scholarly journals An extrahepatic hydatid cyst with the fat-fluid level

2021 ◽  
Author(s):  
Ferhat Yildirim ◽  
Aynur Turan ◽  
Selda Guven ◽  
Arda Ceylan

A hydatic cyst is a zoonosis caused by the larva of a tapeworm Echinococcus granulosus. The liver is the most commonly affected organ. Soft tissue localization has been reported in 2.3% of cases. Herein, we present a patient with a fat-containing hydatid cyst located in the left thigh. There are only a few reports in the literature on the presence of the fat-fluid level within a hydatid cyst. Previous studies have suggested that fat-containing hydatid cysts occur due to their cysto-biliary communication in the liver. In our case, we describe a fat-containing hydatid cyst in the extrahepatic location and discuss the pathophysiologic mechanism of fat inside it.

2009 ◽  
Vol 3 (10) ◽  
pp. 807-810 ◽  
Author(s):  
Faten Limaiem ◽  
Selma Bellil ◽  
Khadija Bellil ◽  
Ines Chelly ◽  
Amina Mekni ◽  
...  

Only 0.5 to 2% of hydatid cysts are localized in the skeleton and of these, 3 to 4% are found in the skull. In this paper, the authors report a case of primary hydatidosis involving the cranial vault revealed by a bulging mass of the forehead and symptoms of raised intracranial pressure that occurred in a 22-year-old woman who came from a rural area. Through this case and literature review, the authors analyse the epidemiological, clinical and radiological aspects of skull hydatidosis. They conclude that hydatid cyst should be considered in the differential diagnosis of any soft tissue swelling or osteolytic lesion in the scalp of patients living in endemic areas.


1992 ◽  
Vol 66 (2) ◽  
pp. 124-131 ◽  
Author(s):  
D. Janssen ◽  
A. Osuna ◽  
J. Lazuen ◽  
P. H. De Rycke

ABSTRACTInfection with the metacestode of Echinococcus granulosus is characterized by a concomitant immunity. Survival of established and developing hydatid cysts in the intermediate host implies a mechanism to modulate its immunological reactions. In order to investigate this mechanism, secondary hydatid cysts were isolated from intraperitoneally infected laboratory white mice (strain NMRI) 12 months p.i. A number of hydatid cysts were freed from the surrounding host adventitial tissue. Monolayer cultures of non-stimulated peritoneal macrophages of NMRI mice were prepared and incubated in the presence of the hydatid cysts. By means of a trypan blue exclusion test and by measuring the incorporation of tritium labelled uridine, it was found that the presence of hydatid cysts reduced the viability of the macrophages in vitro. Toxic substances are probably secreted since the medium of cultured hydatid cysts also displayed cytotoxic activity. Hydatid cysts with adventitia, as well as culture medium of those cysts, were less toxic. When toxins, partially purified from hydatid cyst fluid, were previously incubated on a collagen coated surface, a reduced level of toxicity was found, suggesting that collagen of the host adventitia may play a role in controlling the liberation of toxins by the hydatid cyst. Virtually no toxicity was exerted by protoscoleces or by the medium of cultured protoscoleces, in contrast to in vitro vesiculated protoscoleces (so called microcysts). The results reveal a novel feature of hydatid cysts that may play a role in the survival of the parasite in the immunized host.


2012 ◽  
Vol 01 (01) ◽  
pp. 080-082 ◽  
Author(s):  
Anil Kumar ◽  
C.B. Sahay ◽  
T.J. Minj ◽  
Jeevesh Mallik

Abstract Hydatid disease is a zoonosis caused by Taenia echinococcus. The three main varieties Echinococcus granulosus, E. multilocularis and E. vogeli are primarily found in dogs and are transmitted to man by fecal–oral route. Commonly affected organs are liver, lungs and spleen. Brain is involved only in 2-5% cases. The authors herein present two cases of giant intracranial hydatid cysts managed at department of neurosurgery, Rajendra Institute of Medical Sciences, Ranchi, India.


1970 ◽  
Vol 29 (2) ◽  
pp. 102-105 ◽  
Author(s):  
T Begum ◽  
S Afroza ◽  
F Ahmed ◽  
AKM Razzaque ◽  
AA Kibria ◽  
...  

A 7 years old male child presented with history of cough, fever, haemoptysis and chest pain for 2 years. On examination he was moderately pale and wasted. Respiratory system examination revealed features of consolidation in both lungs. His provisional diagnosis was pulmonary tuberculosis. TC was 1500/cumm ESR- 70mm in first hour, MT was negative and sputum for AFB was also negative. Radiological finding of chest revealed two large well defined dense opacities in both mid and lower zones of both lungs and there was no calcification or air fluid level. CT scan of chest showed large irregular enhancing mass lesion having air fluid level in right lower zone, well defined cystic lesions in both lungs, no calcification was seen. On the basis of xray and CT scan report we reviewed our diagnosis as pulmonary hydatid disease. Tablet albendazole was started preoperatively. The cyst was removed surgically and specimen was sent for histopathology. Report showed hydatid cyst and pulmonary tuberculosis. So confirmed diagnosis was Hydatid cyst and pulmonary tuberculosis.He was treated with antitubercular drugs and continuation of tablet Albendazole for 6 months. He was followed up regularly and was doing well. DOI: http://dx.doi.org/10.3329/jbcps.v29i2.7956 (J Bangladesh Coll Phys Surg 2011; 29: 102-105)


2010 ◽  
Vol 47 (3) ◽  
pp. 193-195 ◽  
Author(s):  
C. Sreekumar ◽  
A. Kirubakaran ◽  
R. Venkataramanan ◽  
P. Selvan ◽  
R. Anilkumar ◽  
...  

Abstract Echinococcus granulosus, a zoonotic tapeworm with a dog-herbivore life cycle, is known to use ruminants, horses, pigs, etc., as intermediate hosts. Natural infections of hydatid cysts have not been documented in small animals like rabbits in India. This paper records spontaneous intrathoracic, extrapulmonary hydatid cysts of E. granulosus in a cage reared rabbit. The presence of non-invasive unilocular cyst with typical protoscolices containing rostellar hooks favoured the diagnosis of E. granulosus over E. multilocularis, the only other Echinococcus species found in India. The presence of fertile hydatid cyst points to the fact that rabbits can also act as natural intermediate hosts for E. granulosus. The significance of the findings in relation to public health importance is discussed.


2020 ◽  
Vol 7 (2) ◽  
pp. 423
Author(s):  
Dharmanjai K. Sharma ◽  
Mukesh Khedar ◽  
Mukta Sukhadia ◽  
Deepak Sethi

Background: Cyst-biliary communication with hepatic hydatid cyst disease is responsible for postoperative bile leakage after surgical management. This study aims to detect various predictors of cyst-biliary communication and their predictive accuracy.Methods: This study was done in the patients of hydatid cysts who underwent surgical management for hydatid disease of the liver. Various factors were studied and their accuracy for preoperative prediction of cyst-biliary communication analyzed.Results: There were 38 (22 males, 16 females) patients with hepatic hydatid cysts with a mean age of 38.7±15.4 years. Cyst-biliary communications were detected in 12 patients (31.6%). Independent strong predictors were tenderness in right hypochondrium (p=0.035), total leucocyte count (TLC)>12,000/mm3 (p=0.0017),  eosinophil count >5 × 108/l (p=0.0086), red blood cell distribution width (RDW) >15% (p=0.014), segment IV,V,VII involvement and cyst size >10 cms (p=0.01) on multivariate analysis.Conclusions: Cyst-biliary communication is more common in patients presenting with tenderness in right hypochondrium, large cyst size, location in the central segments of liver close to biliary confluence, and with high values of TLC, Eosinophil count and RDW. The predictors demonstrated in this study should allow the likelihood of cyst-biliary communication to be determined preoperatively and, thus, indicate the need for additional procedures during operations to prevent the complications of biliary leakage.


1986 ◽  
Vol 16 (2) ◽  
pp. 63-65
Author(s):  
Ameen Abbas Ameen

Although infestation with Echinococcus granulosus is common in Iraq, brain hydatid cysts are rare. The first case since the establishment of the neurosurgical unit in Basrah (population 1.5 million) four years ago is reported. It was successfully treated by operation. The two points emphasized are the rarity of this problem, and the technical steps to maintain the integrity of the cyst during surgery. This seems to be the most important factor in preventing recurrence, which contributes largely to the outcome after surgery.


2020 ◽  
Vol 8 (1) ◽  
pp. 9-9
Author(s):  
Majid Montazer ◽  
Sama Rahnemayan

Hydatid cyst disease is one of the zoonoses caused by the larval stage of Echinococcus granulosus,mostly involving the liver and the lungs; but its complications can be seen in every site andorgan. Sometimes it can cause suspicious and complicated cases that mimic malignancy. Forinstance, axillary involvement of hydatid cyst is very rare. It is important to differentiate hydatidcyst disease from cancer, since it may show malignant features when pulmonary or other distantorgan involvement takes place. In this study, we present a case of multiple masses in the lungsand the axillary region in a 48-year-old woman. The ultrasonography was unable to detecthydatid cysts. Biological values were normal except for serum sodium (Na) and potassium (K);and enzyme-linked immunosorbent assay (ELISA) test was negative. Hydatid cyst was diagnosedwhile taking a biopsy from the axillary tumor.


2018 ◽  
Vol 12 (08) ◽  
pp. 680-682
Author(s):  
Suleyman Bakdik ◽  
Serdar Arslan ◽  
Fatih Oncu

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.


Author(s):  
Mirsalim SEYEDSADEGHI ◽  
Jaffar GHOBADI ◽  
Negin HAGHSHENAS ◽  
Afshin HABIBZADEH

Hydatid cyst caused by Echinococcus granulosus usually involves lung and liver but can appear in other organs. We report a 29-yr-old woman presented to Fatemi Hospital, Ardabil, Iran in 2017 with progressive painful swelling of the left gluteus which in imaging showed hydatid cyst. The cyst was successfully en blocked and the patient was discharged on albendazole treatment with no recurrence in the symptoms during the first week, first and second months after surgery follow-up and in the final visit at third months. In the endemic regions, the possibility of hydatid cysts should be considered in differential diagnosis of any cystic mass. 


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