Hydatid cyst at unusual locations: Report of two cases

Santosh, Tummidi; Patro, Manoj Kumar; Bal, Atanu Kumar; Behera, Bodhisatwa

doi:10.1016/j.ehpc.2017.03.004

Cited by 8 publications

(17 citation statements)

References 9 publications

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“…Previous studies have shown that orbital hydatid disease accounts for only 1% of the hydatid disease burden [10]. Close contact with animals such as dogs, sheep, and cattle is a risk factor for acquiring the infection which was also identi ed in our patient [11].…”

Section: Discussionsupporting

confidence: 59%

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Primary Intra-orbital Hydatid cyst: a case report of a rare cause of Exophthalmos

Debela,

Abore,

Worke

et al. 2023

Preprint

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Background: Hydatid disease is a tapeworm parasitic infection caused by Echinococcus granulosus that commonly affects the liver and lungs during its life cycle in the human body. Orbital involvement is a very rare occurrence and isolated orbital Echinococcosis is extremely rare. Case presentation: A 60-year-old female Eritrean woman presented with a 3 month history of painless protrusion and decreased vision of the left eye. Physical examination showed significantly decreased visual acuity of the left eye, left eye proptosis, and papilledema. Laboratory investigations were normal and orbital CT scan examination was suggestive of orbital hydatid cyst. After a two week course of oral albendazole, a medial anterior orbitotomy and cyst excision were performed. Post-operative biopsy was conclusive of an orbital hydatid cyst. She continued taking oral albendazole 400mg twice daily. On her postoperative follow-up, she had mild lid swelling and adduction deficit. There was significant improvement of the lid swelling and disc edema on the 21st postoperative day but the gain on the adduction deficit was minimal. Subsequent follow-up of the patient was not possible since the patient relocated back to Eritrea. Conclusion: Orbital hydatid cyst is an extremely rare presentation of human Echinococcus granulosus infection. However, it should be considered one of the differential diagnoses among patients living in an endemic area and presenting with proptosis of the eye. A preoperative course of anthelminthic followed by surgical excision of the cyst is the definitive management.

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Section: Discussionsupporting

confidence: 59%

“…Patients with orbital hydatid cyst commonly present with a longstanding unilateral proptosis of the eye similar to our patient [10]. Other manifestations include decreased vision due to longstanding compression of the optic nerve, ocular pain, limitation of ocular motility, and chemosis [1,11].…”

Section: Discussionsupporting

confidence: 58%

Primary Intra-orbital Hydatid cyst: a case report of a rare cause of Exophthalmos

Debela,

Abore,

Worke

et al. 2023

Preprint

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“…An increased erythrocyte sedimentation rate is commonly reported in patients presenting HD [ 16 ]. Salama, Othman [ 17 ] reported that an elevation in ESR along with eosinophilia can be the indicator of multiple-organ involvement and complications such as rupture.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Prognostic Factors Associated with Postoperative Complications Following Pulmonary Hydatid Cyst Surgery

Ahmadinejad

Hashemi

Azizallahi

2020

TORMJ

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Background: Hydatid cysts are one of the serious complications following echinococcus infection. The liver and the lungs are the most affected organs, respectively. The severity of the disease is associated with the increase in the number and the size of the cysts, cysts rupture, and systemic effects. The aim of this study is to evaluate prognostic factors that are associated with the increased incidence of postoperative complications following pulmonary hydatid cyst surgery. Methods: Patients referred to Madani hospital from 2014-2018, presenting pulmonary hydatid cysts were included in this study. All the patients were evaluated based on the following parameters: age, gender, location and size of the cysts, rupture status of the cysts (intact or perforated), type of surgical intervention (capitonnage or segmentectomy) and Erythrocyte Sedimentation Rate (ESR). The factors were then compared with postoperative complications. Statistical analysis of the data obtained was conducted using R-software Results: Of 76 patients enrolled in our study, 52.63% were males and 47.36% were female. Air leak complication was reported in 13.15% of the patients and 3.94% of the patients were presented with pleural effusion. Postoperative complications were significantly associated with the perforated (ruptured) cysts p= 0.001, segmentectomy p= 0.013, giant hydatid cysts p= 0.007 and ESR p= 0.014. However, the side of the lung was not significantly related to postoperative complications. Conclusion: Our study reports that perforated cysts, increased size, segmentectomy and abnormal ESR are likely to increase postoperative complications following pulmonary hydatid cysts surgery. Prospective studies with perioperative parameters and greater sample size can help to deduce better inferences.

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“…However, it can present with local or referred pain which is postural in majority cases. Some patients may present with complications such as infection of the cyst, intraperitoneal rupture of cyst and fistulization into hollow viscera especially colon followed by upper or lower gastrointestinal bleeding [5]. Although our patient presented with continuous mild left abdominal pain, there were some atypical complaints of high-grade fever and burning micturition associated with non-productive cough and vomiting.…”

Section: Discussionmentioning

confidence: 86%

Hydatid Cyst of Spleen Presenting with Vague Symptoms: A Diagnostic Conundrum

Ahmed

Arif

Tahir

et al. 2019

Cureus

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Hydatid cysts are caused by a tapeworm Echinococcus granulosus. They usually occur in the liver. When occurring in spleen they present with vague symptoms which make it difficult for the physicians to diagnose. We present a case of a 10-year-old male who presented with fever, abdominal pain, and burning micturition along with vomiting. Abdominal exam revealed no visceromegaly. Abdominal ultrasound (US) and computed tomography (CT) scan showed multiple hypoechoic and hypo-dense areas, respectively. Splenic abscess, abdominal tuberculosis (TB), pyelonephritis and malignancy were ruled out with appropriate investigations. The patient was not responding to triple therapy of antibiotics (ceftriaxone, metronidazole, and cloxacillin). A final diagnosis of hydatid cyst of spleen was made when serum echinococcus immunoglobulin G (IgG) antibodies were found to be positive. The patient was treated with albendazole and was discharged on improvement. It is vital to be vigilant and consider echinococcal hydatid cyst as a differential in the lesions of spleen, especially if the patient has a rural background.

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Hydatid cyst at unusual locations: Report of two cases

Cited by 8 publications

References 9 publications

Primary Intra-orbital Hydatid cyst: a case report of a rare cause of Exophthalmos

Primary Intra-orbital Hydatid cyst: a case report of a rare cause of Exophthalmos

Evaluation of Prognostic Factors Associated with Postoperative Complications Following Pulmonary Hydatid Cyst Surgery

Hydatid Cyst of Spleen Presenting with Vague Symptoms: A Diagnostic Conundrum

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