scholarly journals Peritoneal hydatic cysts: a series of cases and the review of literature

2021 ◽  
Vol 17 (1) ◽  
pp. 20-36
Author(s):  
N. Vlad ◽  
C. Lupașcu ◽  
A. Vasilescu ◽  
Șt. Georgescu ◽  
C. Bradea ◽  
...  

Primary peritoneal hydatidosis is an extremely rare ( 2% of all intra-abdominal hydatid disease). Peritoneal hydatid disease is secondary to liver or splenic involvement following spontaneous rupture or accidental spillage during surgery. Methods: We made a retrospective study based on the analysis of the database of the I Surgery Clinic of the University Emergency Hospital „St. Spiridon ”from Iași, with peritoneal hydatid cyst, including all the data from the medical files. Between 1991 and 2021 a total of 18 patients were operated for primary (3) or secondary peritoneal cysts (15). During the same period, 1002 cases of hydatid cyst with various locations were treated in the Iasi Surgery Clinic: 805 abdominal (714 hepatic, 43 splenic, and 18 peritoneal) and 197 extra abdominal (thoracic, cervical, muscular, retroperitoneal, etc.). The incidence of hydatid diseases has decreased over time from 35 cases per year to 18 cases per year. In the year of the COVID pandemic (2020) the incidence decreased to 10 cases per year.Most of the patients with peritoneal hydatidosis were asymptomatic or had atypical symptoms. The diagnosis was based on the preoperative history, rupture of the cysts, serology, ultrasound and computer tomography. Open surgery was the procedure of choice (16 cases) with conservative (13 cysts) and radical (3 cysts) methods. The laparoscopic approach was performed in 2 cases of primary peritoneal hydatid cysts. Results: The outcome of surgery was good without postoperative mortality or severe morbidity and the recurrence rate was 22.2%. Conclusions: Peritoneal hydatidosis is a rare disease; it is important to prevent the disease. Clinical signs and symptoms are nonspecific for a long time.We suspect this diagnosis in the case of abdominal cystic tumors especially in endemic regions. The diagnosis is made based on the history of operated hydatid disease, clinical signs, imaging and immunological tests. Total surgical excision of hydatid cysts or partial perichystectomy after evacuation of the inactivated cyst is the chosen treatment. Proper perioperative medical treatment prevents recurrence. Long-term follow-up is necessary to detect and treat any recurrence.

Author(s):  
Alwaleed Al-Dairy ◽  
Rahim Abo Kasem

Cardiac Hydatid Cysts are uncommonly encountered entity of hydatid disease. Presentation may be with non-specific symptoms and sometimes with life threatening events. We present a rare case of a 9-year-old female who was diagnosed with a Cardiac Hydatid Cyst in the right ventricle, and underwent successful surgical excision


2021 ◽  
Vol 8 (9) ◽  
pp. 2780
Author(s):  
Ruqia Mushtaq ◽  
Fatima Rauf ◽  
Muhammad Hanif ◽  
Aqsa Ameer

Cystic echinococcosis, also known as hydatid disease, rarely occurs in aorta. In this article, we report a rare case of pseudo-aneurysm of the lower descending thoracic aorta communicating with the hydatid cyst; surgical excision was performed with primary repair of aorta. This report emphasizes the need for early diagnosis of hydatid cyst with high index of suspicion in endemic areas, particularly if in the vicinity of a major vessel and aggressive investigations followed by subsequent early treatment before disabling and life-threatening complications occur.


2020 ◽  
Vol 6 (3) ◽  
pp. 20200019
Author(s):  
Meltem Özdemir ◽  
Rasime Pelin Kavak ◽  
Nezih Kavak ◽  
Noyan Can Akdur

Human hydatid cyst is a zoonotic disease caused by the larvae of the Echinococcus species, most commonly the Echinococcus granulosus. Although hydatid cyst can cause disease almost anywhere in the human body, it most commonly affects the liver and lungs. Primary musculoskeletal hydatid involvement is a very rare occurrence even in endemic regions. Musculoskeletal hydatid disease shows no pathognomonic clinical signs and symptoms. And the contribution of serology to the diagnosis is negligible due to the high rate of false-negative results. Therefore, radiological imaging studies have a critical role in the diagnosis of the disease. To the best of our knowledge, there are only a few case reports of primary hydatid involvement of the adductor magnus muscle in the current literature. Here we present a 55-year-old female patient with primary hydatid cyst in the adductor magnus muscle and discuss the case in terms of imaging.


2018 ◽  
Author(s):  
Alessandro Paniccia ◽  
Brandon Chapman

Primary benign splenic tumors are uncommon and manifest with variable presenting signs and symptoms yet are frequently asymptomatic and discovered incidentally. Primary benign tumors involving the spleen can be broadly categorized as vascular/lymphatic tumors, tumorlike lesions, and cystic tumors. Although laboratory tests have little impact on the diagnosis of benign tumors of the spleen, radiologic imaging is mandatory and may narrow the differential diagnoses. However, it is often difficult to distinguish benign from malignant disease. Surgical management is based on the clinical presentation of the patient, disease etiology, and suspicion for malignancy. Surgical options include complete and partial splenectomy, andthe laparoscopic approach is favored. This review contains 6 figures, 6 tables and 66 references Key words: cystic, mass, spleen, splenectomy, tumor, tumorlike, vascular neoplasm


2014 ◽  
Vol 8 (4) ◽  
pp. 15-19
Author(s):  
Manoucher Aghajanzadeh ◽  
Mohammad Reza Asgary ◽  
Ali Alavi Foumani ◽  
Syrus Emir Alavi ◽  
Siamak Rimaz ◽  
...  

The aim of this retrospective study was to review pleural complications and results of surgical management of patient with hydatid disease. Between 2000 and 2010, 34 patients among 260 patients with hydatid disease, were diagnosed with pleural complications. Findings are presented in relative frequencies tables. The most common pleural complication was empyema in 9 patients. The most common procedure was cystotomy, evacuation and decortication in 25 patients. In endemic area, pleural complications of hydatid cyst should be considered for differential diagnosis. And because of higher morbidity and mortality, surgical treatment should be carried out before complications.DOI: http://dx.doi.org/10.3126/ijls.v8i4.10893


2016 ◽  
Vol 2016 ◽  
pp. 1-5
Author(s):  
Ibtisam Musallam Aljohani ◽  
Khalefa Ali Alghofaily ◽  
Sebastian R. McWilliams ◽  
Mnahi Bin Saeedan

A tailgut cyst is a rare developmental lesion and usually is located in the retrorectal or presacral space. Extrahepatic hydatid disease has been reported in several locations including the pelvis and it often poses a diagnostic challenge. There are very few reported cases of primary perineal hydatid cysts. We present the multimodality imaging findings of a tailgut cyst and concurrent perineal hydatid disease in a 32-year-old male patient.


2019 ◽  
Vol 10 (3) ◽  
pp. 1675-1680
Author(s):  
Jalal Y. Mustafa ◽  
Ghazi Y. Azal ◽  
Suzan A. Al-Azizz ◽  
Fatin A. Muatafa ◽  
Arwa R. Lazim

Hydatid disease or Echinoccosis is one of the serious public health problems. This study was designed as a comparative molecular study between some plant extract and tinidazole of sheep hydatid cysts in Basra province. In this study, 213 sheep were examined and the number of those infected with hydatid cysts was 75 (35.2 %). The results showed that hydatid cyst was detected successfully by performing PCR technique. In addition, Quercus aegilops has been shown the best plant extract for destroying all genes, the second plant extract which is Capparis spinosa showed destroying of two genes (G6-7, COI) and failed to destroy (sh4-1). Furthermore, Prosopis fracta has shown to destroy only (G6-7) and tinidazole failed to destroy any of these genes used in this study.


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.


Author(s):  
Nikola Grubor ◽  
Igor Ignjatovic ◽  
Boris Tadic ◽  
Marjan Micev ◽  
Vladimir Milosavljevic ◽  
...  

Abstract Myoid angioendothelioma (MA) represents an extremely rare nonhaematopoietic proliferation of the spleen. MA is a rare, benign, vascular tumour that consists of vascular elements and arranged stromal cells. Due to an absence of specific clinical signs and symptoms, MA is considered challenging to diagnose. Although the radiological presentation can indicate the vascular nature of the tumour, the diagnosis of MA is almost exclusively obtained from the use of histopathology after surgical excision and immunohistochemistry of the tissue. Due to its completely unclear biological behaviour and relationship with other primary and secondary tumours, the only effective therapy for MA is splenectomy and a regular postoperative follow-up. Herein, we report a case of a 26-year-old male patient with nonspecific abdominal pain and a radiologically detected tumour of the spleen who underwent a laparoscopic splenectomy. Histopathologic and immunohistochemical examinations confirmed a myoid angioendothelioma of the spleen.


2015 ◽  
Vol 1 (1) ◽  
pp. 7-11
Author(s):  
Mehdi Soufi ◽  
Ghizlane Kharrasse ◽  
Khanoussi wafae ◽  
Zahi Ismaili ◽  
Tijani El haroudi ◽  
...  

Liver is most commonly involved organ in hydatid cyst. Primary splenic hydatid cysts are rare; we report a case of an isolated giant hydatid cyst of spleen in a 17-year-old man. The diagnosis was confirmed by imaging findings and serology. Partial cystectomy was performed with success. In cystic lesions of spleen, hydatid cyst should be kept in patrician’s mind in the differential diagnosis. Although splenectomy is the gold standard for treating hydatid disease of the spleen, in young patient spleen-preserving surgery seems give good results.


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