be reported in Romania according to our review of the literature.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Cystic Hydatidosis of the Rib–Case Report and Review of the Literature

Roman¹,

Georgiu

Nicolau³

et al. 2015

ATCS

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“…As to reports of HC lesions resembling tumors, various manifestations such as disseminated alveolar echinococcosis with bone involvement, peritoneal involvement and thoracic wall with soft tissue involvement have been reported. Although some challenges associated with musculoskeletal HC lesions have been documented in case reports and reviews, there are few published data regarding musculoskeletal HC lesions resembling tumors.…”

Section: Introductionmentioning

confidence: 99%

Musculoskeletal Hydatid Cysts Resembling Tumors: A Report of Five Cases

Toğral

Arıkan

Ekiz

et al. 2016

Orthopaedic Surgery

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Although challenges in treatment of musculoskeletal hydatid cysts (HC) lesions have been documented, data regarding the musculoskeletal HC lesions resembling tumor is scarce. This paper presented 5 patients (3 males, 2 females) with a mean age of 41.6 years with tumor-like lesions of HC. Three of them had left ilium and acetabulum involvement, one involved left femur, and one involved left thigh muscle compartments. Pain was the main symptom and was seen in all patients. Clinical examination, radiologic evaluation, and histologic analysis were performed for diagnosis. Patients were treated through different surgical options, including simple debridement, bone cement filling with or without internal fixation, hip arthrodesis, reconstruction using hemipelvic replantation with femoral prosthesis and distal femur endoprosthetic replacement. After surgery, the operation region was washed by 20% hypertonic saline, and debridement was performed carefully without contamination. All patients received albendazole treatment. Cases were followed up 1 to 9 years for the recurrence. Walking difficulty and pain were the main symptoms during the follow-up. One patient was symptom-free. A reoccurrence in the perioperative soft tissue was detected in only one patient and control visits with antihelmintic treatment were recommended. We would like to emphasize that HC should be kept in mind for the differential diagnosis of the cystic or tumoral lesions of the musculoskeletal system, particularly in the endemic regions. Prompt diagnosis is of paramount importance for preventing destruction and complications.

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“…The most commonly affected organs are the liver and the lungs. [ 2 ] Pleural involvement is rare and usually follows the rupture of a pulmonary or hepatic cyst inside the pleural space. [ 3 ] The purpose of this study was to exhibit some characteristics of secondary infestation of the pleura as a complication of intrapulmonary echinococcosis.…”

Section: Introductionmentioning

confidence: 99%

Secondary pleural hydatidosis: Complication of intrapulmonary echinococcosis

et al. 2014

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Hydatid disease has a wide geographic distribution around the world. In human, the liver is the most commonly affected organ, followed by the lungs. Intrathoracic extrapulmonary locations are generally the mediastinum, pleura, pericardium and chest wall. Pleural involvement usually follows the rupture of a pulmonary or hepatic cyst inside the pleural space causing secondary pleural hydatidosis. We report four cases of patients who were referred to our hospital for management of pleural hydatid disease as a complication of intrapulmonary echinococcosis.

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Atypical Giant Hydatid Cyst at the Thoracic Wall Causing Bone and Soft Tissue Destruction: Report of a Case

Cited by 5 publications

References 7 publications

Cystic Hydatidosis of the Rib–Case Report and Review of the Literature

Cystic Hydatidosis of the Rib–Case Report and Review of the Literature

Musculoskeletal Hydatid Cysts Resembling Tumors: A Report of Five Cases

Secondary pleural hydatidosis: Complication of intrapulmonary echinococcosis

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