Primary Hydatid Cyst of Umbilicus, Mimicking an Umbilical Hernia

Abstract

Hydatid cyst caused by Echinococcus granulosus demonstrates an endemic infection in several countries such as Middle Eastern countries. Liver is the most frequently involved organ, followed by the lung. The case we present is solitary primary localization of cyst in abdominal wall which is extremely rare. A 57-year-old woman presented with an abdominal wall lesion in umbilical area that had been evolving for about 2 years with recent complaint of pain and discomfort. We detected a midline abdominal mass 12⁎13 centimeters in diameter which was bulged out in umbilicus. Preoperative clinical diagnosis of incarcerated umbilical hernia was made due to its physical examination while surgical exploration disproved the primary diagnosis and we found cystic mass adherent to superficial fascia without any communication to peritoneal space. The cyst was excised completely without any injury or perforation of containing capsule. The diagnosis of hydatid cyst was confirmed by histopathological examination of specimen. The retrograde evaluation showed no involvement of other organs. The patient was followed for two years and no recurrence of hydatid disease has been observed. Hydatid cyst should be considered as a differential diagnosis of abdominal wall and umbilical lesions especially in endemic regions.

Primary Hydatid Cyst of the Stomach: A Rare Case Report and Review of the Literature

“…Patients who have an extrahepatic hydatid cyst present mostly with abdominal pain and discomfort [7,8]. Diagnosis can be challenging [2][3][4][5][6][7][8]. We present here an unusual case of primary gastric hydatid cyst and a review of the literature makes this a rare case and as far as we know, this is the first report of a primary stomach hydatid disease in the literature.…”

“…Hydatid disease is endemic in most parts of Iran and is hyper endemic in some areas [1][2][3]. Hydatidosis is responsible for approximately 1% of admissions to surgical wards in Iran [1,4,5].…”

“…Hydatidosis is responsible for approximately 1% of admissions to surgical wards in Iran [1,4,5]. The endemic areas, include the Mediterranean region, Africa, South America, Australia, Middle East and India [2,4,6]. Hydatid cysts are mainly located in liver or lungs (78%), But Liver is the most common involved organ [1][2][3][4].…”

“…The endemic areas, include the Mediterranean region, Africa, South America, Australia, Middle East and India [2,4,6]. Hydatid cysts are mainly located in liver or lungs (78%), But Liver is the most common involved organ [1][2][3][4]. Hydatid cysts can be found in almost any organ of the body but the most common sites are liver (50%-77%), lung (15%-47%),spleen (0.5%-8%), and kidney (2%-4%) [1,5,7,8].…”

“…Hydatid cysts can be found in almost any organ of the body but the most common sites are liver (50%-77%), lung (15%-47%),spleen (0.5%-8%), and kidney (2%-4%) [1,5,7,8]. The rest of the sites include muscle, peritoneum, bone, pancreas, heart, and brain [2][3][4]. Patients who have an extrahepatic hydatid cyst present mostly with abdominal pain and discomfort [7,8].…”