Primary mesenteric hydatid cyst; a rare manifestation of hydatid disease through a case report and literature review

Adelyar, Mohammad Asef; Hesham, Samea; Walizada, Khalida; Mushkani, Ershad Ahmad; Saadaat, Ramin

doi:10.1016/j.ijscr.2022.107592

Cited by 3 publications

(1 citation statement)

References 6 publications

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“…The commonest clinical presentation is an asymptomatic slow-growing mass. Hydatid cysts involve various organs predominantly the liver (60–70 %) and the lungs (20 %) [3] ; however, the primary muscular occurrence is very rare (0.7–0.9 %), and it represents a benign soft tissue tumor in the muscle, even in endemic countries [4] .…”

Section: Introductionmentioning

confidence: 99%

Muscular hydatid cyst in Iran: A case report

Agholi¹,

Heidarian²,

Montaseri³

et al. 2023

International Journal of Surgery Case Reports

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Section: Introductionmentioning

confidence: 99%

Muscular hydatid cyst in Iran: A case report

Agholi¹,

Heidarian²,

Montaseri³

et al. 2023

International Journal of Surgery Case Reports

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Human cystic echinococcosis detected in mesentery: A case report

Schandiz,

Nasser,

Ekeberg

et al. 2024

SAGE Open Medical Case Reports

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Cystic echinococcosis, although rare in Europe, presents a diagnostic challenge when encountered, especially in atypical locations such as the mesentery. This case report is significant because it highlights the unique presentation of mesenteric hydatid cysts, emphasizing the importance of considering uncommon etiologies in differential diagnosis, particularly in immigrant populations. The novelty of this case lies in its rarity and the diagnostic dilemma it posed, ultimately leading to successful management through prompt recognition and accurate diagnosis. A 33-year-old pregnant female from East Africa presented with intermittent abdominal pain during pregnancy. Imaging revealed a cystic mass adjacent to the mesentery, initially misdiagnosed as an ovarian cyst. Postpartum, she developed acute abdominal symptoms, leading to a revised diagnosis of a ruptured hydatid cyst. Antiparasitic treatment and surgical intervention were initiated, resulting in successful management. This case underscores the necessity of prompt recognition and accurate diagnosis of rare conditions such as mesenteric hydatid cysts, particularly in immigrant populations. A multidisciplinary approach is crucial for optimal patient care in such cases.

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Laparoscopic Management of Multiple Liver, Omental, Mesenteric, Peritoneal, and Round Ligament Hydatid Cysts—A Rare Report of a Case and a Systematic Literature Review

Mihetiu,

Bratu,

Tanasescu

et al. 2024

JPM

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Hydatid cyst disease is a parasitic ailment with an endemic nature, predominantly affecting geographical areas with a tradition in animal husbandry. The most common localization of hydatid disease is in the liver (60%), followed by the lungs, with other organ localizations comprising less than 10%. The surgical approach to this condition can be carried out through open surgery or laparoscopy. The coexistence of hepatic and intraperitoneal hydatidosis often leads to the preference for open surgery. We performed a literature review aiming to retrieve data regarding demographic characteristics, clinical features, preoperative management, and surgical approach concerning these unusual localizations of hydatid disease. It was observed that the mesenteric localization frequently presented with acute abdominal pain (p = 0.038) and that the open approach was preferred in 85.71% of cases. Furthermore, an interdependence was identified between the localization of the cysts and the type of surgical approach (p = 0.001), with mesenteric localizations being approached through laparotomy and excision (p = 0.037), while omental localizations, due to the easier approach, benefited from laparoscopy with excision in 14.29% of cases. Overall, the laparoscopic approach was less frequently used, but its utilization resulted in a lower number of complications and faster recovery. Additionally, we present a rare case of hepatic and intra-abdominal hydatidosis, resolved exclusively through a laparoscopic approach, including a review of the literature for these uncommon localizations of hydatid disease. A 45-year-old patient diagnosed with multiple hydatid cysts, both hepatic and intraperitoneal, underwent surgical intervention with exploratory laparoscopy. Laparoscopic excision of peritoneal, epiploic, mesenteric cysts, and round ligament, along with laparoscopic inactivation, evacuation, and pericystectomy of hepatic hydatid cysts, was performed. The patient’s recovery was uneventful, and she was reevaluated at 3 and 9 months without signs of recurrence. The association of hepatic hydatid cysts with multiple intra-abdominal localizations is not commonly encountered. The treatment of choice is surgical and is predominantly conducted through open surgery. The presented case is unique due to the exclusive laparoscopic approach in the management of mixed hepatic and intra-abdominal hydatidosis.

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Primary mesenteric hydatid cyst; a rare manifestation of hydatid disease through a case report and literature review

Cited by 3 publications

References 6 publications

Muscular hydatid cyst in Iran: A case report

Muscular hydatid cyst in Iran: A case report

Human cystic echinococcosis detected in mesentery: A case report

Laparoscopic Management of Multiple Liver, Omental, Mesenteric, Peritoneal, and Round Ligament Hydatid Cysts—A Rare Report of a Case and a Systematic Literature Review

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