Unusual Location of Hydatid Cysts: Report of Two Cases in the Heart and Hip Joint of Romanian Patients

Cystic echinococcosis (CE), or hydatid disease, is a neglected tropical disease (NTD) afflicting one million people globally. This study aims to elucidate the presentation, treatment and outcomes of the disease in Pakistan. A review of charts of 225 patients (median age = 42.3 years) with CE admitted at Aga Khan Hospital, Karachi during 2007–2017, was carried out. Abdominal pain was present in 34.7% followed by fever in 26.2%. There were 142 (63.1%) cases of hepatic cysts and 55 (24.4%) of pulmonary hydatid cysts. Combined surgical and medical therapy was given to 130 (57.8%) patients. Surgery only was performed in 23 (10.2%) patients, medical therapy only was given to 35 (15.6%) patients, and puncture, aspiration, injection and reaspiration (PAIR) with medical therapy was given to 15 (6.7%) patients. Recurrence occurred in 14 (6.2%) patients and mortality in 7 (3.1%) patients. Owing to its non-specific presentation, a high index of suspicion is required to diagnose and treat CE in a timely manner.

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“…Long-term follow-up of patients with ultrasound scanning has strengthened the management of uncomplicated disease. 22…”

Section: Discussionmentioning

confidence: 99%

Cystic echinococcosis: a 10-year experience from a middle-income country

Butt

Khan

2019

Trop Doct

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“…[ 9 ] Other potential infected organs could include the spleen, the central nervous system, heart, thyroid gland, and the bones. [ 3 , 10 , 11 ] However, pancreatic echinococcosis is extremely rare; no more than 70 cases were reported in the English literature currently. Head (57%), body (24–34%), and tail (16–19%) of the pancreas are all likely to be involved.…”

Section: Discussionmentioning

confidence: 99%

Alveolar echinococcosis in the head of pancreas

Zhou

et al. 2018

Medicine

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Rationale:Pancreatic alveolar echinococcosis (AE) is an exceptionally rare disease; no more than 10 cases have been published to date. It is characterized as extensive local tissue infringement and destruction; thus, extended surgical resection, such as duodenopancreatectomy, is often needed to obtain a negative resection margin so as to improve the long-term outcome and prognosis.Patient concerns:A middle-aged Tibetan man was admitted due to a 16-year history of recurrent pain in the right upper abdomen. Magnetic resonance imaging scan showed a cystic lesion in the VI segment of his liver and several cystic lesions in the head of pancreas.Diagnoses:Pancreatic AE.Interventions:The patient adopted a preserved surgery of partial cystectomy and completely removing the content of the cyst and then soaking by hypertonic saline combined with adjuvant medical therapy of albendazole.Outcomes:The patient was monitored on a regular basis at the outpatient department; the patient is still alive and has already survived 8 years till now.Lessons:A preserved surgery combined with adjuvant medical therapy of albendazole can also contribute to a good survival outcome for AE located at the head of pancreas.

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“…Bone hydatid cyst, which mostly affects the spine, accounts for 0.5% to 2.5% of hydatid cyst cases [ 10 , 11 , 28 , 29 ]. The bone hydatid cyst has been reported in 44 patients for 20 years in Iran [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

“…Cardiac hydatid cyst accounts for about 0.5–2.5% of all hydatid cyst cases in humans [ 28 , 30 ]. It usually affects the left ventricle.…”

Section: Discussionmentioning

confidence: 99%

Uncommon Locations of Cystic Echinococcosis: A Report of 46 Cases from Southern Iran

Shahriarirad

Erfani

Eskandarisani

et al. 2020

Surgery Research and Practice

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Background. Most cases of hydatid cysts form in the liver and lung and other tissues are considered as unusual locations in hydatid cysts. The current study aimed to find out the rate and features of hydatid cysts in uncommon locations in Fars Province, Southern Iran, over a 15-year period. Methods. The hospital records of patients who underwent surgery for hydatid cysts in university-affiliated hospitals in Fars Province, Southern Iran, from 2004 to 2018, were retrospectively reviewed. For each patient, clinical and demographical data were recorded. Results. During a 15-year period, a total of 501 patients were surgically treated for hydatid cysts, and out of these, 46 (9.2%) were presented with the unusual locations of hydatid disease. Males constituted 28 (60.9%) of these patients while 18 (39.1%) of the patients were females. The patients’ age ranged from 5 to 80 years (mean = 40.49; SD = 20.37). The size of the cysts ranged from 2 to 20 cm (mean = 8.69, SD = 4.59). The most common unusual location for the hydatid cyst was the spleen with 30.4% of cases, followed by the pelvic cavity (15.2%). Out of 46 cases with unusual location of the hydatid cyst, 10 (21.7%) cases had lung, 22 (47.8%) cases had liver, and 5 (10.9%) cases had both liver and lung hydatid cysts, simultaneously with cysts in unusual locations. Conclusion. In cystic echinococcosis- (CE) endemic areas, hydatid disease can affect any organ, from head to toe, in humans. The disease should be considered in the differential diagnosis of any cystic entities anywhere in the body.

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Unusual Location of Hydatid Cysts: Report of Two Cases in the Heart and Hip Joint of Romanian Patients

Cited by 8 publications

References 10 publications

Cystic echinococcosis: a 10-year experience from a middle-income country

Cystic echinococcosis: a 10-year experience from a middle-income country

Alveolar echinococcosis in the head of pancreas

Uncommon Locations of Cystic Echinococcosis: A Report of 46 Cases from Southern Iran

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