scholarly journals Isolated renal hydatid disease: varied presentations, treatments, dilemmas, and the way ahead: case report series

2021 ◽  
Vol 27 (1) ◽  
Author(s):  
Ankit Misra ◽  
Swarnendu Mandal ◽  
Manoj Das ◽  
Pritinanda Mishra ◽  
Suvradeep Mitra ◽  
...  
Keyword(s):  
Hydatid Cyst ◽  
Hydatid Disease ◽  
Renal Involvement ◽  
Disease Status ◽  
Clinical History ◽  
Open Approach ◽  
Endemic Region ◽  
Simple Cyst ◽  
Cyst Excision ◽  
Presenting Symptoms

Abstract Background Hydatid disease is an infectious disease that affects several organs. Isolated renal involvement is very rare. The treatment for renal hydatid cyst ranges from minimally invasive percutaneous aspiration techniques to laparoscopic and open techniques. We describe five cases of isolated renal hydatidosis with varied presentations who were treated successfully by various methods. Case presentation The presenting symptoms included flank pain (n = 5), mass abdomen (n = 2), and hydaturia (n = 1). In 4 patients, the diagnosis of a hydatid cyst was known preoperatively, but one patient with a preoperative diagnosis of a simple cyst was found to harbor hydatidosis intra-operatively. Eosinophilia as a marker for the active disease was present in 60% (3/5), while echinococcal serology was positive in only 25% (1/4). Two cases were approached laparoscopically, while three required an open approach. Two patients were treated with nephrectomy due to the high bulk of the disease, while the other three underwent renal preserving cyst excision. Conclusions The presence of eosinophilia in the preoperative workup may indicate an infective/active hydatid disease. Echinococcal serology is representative of past hydatid infection but cannot reveal about current disease status. Cysts with varied attenuations and residence in an endemic region may support a renal hydatid cyst diagnosis. A holistic approach including clinical history, laboratory parameters, and imaging is needed for diagnosis. Surgical treatment requires cyst excision, along with precautions to prevent spilling. Nephrectomy may be preferred in cases with minimal residual function.

scholarly journals Hydatid Cyst of Breast: A Case Report

2015 ◽  
Vol 12 (1) ◽  
pp. 41-42
Author(s):  
F Alam ◽  
RG Goel
Keyword(s):  
Case Report ◽  
Hydatid Cyst ◽  
Hydatid Disease ◽  
Needle Aspiration ◽  
Accurate Information ◽  
Endemic Region ◽  
Medical College ◽  
Control And Prevention ◽  
History Of ◽  
Needle Aspiration Cytology

Hydatid cyst is a zoonotic disease which occurs due to infectivity with larval stage of Echinococcus granulosus. The disease is chronic and cysts can be lodged in different organs. It has cosmopolitan distribution and impact health and economical challenges for many countries throughout the world. The location of the disease is mostly in the liver and lungs. Hydatid disease of breast is extremely rare. A case report of 24 year female with the diagnosis of the hydatid breast is described in detail. The patient presented with painless lump in the upper inner quadrant of right breast of two months duration. History of trauma, pus discharge, itching, weight loss, fever or hormonal therapy were absent. The patient was diagnosed preoperatively as cysticercosis right breast by fine needle aspiration cytology based on the laboratory results conducted outside the hospital. However, histopathology confirmed the diagnosis of hydatid breast. It is the second diagnosed case in Nepal. Therefore, accurate information on the distribution of the disease is first step for the control and prevention. Only few reports are published in the literature about breast hydatid cyst.Thus, we want to emphasize the importance of keeping hydatid disease in differential diagnosis of cystic breast lesions, particularly in endemic region, where the disease could mimic fibroadenoma, phyllodes tumors, chronic abscesses.Journal of Nepalgunj Medical College Vol.12(1) 2014: 41-42

scholarly journals A Complex Renal Cyst: It Is Time to Call the Oncologist?

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Antonio Granata ◽  
Antonio Basile ◽  
Giuseppe Alessandro Bruno ◽  
Alberto Saita ◽  
Mario Falsaperla ◽  
...  
Keyword(s):  
Hydatid Cyst ◽  
Hydatid Disease ◽  
Rare Case ◽  
Renal Cyst ◽  
Renal Involvement ◽  
Case Presentation ◽  
Magnetic Resonance Scan ◽  
History Of ◽  
The Right ◽  
Vague Abdominal Pain

Introduction. Hydatid disease is a cyclozoonotic parasitic infestation caused by the cestodeEchinococcus granulosus. The cysts mainly arise in the liver (50 to 70%) or lung (20 to 30%), but any other organ can be involved, in abdominal and pelvic locations, as well as in other less common sites, which may make both diagnosis and treatment more complex. Isolated renal involvement is extremely rare.Case Presentation. We report a rare case of isolated renal hydatid disease in a 71-year-old man with a history of vague abdominal pain, anemia, fever, and microhematuria. Ultrasonographic examination revealed a complex cyst in the right kidney, including multiple smaller cysts with internal echoes. A magnetic resonance scan of the abdomen confirmed the findings, and hydatid cyst disease was diagnosed. Right nephrectomy was performed, and microscopic examination confirmed the diagnosis of hydatid cyst. Albendazole, 10 mg/kg per day, was given for 4 weeks (2 weeks preoperatively and 2 weeks postoperatively).Conclusion. Isolated primary hydatidosis of the kidney should always be considered in the differential diagnosis of any cystic renal mass, even in the absence of accompanying involvement of liver or other visceral organs.

Isolated cardiac hydatid cyst mimicking myocardial ischaemia in a female patient

2018 ◽  
Vol 28 (10) ◽  
pp. 1160-1161 ◽  
Author(s):  
Serdar Epçaçan ◽  
Mehmet G. Ramoğlu ◽  
Fatih Özdemir
Keyword(s):  
Chest Pain ◽  
Hydatid Cyst ◽  
Rare Disease ◽  
Female Patient ◽  
Hydatid Disease ◽  
Myocardial Ischaemia ◽  
Parasitic Infection ◽  
Presenting Symptoms ◽  
Electrocardiographic Changes ◽  
Livestock Raising

AbstractHydatid disease is a zoonotic parasitic infection endemic in livestock-raising countries. Isolated cardiac hydatid cyst is a very rare disease, and chest pain, palpitations, cough, and dyspnoea are the most common presenting symptoms. Here a case of isolated cardiac hydatid cyst in a female patient with chest pain and electrocardiographic changes mimicking myocardial ischaemia is presented.

Surgical excision of an epicardial ventricular hydatid cyst

2020 ◽  
Vol 28 (5) ◽  
pp. 273-275 ◽  
Author(s):  
Ashok Kumar ◽  
Paritosh Ballal ◽  
Alur Chikkabasavaiah Nagamani ◽  
Sadiq Ahmed Sheriff
Keyword(s):  
Hydatid Cyst ◽  
Surgical Repair ◽  
Surgical Excision ◽  
Rare Entity ◽  
Cyst Excision ◽  
Cyst Rupture

Isolated cardiac hydatid cyst is a rare entity. It warrants early surgical repair because cyst rupture is potentially fatal. We report the case of a 32-year-old lady with an epicardial ventricular hydatid cyst, which was managed successfully by complete cyst excision.

scholarly journals Intrabiliary and abdominal rupture of hepatic hydatid cyst leading to biliary obstruction, cholangitis, pancreatitis, peritonitis and septicemia: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Manouchehr Aghajanzadeh ◽  
Mohammad Taghi Ashoobi ◽  
Hossein Hemmati ◽  
Pirooz Samidoust ◽  
Mohammad Sadegh Esmaeili Delshad ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Hydatid Cyst ◽  
Hydatid Disease ◽  
Biliary Obstruction ◽  
Abdominal Ultrasound ◽  
Sporadic Case ◽  
Gallbladder Wall ◽  
Liver Cyst ◽  
Biliary Duct ◽  
Wall Thickening

Abstract Background Hydatid cysts are fluid-filled sacs containing immature forms of parastic tapeworms of the genus Echinococcus. The most prevalent and serious complication of hydatid disease is intrabiliary rupture, also known as cystobiliary fistulae. In this study, a sporadic case of biliary obstruction, cholangitis, and septicemia is described secondary to hydatid cyst rupture into the common bile duct and intraperitoneal cavity. Case presentation A 21-year-old Iranian man was admitted to the emergency ward with 5 days of serious sickness and a history of right upper quadrant abdominal pain, fatigue, fever, icterus, vomiting, and no appetite. In the physical examination, abdominal tenderness was detected in all four quadrants and in the scleral icterus. Abdominal ultrasound revealed intrahepatic and extrahepatic biliary duct dilation. Gallbladder wall thickening was normal but was very dilated, and large unilocular intact hepatic cysts were detected in segment IV and another one segment II which had detached laminated membranes and was a ruptured or complicated liver cyst. Conclusion Intrabiliary perforation of the liver hydatid cyst is an infrequent event but has severe consequences. Therefore, when patients complain of abdominal pain, fever, peritonitis, decreased appetite, and jaundice, a differential diagnosis of hydatid disease needs to be taken into consideration. Early diagnosis of complications and aggressive treatments, such as endoscopic retrograde cholangiopancreatography and surgery, are vital.

scholarly journals Surgery in congenital lung malformations: the evolution from thoracotomy to VATS, 10-year experience in a single center

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Kenan C. Ceylan ◽  
Güntuğ Batihan ◽  
Ahmet Üçvet ◽  
Soner Gürsoy
Keyword(s):  
Surgical Treatment ◽  
Surgical Resection ◽  
Thoracoscopic Surgery ◽  
Pathological Examination ◽  
Congenital Cystic Adenomatoid Malformation ◽  
Simple Cyst ◽  
Cyst Excision ◽  
Congenital Lung Malformation ◽  
First Choice ◽  
Congenital Lung Malformations

Abstract Background Congenital lung malformation is an umbrella term and consist of various kind of parenchymal and mediastinal pathologies. Surgical resection is often required for diagnosis and curative treatment. We aimed to review our experience in surgical treatment for congenital lung disease and present the role of minimally invasive surgery. Methods Surgical resections performed for benign lesions of the lung and mediastinum between January 2009 and May 2019 were retrospectively analyzed. Patients who were found to have congenital lung malformation as a result of pathological examination were included in our study. Distribution characteristics of the patients according to congenital lung malformation subtypes, differences in surgical approach and postoperative results were investigated. Results A total of 94 patients who underwent surgical resection and were diagnosed with the bronchogenic cyst, sequestration, bronchial atresia, congenital cystic adenomatoid malformation (CCAM), or enteric cyst as a result of pathological examination were included the study. There were no significant differences between pathological subtypes in the postoperative length of hospital stay and drainage duration however, perioperative complication rate was higher in the sequestration group. In addition, in the first three days postoperatively, the mean pain score was found to be lower in the VATS group compared to thoracotomy. Conclusions Congenital lung malformations consist of a heterogeneous group of diseases and the surgical treatment in these patients can range from a simple cyst excision to pneumonectomy. Video-assisted thoracoscopic surgery should be considered as the first choice in the surgical treatment of these patients in experienced centers.

Left ventricular hydatid cyst: an uncommon cause of chest pain in young adults

2012 ◽  
Vol 23 (3) ◽  
pp. 460-462 ◽  
Author(s):  
Ravindranath K. Shankarappa ◽  
Nagaraja Moorthy ◽  
Prabhavathi Bhat ◽  
Manjunath C. Nanjappa
Keyword(s):  
Chest Pain ◽  
Hydatid Cyst ◽  
Hydatid Disease ◽  
Cardiac Involvement ◽  
Ventricular Myocardium ◽  
Acute Onset ◽  
Left Ventricular ◽  
Left Ventricular Myocardium ◽  
Resonance Imaging ◽  
Conventional Risk Factors

AbstractIsolated cardiac involvement in hydatid disease is very rare. We report the case of a young adult male who presented to the emergency department with acute onset of chest pain and was surprisingly detected to have a hydatid cyst in the left ventricular myocardium. The transthoracic echocardiography and cardiac magnetic resonance imaging confirmed the diagnosis. Cardiac hydatid disease should be considered in the differential diagnosis of chest pain in young individuals in the absence of conventional risk factors of atherosclerosis.

Surgical treatment of intrathoracic hydatid disease: A 5-year experience in an endemic region

Surgery Today ◽  
2009 ◽  
Vol 40 (1) ◽  
pp. 31-37 ◽  
Author(s):  
Mehmet Oğuzhan Özyurtkan ◽  
Akin Eraslan Balci
Keyword(s):  
Surgical Treatment ◽  
Hydatid Disease ◽  
Endemic Region

scholarly journals Anaesthetic concerns for large intracranial cyst excision: expect the unexpected!

2012 ◽  
Vol 2 (2) ◽  
pp. 50 ◽  
Author(s):  
Uma Hariharan Hariharan ◽  
Rakesh Garg ◽  
Alka Gupta ◽  
Seema Wasnik ◽  
Mridula Pawar
Keyword(s):  
Blood Loss ◽  
Hydatid Cyst ◽  
Cystic Lesion ◽  
Neurosurgical Procedures ◽  
Venous Cannulation ◽  
Cyst Excision ◽  
Massive Blood Loss ◽  
Fluid Shifts ◽  
The Brain ◽  
Space Occupying Lesion

Neurosurgical procedures in infants poses various challenges such as difficulty in venous cannulation, securing invasive vascular lines, difficult airway, controlling intra-cranial tension, managing large fluid shifts to positioning- related issues and temperature maintenance. We hereby present an case of a large intracranial space occupying lesion, suspected to be a hydatid cyst, which later turned out to be an infected ventricular cyst and intraoperative problems. A thorough preparation prior to operation of infected cystic lesion of the brain is required including anticipation of massive blood loss and its management. A slow decompression of the large cystic lesion should be done.

scholarly journals Unusual intramuscular locations as a first presentation of hydatid cyst disease in children: a report of two cases

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ruba A. Khasawneh ◽  
Ziyad M. Mohaidat ◽  
Rawand A. Khasawneh ◽  
Sohaib B. Zoghoul ◽  
Yousef M. Henawi
Keyword(s):  
Hydatid Cyst ◽  
Hydatid Disease ◽  
Rectus Femoris ◽  
Mri Imaging ◽  
Palpable Lump ◽  
First Case ◽  
Endemic Areas ◽  
Wbc Count ◽  
The Right

Abstract Background Hydatid disease is an endemic disease in many countries of the world including the Middle East. It mainly affects the liver and lungs. Intramuscular hydatid disease is rarely reported in children. Such uncommon localization of hydatid cyst may pose difficulties in the clinical and radiological diagnosis; hence affecting patient’s management and outcome even in endemic areas. Case presentation We herein describe intramuscular hydatid cysts in 2 different children. The first case is a 5-year-old boy who presented with a painless palpable lump over the right lumbar paraspinal region. His history was remarkable for sheep contact. His laboratory results revealed a mild increase in white blood cell (WBC) count and C-reactive protein. The lesion showed typical features of a hydatid cyst on ultrasound. Further imaging including ultrasound of the abdomen and CT of the chest, abdomen, and pelvis showed infestation of the liver and lung as well. The lesions were resected surgically without complications. The patient received Albendazole preoperatively and after surgery for 3 months. No evidence of recurrence was seen during follow-up. The second case is a 6-year-old girl who presented with an incidental palpable lump in her left thigh during her hospital admission for recurrent meningitis. Ultrasound and MRI imaging were performed demonstrating a unilocular cystic lesion in the left proximal rectus femoris muscle. A provisional diagnosis of hematoma vs. myxoma was given. Biopsy was performed and yielded blood products only. The lesion was resected surgically with a postoperative diagnosis of hydatid cyst. Blood tests performed afterward showed a positive titer for Echinococcus. The patient received Albendazole for 3 months. No evidence of recurrence was seen during follow-up. Conclusions Despite its rarity; skeletal muscle hydatid cyst should always be considered in the differential diagnosis of cystic muscle lesions in children in endemic areas even if imaging studies did not show any of the typical signs. This will improve patient outcome by preventing unnecessary cystic puncture which might lead to serious complications, such as anaphylaxis and local dissemination.

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