ISOLATED PRIMARY HYDATID CYST OF THE PANCREAS: A CASE REPORT

Hydatid disease is caused by tapeworm Echinococcus granulosus. E. granulosus forms hydatid cysts in human body, mostly in the liver and the lung. However, isolated primary hydatid cyst of the pancreas is rarely seen. Hereby, we report a 40-year-old Caucasian female with a hydatid cyst in the body of the pancreas. The patient, complaining of vague abdominal pain was examined with abdominal ultrasound. The ultrasound scan of abdomen revealed an exophytic cystic lesion in the body of the pancreas, approximately 7.5x5 cm in size. The defined lesion was thought to be compatible with hydatid cyst stage 4-5. The surgical team informed the patient about all possible treatment options. The patient was put on albendazole treatment, 400 mg twice daily, for two months. Despite the medical treatment, the patient complained about abdominal pain and discomfort affecting her daily life. Therefore, she decided for surgical intervention. Following the intraoperative application of scolicidal hypertonic 20% NaCl solution, partial cystectomy with capitonnage was performed. The patient did well postoperatively. Isolated primary hydatid cyst of the pancreas is rarely seen, however, it should be taken into account in the differential diagnosis of abdominal pain, especially in endemic areas.

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

Journal of Medical Case Reports ◽

10.1186/s13256-021-02822-5 ◽

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.

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A Case of Hydatid Cyst of Thyroid Gland

Asian Journal of Medical Sciences ◽

10.3126/ajms.v5i2.8830 ◽

2013 ◽

Vol 5 (2) ◽

pp. 143-145 ◽

Cited By ~ 4

Author(s):

Arpan Kumar Dey ◽

Pijush Kanti Mandal ◽

Agnibha Dutta ◽

Subhraprakash Pramanik ◽

Saurabh Maji ◽

...

Keyword(s):

Thyroid Gland ◽

Hydatid Cyst ◽

Rare Case ◽

Medical Science ◽

Science Volume ◽

The Body ◽

Multinodular Goitre ◽

Primary Hydatid Cyst ◽

The Brain ◽

Thyroid Lesions

Hydatid cyst may be found in almost any part of the body, but most often in the liver and the lungs. Other organs affected occasionally include the brain, muscle, kidney, heart, pancreas, adrenal, and thyroid gland. Hydatidosis located in the thyroid is an infrequent finding, even in endemic regions. This report documents a rare case with a cystic nodule in the thyroid detected by ultrasonography. The patient was a 30-year-old woman with an euthyroid multinodular goitre. Ultrasonography revealed a cystic nodule, and the ultrasonic appearance of the cyst liquid showed multiple echoes, suggesting that the nodule could be a hydatid cyst. The histopathologic examinations confirmed this to be a primary hydatid cyst of thyroid. During the differential diagnosis of the cystic thyroid lesions, hydatid disease of the thyroid gland should be considered in endemic areas. Chemotherapy is necessary to avoid recurrence. DOI: http://dx.doi.org/10.3126/ajms.v5i2.8830 Asian Journal of Medical Science, Volume-5(2) 2014: 143-145

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Hydatidosis of the Pelvic Cavity: A Big Masquerade

Infectious Diseases in Obstetrics and Gynecology ◽

10.1155/2008/782621 ◽

2008 ◽

Vol 2008 ◽

pp. 1-3 ◽

Cited By ~ 9

Author(s):

Peyman Varedi ◽

Seyed Reza Saadat Mostafavi ◽

Rambod Salouti ◽

Daryoush Saedi ◽

Seyed Ali Nabavizadeh ◽

...

Keyword(s):

Weight Loss ◽

Differential Diagnosis ◽

Abdominal Pain ◽

Hydatid Cyst ◽

Unusual Presentation ◽

Pelvic Cavity ◽

Surgical Exploration ◽

Pelvic Masses ◽

Microscopic Studies ◽

Primary Hydatid Cyst

We report and discuss a case of primary hydatidosis of the pelvic cavity in a woman who presented with severe weight loss and abdominal pain. This unusual presentation was initially considered as a tumor process until surgical exploration and microscopic studies confirmed the diagnosis. The gynecologists should be aware of possibility of primary hydatid cyst of the pelvic cavity and should be considered in the differential diagnosis of cystic pelvic masses, especially in areas where the disease is endemic.

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Pelvic Hydatid Cyst with Hydroureteronephrosis: A Rare Case Report

Case Reports in Infectious Diseases ◽

10.1155/2021/2090849 ◽

2021 ◽

Vol 2021 ◽

pp. 1-4

Author(s):

Amir Mohammad Salehi ◽

Hossain Salehi ◽

Ensiyeh Jenabi

Keyword(s):

Abdominal Pain ◽

Case Report ◽

Hydatid Cyst ◽

Rare Case ◽

Parasitic Disease ◽

Body Parts ◽

Antibody Index ◽

Rare Case Report ◽

Primary Hydatid Cyst ◽

Cystic Masses

Hydatid cyst is a parasitic disease caused by Echinococcus granulosus or Echinococcus multilocularis. Humans are accidentally infected with the parasite. The cyst is usually found in the liver and lungs and rarely occurs in other body parts. The present article describes a rare case of pelvic hydatid cyst in a young man who presented with nausea, vomiting, and right abdominal pain. Two large cystic masses were discovered during a CT scan in the patient’s pelvic region, resulting in right urinary tract hydroureteronephrosis. Additionally, the antibody index was used to confirm the presence of a primary hydatid cyst.

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Infections

Operative Plastic Surgery ◽

10.1093/med/9780190499075.003.0099 ◽

2019 ◽

pp. 995-1002

Author(s):

Scott D. Oates

Keyword(s):

Human Activities ◽

Surgical Intervention ◽

Fungal Infections ◽

Treatment Options ◽

Healthcare Providers ◽

Signs And Symptoms ◽

The Body ◽

Early Surgical Intervention

Because of their exposed nature during human activities, infections of the hand are common. The anatomy of the hand and fingers also lends itself to unique types of infections that do not occur in other areas of the body, such as paronychia, felons, and fungal infections. Because of these unique types of infections, early surgical intervention is often necessary to prevent long-term functional sequelae. This requires healthcare providers to be knowledgeable of the signs and symptoms of these distinct infections in order to effectively treat these patients. This chapter describes many common hand infections and their treatment options.

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Simultaneous Huge Splenic and Mesenteric Hydatid Cyst

Case Reports in Surgery ◽

10.1155/2020/7050174 ◽

2020 ◽

Vol 2020 ◽

pp. 1-3

Author(s):

Mostafa M. Abdelmaksoud ◽

Alaa Jamjoom ◽

Mohamed T. Hafez

Keyword(s):

Abdominal Pain ◽

Hydatid Cyst ◽

Chronic Abdominal Pain ◽

The Body ◽

Mesenteric Cyst ◽

Imaging Studies ◽

The World ◽

Typical History ◽

Animal Contact ◽

History Of

Hydatid disease (HD) is caused by Echinococcus granulosus and is endemic in many parts of the world. This parasitic tapeworm can produce cysts in almost every organ of the body, with the liver and lung being the most frequently targeted organs. The spleen and mesentery are unusual locations. We report a case of simultaneous huge splenic and mesenteric hydatid cyst in a 91-year-old male patient. The patient was presented with chronic abdominal pain, increased frequency of defecation, and typical history of animal contact (cattle, sheep, and dogs). After performing imaging studies, he was diagnosed with a simultaneous huge spleen and pelvic mesentery hydatid cyst that was managed surgically by splenectomy, pelvic mesenteric cyst deroofing, and partial cystectomy.

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A Rare Case of Cystic Schwannoma of the Portal Triad

Einstein Journal of Biology and Medicine ◽

10.23861/ejbm20122815 ◽

2016 ◽

Vol 28 (1) ◽

pp. 33 ◽

Cited By ~ 1

Author(s):

Dimitrios Avgerinos ◽

Meshach Heenatigala ◽

Andrew Lo

Keyword(s):

Weight Loss ◽

Abdominal Pain ◽

Back Pain ◽

Rare Case ◽

The Body ◽

Portal Triad ◽

Pancreatic Cystadenoma ◽

Time Of Operation ◽

Cystic Schwannoma ◽

Vague Abdominal Pain

Schwannomas can occur anywhere throughout the body andhave often been mistaken for more-sinister lesions, especiallywhen found in relation to the pancreas. Clinical symptomsrange from none to vague abdominal pain, back pain,anorexia, weight loss, vomiting, jaundice, and episodes ofcholangitis and gastrointestinal bleeding. Preoperative diagnosisis difficult, and endoscopic ultrasound with fine-needleaspiration is often limited in specificity. Given the low statisticallikelihood of schwannomas, therapy is usually targeted at thepossibility of pancreatic cystadenoma/cystadenocarcinoma.Simple enucleation is usually the preferred treatment, anddiagnosis can be established at the time of operation by frozensection. Schwannomas can be malignant, but preoperativeimaging and pathology can help establish the benign natureof most specimens. Patients typically do well with resolution ofsymptoms. Here we present the case of a patient with abdominalpain and a peripancreatic mass observed with computedtomography, who was found to have a cystic schwannomaextending from the portal triad. The mass was removed andthe patient was discharged without complications.

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Primary Hydatid Cyst of the Axillary Region: A Case Report

Case Reports in Medicine ◽

10.1155/2012/362610 ◽

2012 ◽

Vol 2012 ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

Mehrangiz Zangeneh ◽

Mahmood Amerion ◽

S. Davar Siadat ◽

Mohsen Alijani

Keyword(s):

Case Report ◽

Hydatid Cyst ◽

Hydatid Disease ◽

The Body ◽

Thick Wall ◽

Pathological Examination ◽

Tissue Mass ◽

Abdominal Ultrasonography ◽

Axillary Region ◽

Primary Hydatid Cyst

Introduction. Hydatid disease is a disease caused by the cestodeEchinococcus.Echinococcus granulosusis the most commonEchinococcusspecies affecting human. It may affect any organ and tissue in the body, most in the liver and lung. Disease is endemic in some regions of the world, and is common in Iran. Primary hydatid cyst of the axillary region is an unusual and rare localization of hydatid disease. So far, only sixteen cases have been published in the all medical literature.Case Report. Herein, we present a 33-year-old woman because of a mass in the axillary region of four months duration. Axillary ultrasonography showed a thick wall cystic lesion. No abnormality was found in mammographic examination of either breast, or in abdominal ultrasonography and chest X-ray. The mass was excised for pathological examination that showed a typical laminated membrane of hydatid cyst. Postoperative IgG- ELISA serology in this case was negative. Based on pathology an axillary hydatid cyst was diagnosed.Conclusion. Hydatid cyst should be considered in endemic areas in patients presenting with a soft tissue mass in the axillary region.

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Primary hydatid cyst of the urinary bladder

BMJ Case Reports ◽

10.1136/bcr-2018-226341 ◽

2018 ◽

pp. bcr-2018-226341 ◽

Cited By ~ 4

Author(s):

Sardar Hassan Arif ◽

Ayad Ahmad Mohammed

Keyword(s):

Abdominal Pain ◽

Urinary Bladder ◽

Hydatid Cyst ◽

Lower Abdominal Pain ◽

Complete Excision ◽

Abdominal Tenderness ◽

Superior Part ◽

Rim Enhancement ◽

Abdominal Examination ◽

Primary Hydatid Cyst

A 35-year-old man presented with poorly localised lower abdominal pain for 3 months. Abdominal examination revealed lower abdominal tenderness, with normal other parts of examination. CT scan of the abdomen showed irregular multiloculated mass related to the upper part of the urinary bladder with mild rim enhancement in the postcontrast study with no areas of calcifications. During laparotomy, we found a mass attached to the superior part of the urinary bladder and arising from its wall. Complete excision was done without opening the cavity of the bladder. The mass was opened and was a hydatid cyst of the bladder containing multiple daughter cysts.

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Intra-Abdominal Hydatid Cyst: Sociodemographics, Clinical Profiles, and Outcomes of Patients Operated on at a Tertiary Hospital in Addis Ababa, Ethiopia

Journal of Parasitology Research ◽

10.1155/2017/4837234 ◽

2017 ◽

Vol 2017 ◽

pp. 1-6 ◽

Cited By ~ 2

Author(s):

Engida Abebe ◽

Temesgen Kassa ◽

Mahteme Bekele ◽

Ayelign Tsehay

Keyword(s):

Abdominal Pain ◽

Hydatid Cyst ◽

Addis Ababa ◽

Abdominal Mass ◽

Abdominal Ultrasound ◽

Tertiary Hospital ◽

Common Finding ◽

Right Lobe ◽

Clinical Profiles ◽

The Right

Background. Hydatid cyst is caused by the tapewormEchinococcus granulosus. The abdomen, specifically the liver, is the most common site affected.Objective. Determine the presentation patterns, types of surgical management, and outcomes of patients operated for intra-abdominal hydatid cyst (IAHC).Methodology. A retrospective descriptive study of patients admitted and operated for IAHC from September 1, 2011, to August 31, 2015.Results. Forty-two patients whose age ranged from 10 to 65 (mean of 37 years) were operated on. Females comprised 27 (64.3%) of the patients. The commonest presenting complaint was abdominal pain (41, 97.6%). Abdominal mass was documented in 23 (54.7%) cases. Abdominal ultrasound (AUS) and CT were the main imaging studies done on 38 (90.5%) and 24 (57.1%) patients, respectively. Cysts measuring more than 10 cm in diameter were the most common finding in both studies. Liver was the primary site involved, 30 (71.4%) cases, the right lobe being the main side, 73%. Thirty-eight (90.5%) patients underwent deroofing, evacuation, marsupialization, and omentoplasty (DEMO). There was no perioperative death, but 4 (9.5%) of the patients had post-op complications.Conclusion. Abdominal pain was the most common presenting complaint. AUS and CT remain the preferred imaging. DEMO was the most common surgery.

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