Primary Subcutaneous Hydatid Cyst of the Thigh

2015 ◽  
Vol 20 (3) ◽  
pp. 266-268 ◽  
Author(s):  
Gabriel Rodrigues ◽  
Raghunath Prabhu
Keyword(s):  
Hydatid Cyst ◽  
Hydatid Disease ◽  
Systemic Disease ◽  
Foot Ulcer ◽  
Surgical Excision ◽  
Cystic Mass ◽  
The Body ◽  
Diagnostic Dilemma ◽  
Complete Surgical Excision

Background: Hydatid disease, or echinococcosis, affects several organs in the body and can pose a major diagnostic dilemma. Musculoskeletal involvement occurs only in 1% to 6% of patients. Clinically, the condition mimics a soft tissue tumor, and a preoperative diagnosis (blood and radiology) is necessary to avoid biopsy, management, and recurrence. In endemic areas, a differential diagnosis of hydatid disease should be considered for every soft cystic mass in any anatomic location. Methods: The investigators report a rare case of primary subcutaneous hydatid cyst of the thigh, which was an incidental clinical and radiologic finding that led to a diagnostic dilemma in a 62-year-old woman with diabetes admitted for management of a nonhealing foot ulcer. Results: The patient underwent successful complete surgical excision with pre- and postoperative antihelminthic pharmacotherapy, and at the end of 2-year follow-up, there has been no local recurrence or systemic disease.

scholarly journals Diagnostic Dilemma of a Rare, Giant Retroperitoneal Schwannoma: A Case Report and Review of Literature

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Mahendra Singh ◽  
Lovekesh Kumar ◽  
Rajkumar Chejara ◽  
Om Prakash Prasad ◽  
Yuvraj Kolhe ◽  
...  
Keyword(s):  
Low Frequency ◽  
Surgical Excision ◽  
Abdominal Distension ◽  
Exploratory Laparotomy ◽  
Postoperative Recovery ◽  
Cystic Mass ◽  
Imaging Features ◽  
Diagnostic Dilemma ◽  
Complete Surgical Excision ◽  
Retroperitoneal Schwannoma

Schwannoma is a benign tumour of peripheral nerve sheath. It usually arises from head, neck, and trunk. Retroperitoneal schwannoma is a rare entity, accounting for only 0.3–3% of total schwannomas. Majority of retroperitoneal schwannomas reported in literature have a diameter of 5 to 15 cm. Preoperative diagnosis is difficult due to low frequency, nonspecific clinical course, and nonspecific imaging features. Histology usually provides definitive diagnosis. Schwannomas are solitary, well-circumscribed, and noninvasive, so complete surgical excision provides good result. We report a case of a 23-year-old male, who presented with progressive abdominal distension and intermittent episodes of intestinal obstruction. CECT was suggestive of huge solid-cystic mass in abdominopelvic region. Image guided percutaneous aspiration revealed around 1 litre of frank pus and FNAC was suggestive of abscess. Exploratory laparotomy revealed a large 32 × 28 × 26 cm mass with solid and cystic components containing 1 litre of pus. Histological features of tumour were suggestive of benign schwannoma and immunohistochemistry for S-100 was positive. Postoperative recovery was uneventful. We report this case of a retroperitoneal schwannoma because of giant size, rare location, unusual presentation, and diagnostic dilemma.

scholarly journals A rare case of primary peritoneal hydatid cyst

2016 ◽  
Vol 6 (1) ◽  
pp. 360
Author(s):  
Sanjay Singh ◽  
Mahesh Reddy
Keyword(s):  
Hydatid Cyst ◽  
Mucinous Cystadenoma ◽  
Surgical Excision ◽  
Cystic Mass ◽  
Rare Entity ◽  
Pregnant Uterus ◽  
Complete Surgical Excision ◽  
Contrast Enhanced ◽  
Hematoxylin And Eosin ◽  
Cect Scan

Primary peritoneal hydatid cyst is a rare entity. A 42 yr old parous female presented with painless lower abdominal lump since 6 months. On clinical examination an immobile abdominopelvic lump of the size of 18-20 weeks pregnant uterus with bosselated surface was noted. Ultrasound Sonography Test (USG) and Contrast Enhanced Computerized Tomography Scan (CECT scan) of abdomen and pelvis revealed large multilocular abdominopelvic cystic mass in continuity with RT ovary. Radiologically a differential diagnosis of hydatid cyst and mucinous cystadenoma was made. All relevant ovarian tumor markers were normal. Serology confirmed increased Echinococcus IgG antibodies (196.60 U/ml, ELISA). The patient underwent complete surgical excision of the lump. Histopathology and Hematoxylin and Eosin (H and E) staining of the aspirate from the cyst confirmed the diagnosis of hydatid cyst. Since no other organs were involved it was diagnosed as a case of primary peritoneal hydatid cyst. The hydatid cyst may mimic an ovarian cyst, thus it is important to keep this rare entity in mind as a differential in ultrasonographically diagnosed pelvic cystic lesions.

scholarly journals Solid pseudopapillary tumor of the pancreas: clinical-pathological features and management of 13 cases

2017 ◽  
Vol 90 (2) ◽  
pp. 171-178 ◽  
Author(s):  
Ovidiu Vasile Bochis ◽  
Madalina Bota ◽  
Emilia Mihut ◽  
Rares Buiga ◽  
Dan Samoila Hazbei ◽  
...  
Keyword(s):  
Pathological Condition ◽  
Demographic Data ◽  
Surgical Excision ◽  
The Body ◽  
Pancreatic Tumors ◽  
Solid Pseudopapillary Tumor ◽  
Young Females ◽  
Complete Surgical Excision ◽  
The Mean

Background and aim. Solid pseudopapillary tumor (SPT) of the pancreas is a rare pathological condition, representing less than 3% of all exocrine pancreatic tumors. SPT usually occurs in young females, without notable symptoms, with a low malignant potential and excellent prognosis.Method. We conducted a retrospective study during the period January 2005 - January 2015. SPT patients admitted in our institution were reviewed by describing demographic data, clinico-pathologic and radiological features, therapeutic management and prognosis records.Results. Thirteen patients with SPT were identified (10 females), with a median age of 30 years. The main clinical presentation was abdominal pain (92.3%). The tumor was mostly located in the body or tail of the pancreas (77%), and the mean size was 8.2 cm. Regarding the surgical approach there were 5 distal pancreatectomies with splenectomy, 3 body and tail pancreatectomies, 2 body and tail pancreatectomies with splenectomy, 2 pancreato-duodenectomy, 1 partial enucleation and of all only 2 partial resections. Postoperative hematoxylin- eosin staining and immunohistochemistry confirmed the diagnosis in all cases. None of the patients had lymph nodes metastases. Only one local invasion. There was one case of death due to postoperative complications. Four cases followed adjuvant systemic chemotherapy. The mean follow-up was 18 months, without evidence of recurrence during this period.Conclusion. SPT should always be considered in the differential diagnosis in young women with a pancreatic tumor. Complete surgical excision is the treatment of choice, and is usually curative. The decision to administer systemic therapy must be individualized. Malignant behavior and late recurrences mandates long-term follow-up for patients with SPT.

Hydatid cyst of the pterygopalatine-infratemporal fossa

1996 ◽  
Vol 110 (10) ◽  
pp. 978-980 ◽  
Author(s):  
K. Gangopadhyay ◽  
M. O. Abuzeid ◽  
H. Kfoury
Keyword(s):  
Hydatid Cyst ◽  
Head And Neck ◽  
Hydatid Disease ◽  
Larval Stage ◽  
Infratemporal Fossa ◽  
Neck Region ◽  
The Body ◽  
Head And Neck Region ◽  
Lung Hydatid

AbstractHydatid disease is caused by the parasitic tapeworm Echinococcus. This parasite in larval stage can thrive in many parts of the body, most commonly in the liver and the lung. Hydatid disease in the head and neck region is rare. An unusual location for hydatid disease in the pterygopalatine fossa-infratemporal fossa is presented. The patient did not have evidence of any other cyst on a ten-year follow-up.

A rare case of retroperitoneal teratoma with obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) syndrome

2021 ◽  
Vol 14 (5) ◽  
pp. e243302
Author(s):  
Kazuki Mitani ◽  
Elena Yukie Uebayashi ◽  
Hisanori Fujino ◽  
Shinichi Sumimoto
Keyword(s):  
Good Condition ◽  
Surgical Excision ◽  
Abdominal Distension ◽  
Cystic Mass ◽  
Renal Anomaly ◽  
Complete Surgical Excision ◽  
Ohvira Syndrome ◽  
Obstructed Hemivagina ◽  
The Right

A 9-month-old girl presented with progressive abdominal distension. Imaging revealed a huge cystic mass in the left retroperitoneum with solid components. The right kidney was absent and hydrometrocolpos was found. Tumour drainage and complete surgical excision were performed. A bulge in the right side of the uterus, suggestive of a uterine anomaly, was seen on laparoscopic observation. Pathology was consistent with teratoma with a small portion of immature neural tissue. The patient was discharged in good condition and was advised regular follow-up.

scholarly journals Giant viable isolated hydatid cyst of lung and liver with successful surgical outcome in rural setup: a case report

2017 ◽  
Vol 4 (10) ◽  
pp. 3539
Author(s):  
Tushar Goel ◽  
Ankit Sharma ◽  
Sankalp Dwivedi ◽  
Sameer Singal
Keyword(s):  
Hydatid Cyst ◽  
Hydatid Disease ◽  
Elective Surgery ◽  
Bronchopleural Fistula ◽  
Good Prognosis ◽  
The Body ◽  
Successful Outcome ◽  
Chest X Ray ◽  
Upper Abdomen

Hydatid disease has been known since the time of Hippocrates. Hydatid disease is a worldwide parasitic infestation caused by Echinococcus Granulosus characterized by cystic lesions mostly in the liver and lungs with fewer in other parts of the body. Patient details were collected by patient’s IPD file. Complete detailed history, patient vitals, haemogram, ABO, with USG abdomen thorax and CECT chest and upper abdomen was done. Post operatively the outcome was followed by USG R/v and Chest X ray. Treatment diagnosis was giant viable hydatid cyst lung and liver. Right thoracotomy with 5th rib cutting incision was given. Cyst was visualized and managed along with repair of bronchopleural fistula. Hydatid liver was operated later after 3 weeks as elective Surgery. Post-operative period was uneventful with successful outcome. The case was managed successfully by surgical intervention. Surgery remains the choice of complete evacuation of hydatid cyst. Non-complicated hydatid cysts have a good prognosis regardless of their size. Regular follow-up is usually advised to prevent recurrence and spread. 

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.

A sacral hydatid cyst mimicking an anterior sacral meningocele

2011 ◽  
Vol 8 (5) ◽  
pp. 526-529 ◽  
Author(s):  
Mustapha Hemama ◽  
Ali Lasseini ◽  
Loubna Rifi ◽  
Mahjouba Boutarbouch ◽  
Said Derraz ◽  
...  
Keyword(s):  
Hydatid Cyst ◽  
Hydatid Disease ◽  
Cauda Equina ◽  
Cystic Mass ◽  
The Body ◽  
Postoperative Treatment ◽  
Unusual Site ◽  
Anterior Sacral Meningocele ◽  
History Of ◽  
Morbidity Risks

Hydatid disease is a zoonosis caused by Echinococcus granulosus. It is a progressive disease with serious morbidity risks. Sacral hydatid disease is very uncommon, accounting for < 11% of spinal hydatidosis cases. The diagnosis of a sacral hydatid cyst is sometimes difficult because hydatidosis can simulate other cystic pathologies. The authors report on 9-year-old boy admitted to their service with a paraparesis that allowed walking without aid. The boy presented with a 2-year history of an evolving incomplete cauda equina syndrome as well as a soft cystic mass in the abdomen extending from the pelvis. Radiological examination revealed an anterior meningocele. A posterior approach with laminectomy from L-5 to S-3 was performed. Three lesions with classic features of a hydatid cyst were observed and removed. The diagnosis of hydatid cyst was confirmed histopathologically. Antihelmintic treatment with albendazole (15 mg/kg/day) was included in the postoperative treatment. The patient's condition improved after surgery, and he recovered normal mobility. The unusual site and presentation of hydatid disease in this patient clearly supports the consideration of spinal hydatid disease in the differential diagnosis for any mass in the body, especially in endemic areas.

scholarly journals Surgical excision: an effective initial therapeutic option in the management of giant macrocystic lymphatic malformations in children

2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Moaied A. Hassan ◽  
Hasan K. Gatea ◽  
Thura K. Ja’afar
Keyword(s):  
Therapeutic Option ◽  
Surgical Excision ◽  
Functional Results ◽  
The Body ◽  
Lymphatic Malformations ◽  
Therapeutic Modalities ◽  
Complete Surgical Excision ◽  
Cystic Tumors ◽  
Cystic Cavity ◽  
Embryologic Development

Abstract Background Lymphatic malformations are rare benign cystic tumors that result from localized disordered embryologic development of the lymphatic system and can develop anywhere in the body, predominantly in the head and neck. These lesions are classified according to the diameter of the largest cystic cavity within the lesion into microcystic and macrocystic types. Historically, surgical excision has been considered the mainstay of treatment and still remains the first therapeutic option of choice for many surgeons particularly for giant macrocystic lesions. Several alternative therapeutic modalities emerged including intralesional sclerotherapy and laser therapy with encouraging results. The study is designed to assess the effectiveness and safety of surgical excision as an initial therapeutic option in the management of these malformations. Results Asymptomatic mass with parental cosmetic and functional concerns was the mode of presentation in six (66.7%) patients. Seven (77.8%) patients were presented before the age of 2 years. Six (66.7%) of the patients had their lesions in the neck. Complete surgical excision was achieved in eight (88.9%) patients without any evident significant injury to vital neurovascular structures. None of the patients had any difficulties with breathing, swallowing, or phonation and cosmetic results were satisfactory in the majority (88.9%) of them. Conclusion Radical surgical excision of giant macrocystic lymphatic malformations in children is possible in experienced hands. It is an effective and safe initial therapeutic option and gives satisfactory esthetic and functional results.

scholarly journals Clinical and in Vivo Response Following Surgery or Surgery Plus Adjuvant Chemotherapy or Immunotherapy for Colorectal Carcinoma in a Rat Model

1983 ◽  
Vol 76 (10) ◽  
pp. 833-840 ◽  
Author(s):  
A K House ◽  
M A L Maley
Keyword(s):  
Body Weight ◽  
Adjuvant Chemotherapy ◽  
Surgical Excision ◽  
The Body ◽  
Recurrent Tumour ◽  
Mesenteric Node ◽  
And Control ◽  
Tumour Weight

Two cohorts of rats, 240 with colon cancer and 150 controls, were assessed clinically and immunologically for their response to tumour and its management which was either by surgical excision alone or by surgical excision combined with either adjuvant chemotherapy or immunotherapy. The histology and invasion characteristics were observed for similarity with those of human lesions. Metastases were found in liver, lymph nodes, the peritoneum or lungs in 27% of animals during follow up. Significantly fewer adjuvant-treated rats had metastases than those receiving surgery alone ( P < 0.05), and less total tumour weight was found in the adjuvant-treated rats at four ( P < 0.03) and six ( P < 0.001) weeks postoperatively. Animals in the adjuvant immunotherapy group survived longer than in either other group ( P < 0.001). The crude parameters of host response to tumour, body, spleen and mesenteric lymph node weight were recorded and the latter two indexed to body weight. The body weight of tumour and control rats increased significantly with time ( P < 0.04). The spleen and mesenteric node indices were significantly ( P < 0.04) greater in tumour than control rats and were varied by recurrent tumour growth and by the adjuvant treatment administered postoperatively.

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