"Contained" rupture of a liver hydatid cyst. Sonographic diagnosis and long-term postoperative follow-up.

We describe a rare case of intact endobronchial hydatid cyst that posed a diagnostic challenge because of an unusual imaging manifestation (atelectasis) and unexpected bronchoscopic findings. Although the role of bronchoscopy in the management of pulmonary hydatid cyst is still controversial, 6 cases of complicated pulmonary hydatid cyst removed completely by suction through a fiberoptic bronchoscope have been reported so far. To the best of our knowledge, this is the first nonsurgically treated case of intact endobronchial hydatid cyst with an uneventful long-term follow-up.

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Hydatid cyst of the spine a study of 25 patients

Journal of the Faculty of Medicine Baghdad ◽

10.32007/jfacmedbagdad.59462 ◽

2018 ◽

Vol 59 (4) ◽

pp. 291-293

Author(s):

Tarik A. Wahid ◽

Ali T. Abdul Wahid

Keyword(s):

Hydatid Cyst ◽

Neurological Status ◽

Lower Limbs ◽

High Rate ◽

Neurological Recovery ◽

Spine Instrumentation ◽

Medical City ◽

High Degree

Background: The spine is rarely affected by Hydatid cyst with incidence of (1%) of all cases. Despiteadvances in imaging as well as surgical and medical treatment, spine Hydatid cyst (H.C) is associatedwith high degree of morbidity, disability, and mortality.Objective: To assess the clinical presentation, imaging of spine H.C. & the outcome of surgicalmanagement regarding neurological recovery, recurrence and mortality.Patients and Methods: This is a retrospective study of the 25 patients of spine Hydatid cyst duringfive years period (Jan.2010 to Jan.2015), where diagnosed and treated at medical city. All patientsafter proper clinical assessment, imaging and laboratory tests had underwent posterior decompressionlaminactomy and removal of all Hydatid cyst without spine instrumentation. They receivedElbendazol drugs (antihelmantic drugs) for three months with follow up six months to two years.Results: They presented with paraplegia in (48%), paraparesis of lower limbs in (32%), local pain andradiculopathy in (12%) and asymptomatic in (8%). The spinal level was affected by hydatid cystlumbar (64%), dorsal (24%), cervical (8%) and sacral (4%). 23 patients posterior decompressionlaminectomies were done, 8 patients re-do surgery and 2 patients had evacuation of subcutaneousmultiple Hydatid cyst.Complete neurological recovery was achieved in (100%) of cases after primarysurgery, but recurrence rate was in (21) patients (84%) and worsening of neurological status in twopatients (8%).Conclusions: Management of Hydatid cyst spine disease is challenging because of high recurrencerate, requiring aggressive and repeated surgeries with high rate of surgical complications andsignificant long term morbidity.Results are not satisfactory and prognosis is poor. خلفية الموضوع :ان العمود الفقري يصاب بالاكياس المائية بنسبة قليلة جدا (1%), بالرغم من التقدم التقني بالتصوير الشعاعي والعاج الجراحي والعقاقير الطبية لازال المرض ينتج عنه درجة عالية من العوق والمعانات و الوفيات. الغاية من الدراسة:هو تقيم الاعراض السريرية والفحوصات الشعاعية ونتائج العلاج الجراحي من ناحية حدوث المضاعافات والوفيات وتحسن الحالة العصبية السريرية للمريض. طرق العمل:دراسه رجعية ومستقبلية تشمل 25 مريض يعاني من الاكياس المائية في العمود الفقري خلال خمسة سنوات في مدينة الطب (2010-2015) بعد اجراء الفحوصات السريرية و الشعاعية الازمة اجريت لجميع المرضى عملية فتح الفقرات من الخلف مع رفع الاكياس المائية وبدون تثبيت الفقرات مع اعطاء علاج البندازول لمدة ثلاثة اشهر مع المتابعة الطبية ولمدة تتراوح من ستة اشهر الى سنتين. النتائج: الاعراض السريرية كانت شلل الاطراف الكامل بنسبة( 48%) وشلل الاطراف الجزئي(32%) مع الالم الظهر والساق (12%) وبدون اعراض سريرية (8%) ,اجريت 23 عملية فتح الفقرات مع رفع الاكياس المائية والضغط على الاعصاب و الحبل الشوكي مع تحسن واضح وكبير في حركة الاطراف بعد اجراء العملية الاولى , تم اعادة فتح الفقرات مع رفع الاكياس المائية الراجعة مجدد في ثمانية مرضى . التوصيات: بالرغم من تحسن حالة المريض المصاب بالاكياس المائية في الفقرات بعد اجراء التداخل الجراحي الاولي الا انه لازال العلاج الجراحي معقد وصعب بسبب عودة المرض مرات متعدده وبدرجة عاليه وشديده مع نسبة عالية من المضاعفات والعوق و الوفيات .

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Radical Surgery for Liver Hydatid Cyst

Journal of Medical and Surgical Research ◽

10.46327/msrjg.1.000000000000011 ◽

2014 ◽

pp. 30-36

Author(s):

Hadj Omar El Malki ◽

Amine Souadka ◽

Badr Serji ◽

Amine Benkabbou ◽

Raouf Mohsine ◽

...

Keyword(s):

Hydatid Cyst ◽

Radical Surgery ◽

Postoperative Bleeding ◽

Morbidity Rate ◽

Endemic Country ◽

Recurrence Rates ◽

Surgical Department ◽

Liver Hydatid Cyst ◽

Surgical Unit

Background and aims: Surgery is the basic treatment for liver hydatid cyst (LHC). Radical procedures (pericystectomy (PK) and hepatic resection (HR)) offers better results in selected cases cases than conservative approaches. Aims of this study were to evaluate the results of Radical surgery for LHC and and to determine witch of these two procedures is safe in experienced hepato-biliary surgical unit in endemic countries. Methods: A retrospective cohort study of 143 patients with liver hydatid cyst who underwent radical procedures at a single surgical department in an endemic country were reviewed. Mortality, morbidity and recurrence rates have been analyzed. Results: Thirty-two patients (22.4%) had a HR and 111 patients (77.6%) had a PK. Mortality rate was 1.4% (n=2) in HR group. Overall morbidity rate was 18.9% and vs 28.1% respectively in PK and HR group (p=.26). Postoperative bleeding occurred in 1.8% in PK group vs 3.1% in HR group (p=.535) and specific LHC operative complication occurred in 17.1% in PK group vs 28.1% in HR group (p=.167). Recurrence rate of LHC was 6.3% in PK group vs 6.6% in HR group (p=.999) after a median follow up of 108 months (54-144) vs 89 months (44-135) respectively. Conclusion: Radical surgery for LHC is safe. Each of PK and HR had a specific indication. A good screening of patient's guarantied a good outcome. Keywords: Liver, Hydatid Cyst, Morocco, Radical Surgery.

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Primary extradural hydatid cyst extended to paraspinal muscles

Journal of Neurosciences in Rural Practice ◽

10.4103/0976-3147.102627 ◽

2012 ◽

Vol 03 (03) ◽

pp. 358-360 ◽

Cited By ~ 1

Author(s):

Omar Boulahroud ◽

B.S. Sharma ◽

Ibrahim Dao ◽

Cherif Abad El Asri ◽

Mohammed Boucetta

Keyword(s):

Hydatid Cyst ◽

Early Postoperative Period ◽

Paraspinal Muscles ◽

Long Term Follow Up ◽

Bony Involvement ◽

Magnetic Resonance Imaging Mri ◽

Spinal Epidural ◽

Multiple Cysts

ABSTRACTPrimary spinal epidural hydatid cyst without bony involvement is extremely rare. Authors report the case of a 44-yearold female brought to their attention for a rapidly progressive paraplegia. Magnetic resonance imaging (MRI) revealed extradural multiple cysts with “bunch of grapes” appearance extended to the paraspinal muscles through neural foramina without bony involvement on computed tomography (CT) scan. Histopathologic examination after a surgical approach confirmed the diagnosis of hydatid cyst. The early postoperative period showed a progressive improvement of her neurological deficit. The long-term follow-up under discontinued antihelminthic chemotherapy was uneventful.

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