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

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Reza Shahriarirad ◽  
Amirhossein Erfani ◽  
Mehrdad Eskandarisani ◽  
Mohammad Rastegarian ◽  
Bahador Sarkari
Keyword(s):  
Hydatid Cyst ◽  
Hydatid Disease ◽  
Cystic Echinococcosis ◽  
The Body ◽  
Pelvic Cavity ◽  
Fars Province ◽  
Hydatid Cysts ◽  
Unusual Location ◽  
Southern Iran ◽  
Demographical Data

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.

scholarly journals Cystic Echinococcosis: Knowledge, Attitude, and Practices (KAP) among Surgically Operated Cases in Fars Province, Southern Iran

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Zahra Hosseini ◽  
Reza Shahriarirad ◽  
Bahador Sarkari
Keyword(s):  
Hydatid Cyst ◽  
Cystic Echinococcosis ◽  
Urban Areas ◽  
Positive Attitude ◽  
Good Practice ◽  
Fars Province ◽  
Control Plan ◽  
Southern Iran ◽  
Dog Owners ◽  
And Control

Introduction. Cystic echinococcosis (CE) is a neglected zoonotic disease caused by Echinococcus granulosus with major health and economic burden. The information on how the community members perceive the disease is crucial in order to recommend an effective preventive and control plan. The current study is aimed at finding out knowledge, attitude, and practices (KAP) of surgically operated cases of hydatid cyst in educational hospitals of Shiraz in Fars Province, southern Iran, toward the CE. Methods. A cross-sectional survey was conducted among 180 CE patients who underwent surgery due to CE. Using a well-designed questionnaire, a telephone-based survey was carried out to collect the data. The contents of the questionnaire included basic personal information and questions related to the participants’ knowledge, attitude, and behavioral patterns toward CE. Univariate and then multivariate linear regression analyses were used to identify factors associated with the KAP. Unstandardized regression coefficients (β) and odds ratios (ORs) and their 95% confidence intervals (CIs) were used to quantify the associations between variables and KAP. Results. A total of 180 CE patients with a mean age of 35.64 (±17.59) years were recruited. The mean score of participant’s knowledge was 8.7 ( SD = 2.8 , range: 0-17), whereas these scores were 1.3 ( SD = 0.7 , range 0-2) for attitude and 1.2 ( SD = 1.0 , range 0-4) for practice. Findings of the study demonstrated that 20 of the participants (11.1%) had good knowledge towards CE, 82 (45.6%) demonstrated a positive attitude, and 57 (47.5%) without having dogs demonstrated a good practice towards CE ( score = 2 / 2 ), while from 60 dog owners, only 7 (11.6%) participants demonstrated good practice (score 3 and 4/4). Factors that were associated with knowledge were age ( OR = − 0.49 , P value = 0.001) and educational level ( OR = 0.668 , P value = 0.001), where higher age was associated with lower knowledge and also higher educational levels were associated with higher knowledge regarding hydatid cyst. Regarding attitude, only living location had a significant association with participants’ attitude where those who were living in urban areas demonstrating a more positive attitude towards CE ( OR = 0.261 , P value = 0.022). The practice of the participants was grouped into dog owners and participants with no dogs, in which among participants who did not own a dog, those living in urban areas demonstrating weaker practice towards CE ( OR = − 0.491 , P value>0.001). Moreover, a lack of counseling of patients after the surgery on how to prevent reinfection was noticed. Conclusion. Findings of the study revealed that the CE patients in southern Iran had poor knowledge and attitude toward the disease, and their practice may help in maintaining the disease in the community. Health education is highly needed to increase community awareness and to prevent and control this neglected parasitic infection in the area.

scholarly journals Extensive Intra Abdominal Hydatid Cysts

2014 ◽  
Vol 31 (3) ◽  
pp. 156-158
Author(s):  
A Kutub ◽  
MM Rahman ◽  
S Hena
Keyword(s):  
Hydatid Cyst ◽  
Hydatid Disease ◽  
Ovarian Cyst ◽  
Reproductive Organs ◽  
The Body ◽  
Hydatid Cysts ◽  
The World ◽  
Almost All ◽  
Time Of Operation ◽  
Female Reproductive Organs

Human hydatid cyst is an illness caused by the cystic phase of the small trepanoma, Echinococcus granulosus. It is an endemic disease in some countries of the world. Hydatid disease though known to occur in almost all organs of the body, it is extremely rare in the female reproductive organs. In this report we present a case of hydatid disease of both ovaries with widespread intraabdominal hydatid cysts. This case was misdiagnosed as an ovarian cyst until the time of operation. DOI: http://dx.doi.org/10.3329/jbcps.v31i3.20983 J Bangladesh Coll Phys Surg 2013; 31: 156-158

scholarly journals Primary Echinococcus Hydatid Cyst of the Uterus: An Unusual Location

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Farouk Ennaceur ◽  
Dhekra Toumi ◽  
Farouk Jaouad ◽  
Aymen Mabrouk ◽  
Ahmed Hajji ◽  
...  
Keyword(s):  
Hydatid Cyst ◽  
Hydatid Disease ◽  
Clinical Examination ◽  
Pelvic Pain ◽  
Chronic Pelvic Pain ◽  
Serous Cystadenoma ◽  
The Body ◽  
Left Ovary ◽  
Health Concern ◽  
Hydatid Cysts

Hydatidosis is a widespread anthropozoonosis. It can affect almost any part of the body, but it occurs most commonly in the liver (75%) and the lungs (15%). Its occurrence in female genital tract, especially the uterus, is very rare. Diagnosing hydatid disease at these unusual locations can be difficult. Hereby, we report two cases of primary hydatid cyst of the uterus. The first case is that of a 62-year-old woman, G7P5A2, who presented with an eight-month history of chronic pelvic pain. Clinical examination and radiological explorations revealed the presence of a uterine fibroid and a serous cystadenoma of the left ovary. She underwent a hysterectomy and a bilateral adnexectomy. Anatomopathological examination concluded that a serous cystadenoma of the left ovary was a calcified subserous hydatid cyst of the uterine fundus. The second case is that of a 69-year-old woman, G6P4A2, who consulted for chronic pelvic pain that had been evolving for 3 months. The clinical examination and radiological explorations doubted a hydatid cyst of the uterus, with a positive hydatid serology. She underwent a resection of the salient dome. The anatomopathological examination was in favor of a hydatid cyst of the uterus. Hydatid disease is endemic in Tunisia. The pelvic region is rarely affected with an incidence ranging from 0.3 to 0.9%, 80% of which involves the genitals. The uterus is more rarely affected than the ovaries. Most often, it is a contamination secondary to the intra-abdominal rupture of a hydatid cyst of the liver. However, primary uterine hydatid cysts have been reported. Surgery is the Gold Standard for the treatment of uterine hydatid cysts. Exploration of the abdominal cavity is essential in the search for other localizations, particularly hepatic. Postoperative medical treatment with Albendazole can be discussed. The ideal approach to deal with this public health concern is to emphasize the need for improved preventive measures. Modern imaging techniques have significantly improved the detection rates of hydatid cysts in atypical localizations. Indeed, the preoperative diagnosis of uterine hydatidosis requires a meticulous approach which is necessary to initiate an adequate treatment and thus guarantee a better management of the patient.

scholarly journals Management of Liver Hydatid Cysts: A Cross-Sectional Retrospective Analysis of 293 Cases From Southern Iran

2021 ◽  
Author(s):  
Amirhossein Erfani ◽  
Reza shahriarirad ◽  
Mehrdad Eskandarisani ◽  
Mohammad Rastegarian ◽  
Bahador Sarkari
Keyword(s):  
Hydatid Cyst ◽  
Radical Surgery ◽  
Conservative Surgery ◽  
Fars Province ◽  
Hydatid Cysts ◽  
Cross Sectional ◽  
Liver Hydatid Cyst ◽  
Southern Iran ◽  
The Mean ◽  
Clinical Records

Abstract Background: The current study aimed to evaluate the therapeutic features and complications of liver hydatid cyst in patients who underwent surgery for CE in Fars province, southern Iran.Methods: A total of 293 patients who underwent surgery for liver hydatid cyst from 2004 to 2018 in Fars Province, southern Iran, were retrospectively evaluated. The clinical records of patients were reviewed and the demographic and clinical characteristics of each patient were assessed.Results: Of the total of 293 cases, 178 (60.9%) were females and 115 (39.1%) were males. The mean age of the subjects was 37.22 (±20.55) years. The mean size of the liver hydatid cyst was 9.18 (± 4.365). Of the 293 patients studied, 227 (77.4%) had hydatid cysts only in the liver, while 55 (9.4%) had both liver and lung cysts. More than half of the liver cysts (65.9%) were located in the right portion of the liver (segment 5 to 8). Of the 293 cases, 52 (17.7%) underwent radical surgery while 241 (82.3%) underwent conservative surgery. Recurrence of hydatid cyst was recorded in 46 (15%) of cases. Patients who were treated with radical surgery in comparison with those who had conservative surgery had a lower recurrence rate but a longer duration of hospital stay (p<0.05). Conclusion: Recurrence remains as one of the major challenges in the management of hydatid cyst. Radical surgery reduces the chance of recurrence, although this procedure increases the length of hospital stay.This study was registered at Clinicaltrials.gov with registration ID of NCT04363151. https://clinicaltrials.gov/ct2/show/NCT04363151?cntry=IR&city=Shiraz&draw=2&rank=1

scholarly journals Unusual Presentation of Hydatid Cyst in Cervical Region

2015 ◽  
Vol 6 (3) ◽  
pp. 112-114
Author(s):  
Surjit Singh ◽  
Digvijay Singh ◽  
Hansa Banjara ◽  
Sutanu Sarkar ◽  
Varsha Mungutwar
Keyword(s):  
Hydatid Cyst ◽  
Hydatid Disease ◽  
Cystic Mass ◽  
The Body ◽  
Unusual Presentation ◽  
Cervical Region ◽  
Hydatid Cysts ◽  
Slow Growing ◽  
Head Neck ◽  
Cervical Involvement

ABSTRACT Cervical involvement of the hydatid disease is rare entity occurring in less than 0.5% of patients. Hydatid disease is prevalent in Asia, Australia, and Eastern and Southern Europe. Hydatid disease caused by Echinococcus granulosus is often manifested by a slow-growing cystic mass. Hydatid cysts may be found in almost every part of the body; however, the lungs and liver are the most involved locations. This study reports an unusual presentation of the hydatid cyst over cervical region of neck. How to cite this article Singh D, Banjara H, Mungutwar V, Sarkar S, Singh S. Unusual Presentation of Hydatid Cyst in Cervical Region. Int J Head Neck Surg 2015;6(3):112-114.

scholarly journals Long-term results of percutaneously treated multiple hepatic and splenic hydatid cysts in a pregnant woman

2018 ◽  
Vol 12 (08) ◽  
pp. 680-682
Author(s):  
Suleyman Bakdik ◽  
Serdar Arslan ◽  
Fatih Oncu
Keyword(s):  
Pregnant Woman ◽  
Hydatid Cyst ◽  
Echinococcus Granulosus ◽  
Hydatid Disease ◽  
The Body ◽  
Long Term Results ◽  
Hydatid Cysts ◽  
Healthy Baby ◽  
Us Guidance

Hydatid disease is caused by Echinococcus granulosus, which is endemic worldwide. This parasitic tapeworm can produce cysts in almost every organ of the body; however, the liver and lungs are the most frequently targeted. 37‑year-old multigravida woman with a 10-week pregnancy in whom multiple splenic and liver hydatid cysts were detected by ultrasound. All splenic and liver hydatid cysts were treated percutaneously under US guidance during the 14th week of pregnancy. The catheterization method was used in the treatment of all hydatid cysts. Alcohol was also used as scolicidal and sclerosing agent in all procedures. There were no major complications. A cystobiliary fistula developed in a hydatid cyst treated in the liver. A healthy baby was delivered vaginally at term.

scholarly journals A benign rare intraabdominal lesion: Primary giant mesenteric hydatid cyst

2021 ◽  
Vol 2 (2) ◽  
Author(s):  
Yigit Duzkoylu ◽  
◽  
Ali Imran Kucuk ◽  
Keyword(s):  
Infectious Disease ◽  
Hydatid Cyst ◽  
Intermediate Host ◽  
Echinococcus Granulosus ◽  
Male Patient ◽  
Hydatid Disease ◽  
The Body ◽  
Parasitic Infestation ◽  
Hydatid Cysts ◽  
Primary Hydatid Cyst

Hydatid disease, mostly caused by Echinococcus granulosus, is a common parasitic infestation of the liver. In this type of infectious disease, humans are an intermediate host. Although most common sites are liver (70%) and lungs (25%), this parasitic tapeworm can be seen at any region of the body. Intraperitoneal cysts are usually secondary to the rupture of primary cysts, but primary hydatid cysts of the mesentery are very rare (%2). Herein, we aimed to report a giant primary hydatid cyst in a male patient, treated surgically without any complications.

A cardiac hydatid cyst mimicking a pericardial tumour in a paediatric case

2018 ◽  
Vol 29 (2) ◽  
pp. 244-246 ◽  
Author(s):  
Taliha Oner ◽  
Oktay Korun ◽  
Ahmet Celebi
Keyword(s):  
Hydatid Cyst ◽  
Cardiac Involvement ◽  
The Body ◽  
Hydatid Cysts ◽  
Common Site ◽  
Right Ventricular Free Wall ◽  
Rare Presentation ◽  
Paediatric Case ◽  
Involvement Rate ◽  
The Right

AbstractCardiac hydatid cysts are a rare presentation of hydatid cyst disease in the body, with a reported cardiac involvement rate of <2%. The left ventricle is the most common site of cardiac involvement. Here, we report a patient with a hydatid cyst that ruptured into the pericardium after producing an aneurysm on the right ventricular free wall, appearing as fibrinated fluid and a solid mass lesion in the pericardium. Our aim in this case report was to emphasise that the possibility of a hydatid cyst should not be overlooked in the differential diagnosis of pericardial tumours.

scholarly journals Disseminated Echinococcosis of the Lung and Central Compartment of the Neck

2013 ◽  
Vol 5 (1) ◽  
pp. 25-27
Author(s):  
MJ Paul ◽  
Nischal Rajendra Pandya ◽  
Lalit Choudhry ◽  
Birla Roy Gnanamuthu ◽  
Kochu Krishnan ◽  
...  
Keyword(s):  
Hydatid Cyst ◽  
Left Lung ◽  
Central Compartment ◽  
The Body ◽  
Human Beings ◽  
Hydatid Cysts ◽  
Larval Form ◽  
Causal Organism ◽  
Lung Hydatid

ABSTRACT Echinococcosis is a ubiquitous zoonosis. The causal organism is a flat tapeworm whose larval form causes infestations in human beings, who are its accidental hosts. It is known to occur in all parts of the body with the highest incidence in the liver, followed by the lung. Hydatid cysts in the neck are rare by themselves. We report a case of hydatidosis of the lung and central compartment of the neck, in a man who presented with pulmonary symptoms only. Computerized tomogram of the chest had revealed a hydatid cyst in the left lung and another incidental hydatid cyst in the neck. He underwent successful excision of both the cysts in one sitting. How to cite this article Pandya NR, Paul MJ, Choudhry L, Gnanamuthu BR, Krishnan K, Franklyn J, Kalita JP. Disseminated Echinococcosis of the Lung and Central Compartment of the Neck. World J Endoc Surg 2013;5(1): 25-27.

scholarly journals Lymphocyte Populations in the Adventitial Layer of Hydatid Cysts in Cattle: Relationship With Cyst Fertility Status and Fasciola Hepatica Co-Infection

2019 ◽  
Vol 57 (1) ◽  
pp. 108-114 ◽  
Author(s):  
Mauricio Jiménez ◽  
Caroll Stoore ◽  
Christian Hidalgo ◽  
Felipe Corrêa ◽  
Marcela Hernández ◽  
...  
Keyword(s):  
Immune Response ◽  
B Cells ◽  
Hydatid Cyst ◽  
Cystic Echinococcosis ◽  
B Lymphocyte ◽  
Fasciola Hepatica ◽  
Hydatid Cysts ◽  
T And B Cells ◽  
Intermediate Hosts ◽  
Adventitial Layer

Cystic echinococcosis is a worldwide zoonosis caused by the cestode Echinococcus granulosus. Two types of hydatid cysts occur in intermediate hosts: fertile cysts that generate protoscoleces from the germinal layer of the cyst, and infertile cysts that do not produce protoscoleces and are unable to continue the life cycle of the parasite. The adventitial layer, a host-derived fibrous capsule surrounding the hydatid cyst, is suggested to play an important role in local immune regulation during infection and in fertility of the cysts. Fasciola hepatica, another important parasite of cattle, induces a characteristic Th2-like immune response that could modulate the immune response against E. granulosus. Natural co-infection of both parasites is common in cattle, but no reports describe the local immune response against E. granulosus with F. hepatica infection in the same host. This study analyzed the number and distribution of T and B cells in the adventitial layer of liver and lung cysts and the relationship with cyst fertility and F. hepatica co-infection. T lymphocytes were the predominant cell type in the adventitial layer of infertile hydatid cysts and were more numerous in infertile hydatid cysts. B lymphocyte numbers were not associated with hydatid cyst fertility. Mast cells were infrequent in the adventitial layer. The number of T and B cells was not associated with F. hepatica co-infection. The present study contributes to the understanding of local immune responses in bovine cystic echinococcosis.

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