Hydatid Disease Presenting as Cutaneous Fistula: Review of a Rare Clinical Presentation

2011 ◽  
Vol 96 (1) ◽  
pp. 69-73 ◽  
Author(s):  
Vijay. Korwar ◽  
Gokulakkrishna. Subhas ◽  
Prabhuraj. Gaddikeri ◽  
B. S. Shivaswamy
Keyword(s):  
Hydatid Cyst ◽  
Hydatid Disease ◽  
Abdominal Distension ◽  
Fistula Tract ◽  
Cutaneous Fistula ◽  
Rare Presentation ◽  
Worldwide Distribution ◽  
Global Travel ◽  
Hepatic Hydatid

Abstract Hydatid disease has a worldwide distribution as a result of more global travel. Liver and lungs are the most common sites for the primary hydatid cysts in the human body. We managed a 68-year-old man who presented with abdominal distension and umbilical fistula, discharging daughter cysts. Ultrasound imaging of the abdomen showed hepatic hydatid cyst forming a fistula at the umbilicus. The patient underwent a laparotomy with partial cystectomy and excision of the fistula tract. The umbilicus healed after the procedure. The patient did not have any recurrences in 5 years of follow-up. Spontaneous cutaneous fistulization of liver hydatid cyst is a rare presentation. A detailed literature search revealed 15 cases published in all languages. Hydatid disease presenting as an umbilical fistula has not been reported yet. We summarize all these cases including the presentation, findings, management, and outcome. Combined surgical and medical treatment is successful in healing of hepatic hydatid cutaneous fistula.

scholarly journals Hydatid Disease of the Liver Presenting as Spontaneous Cutaneous Fistula

2021 ◽  
Author(s):  
Saif Ghabisha ◽  
Faisal Ahmed ◽  
Saleh Al-Wageeh ◽  
Ebrahim Al-Shami ◽  
Khalil Al-Naggar ◽  
...  
Keyword(s):  
Case Report ◽  
Hydatid Cyst ◽  
General Hospital ◽  
Female Patient ◽  
Liver Surgery ◽  
Parasitic Infection ◽  
Fistula Tract ◽  
Cutaneous Fistula ◽  
Rare Presentation ◽  
Larval Phase

Hydatid cyst (HD) disease is a parasitic infection produced by cysts containing the Echinococcus granulosus larval phase. Patients with HC are typically asymptomatic until incidentally diagnosed or when complications occur. A rare presentation of liver HC is spontaneous cutaneous fistualization; we report a 63- year-old female patient admitted in the hospital in 2019 (Al-Thora General Hospital, Ibb, Yemen) with an infected cutaneous fistula induced by a ruptured HC. The patient underwent laparotomy and partial cystectomy with excision of the fistula tract. The main purpose of this report is for physicians to consider this diagnosis when they face an unusual cutaneous fistula near HC common involved organs, especially in areas where the prevalence of this disease is high. We also briefly discuss the management and outcome of this disease. Keywords: Case Report; Complications; Cutaneous Fistula; Echinococcosis; Liver; Surgery.

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.

Rare presentation of isolated hydatid disease of the breast

2021 ◽  
Vol 14 (7) ◽  
pp. e243052
Author(s):  
Ronal Kori ◽  
Sudhir Kumar Jain ◽  
Rehan Nabi Khan
Keyword(s):  
Hydatid Cyst ◽  
Echinococcus Granulosus ◽  
Hydatid Disease ◽  
Similar Case ◽  
Rare Condition ◽  
Rare Presentation ◽  
Diagnostic Dilemma ◽  
Endemic Areas ◽  
Accidental Host ◽  
Cattle And Sheep

Isolated hydatid disease of the breast is a rare condition, possessing a diagnostic dilemma for the clinicians. Hydatid disease is common in endemic areas affecting most commonly the liver and lungs. Other organs rarely involved are the kidney, bone and brain. It is caused by the parasite Echinococcus granulosus, widely spread by cattle and sheep. Humans are the accidental host for this organism. We present a similar case of isolated hydatid cyst of the breast, which was diagnosed preoperatively and managed successfully.

scholarly journals Rapid Growth of Hydatid Cyst: A Pediatric Case Report

2021 ◽  
Author(s):  
Mehdi FOROUGHI ◽  
Ali BAHADOR ◽  
Zahra BEIZAVI
Keyword(s):  
Case Report ◽  
Hydatid Cyst ◽  
Echinococcus Granulosus ◽  
Hydatid Disease ◽  
Rapid Growth ◽  
Pediatric Population ◽  
Parasitic Infection ◽  
Abdominal Discomfort ◽  
Pediatric Case ◽  
Worldwide Distribution

Hydatid disease is a parasitic infection caused by Echinococcus granulosus with worldwide distribution. The most affected organs are liver and lungs, but it can be detected in any other organs as well. We reported a 5-yr-old boy from Shiraz, southern Iran in 2017 who presented with abdominal discomfort. Imaging revealed multiple liver hydatid cyst and a huge kidney hydatid cyst. This case showed the possible implication of rapid growth of multiple hydatid cyst as well as unusual organ presentation in the pediatric population.

scholarly journals Platelet Parameters in Hepatic Hydatid Cysts

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Mustafa Sit ◽  
Gülali Aktaş ◽  
Edip Erdal Yilmaz ◽  
İsmail Necati Hakyemez ◽  
Aytekin Alçelik ◽  
...  
Keyword(s):  
Hydatid Cyst ◽  
Laboratory Data ◽  
Hepatic Cyst ◽  
Hepatic Hydatid Cyst ◽  
Computerized Medical Records ◽  
Design And Methods ◽  
Study Laboratory ◽  
Cyst Hydatid ◽  
Hepatic Hydatid

Background. Hepatic hydatid cyst infection is caused by microorganisms namedEchinococcuswhich belong to family Taeniidae. Platelets are considered as a mediator in inflammation and infectious diseases because of the various proinflammatory substances that they contain.Design and Methods. Thirty-three patients who were admitted to Doğubayazıt State Hospital’s General Surgery Clinic with a diagnosis of hepatic cyst hydatid were enrolled in this retrospective study. Laboratory data of the patients in pre- and postoperative periods were obtained from computerized medical records database of the hospital.Results. Preoperative mean platelet volume (MPV) of the patients was significantly increased compared to postoperative MPV values.Conclusion. We claim that MPV is a useful follow-up marker after surgery in patients with hydatid cyst.

scholarly journals Primary Pelvic Hydatid Cyst: A Case Report

2011 ◽  
Vol 2011 ◽  
pp. 1-3
Author(s):  
Fazl Q. Parray ◽  
Shadab Nabi Wani ◽  
Sajid Bazaz ◽  
Shakeel-ur Rehman Khan ◽  
Nighat Shaffi Malik
Keyword(s):  
Case Report ◽  
Physical Examination ◽  
Hydatid Cyst ◽  
Hydatid Disease ◽  
Disease Patient ◽  
Radiological Evaluation ◽  
General Physical Examination ◽  
General Physical

This is a case report of a young man who presented to us as a case of hypogastric pain and frequency of micturation. General physical examination and radiological evaluation confirmed a multiloculated pelvic swelling. Patient was subjected to laparotomy which confirmed the diagnosis of a primary pelvic hydatid disease. Patient was put on chemotherapy after surgery and is doing well on follow up.

Hydatid disease of the seminal vesicle: A rare presentation of hydatid cyst

2006 ◽  
Vol 38 (2) ◽  
pp. 287-289 ◽  
Author(s):  
M. Safioleas ◽  
M. Stamatakos ◽  
A. Zervas ◽  
E. Agapitos
Keyword(s):  
Hydatid Cyst ◽  
Seminal Vesicle ◽  
Hydatid Disease ◽  
Rare Presentation

Diagnostic Value of Ultrasonography in Hydatid Disease in Abdomen and Chest

1987 ◽  
Vol 28 (6) ◽  
pp. 743-745 ◽  
Author(s):  
C. S. Pant ◽  
R. K. Gupta
Keyword(s):  
Hydatid Cyst ◽  
Hydatid Disease ◽  
False Positive ◽  
Diagnostic Value ◽  
Diagnostic Problems ◽  
Lost To Follow Up ◽  
Made In

A prospective diagnosis of hydatid cyst was made in 90 cases involving abdomen and chest. It was based on the various sonographic signs of hydatid disease described in the literature. Surgery was performed in 60 patients while 30 were lost to follow-up. The diagnosis was confirmed in 55 patients while it was false positive in 5. The liver was the most common organ involved, followed by chest, kidney, peritoneum, spleen and retroperitoneum. Separation of the membrane from the wall, multiple daughter cysts, and collapsed cysts, were found to be diagnostic of hydatid disease. It is stressed that certain signs are specific for hydatid disease and thus do not cause any differential diagnostic problems.

scholarly journals Intraoperative transthoracic ultrasonography in hepatopulmonary hydatid cyst disease: seeing beyond the horizon

2021 ◽  
Vol 8 (6) ◽  
pp. 1910
Author(s):  
Komal Gupta ◽  
Ankita Singh ◽  
Deepti Singh ◽  
Gopal Puri ◽  
Pritam Yadav ◽  
...  
Keyword(s):  
Hydatid Cyst ◽  
Hydatid Disease ◽  
Intraoperative Ultrasound ◽  
Lower Lobe ◽  
Early Discharge ◽  
Hepatic Hydatid Cyst ◽  
Multiple Organs ◽  
Single Incision Surgery ◽  
The Right ◽  
Hepatic Hydatid

Liver is the most common organ involved in hydatid disease. But involvement of multiple organs simultaneously is not unheard of. Here we have presented our experience with one such similar case with involvement of lower lobe of right lung and segment VII of liver. There was spontaneous rupture of the lung hydatid cyst during the hospital stay. A right posterolateral thoracotomy was performed for evacuation of spilled hydatid cyst content from the right pleural cavity. Intraoperative ultrasound (IOUS) was used to locate and drain the hepatic hydatid cyst via the diaphragm. Such single incision surgery for hepatopulmonary hydatid disease is associated with lesser post-operative morbidity and early discharge from the hospital. Use of IOUS can significantly improve the rate of successful localization and drainage of hepatic hydatid cyst in transthoracic approach. 

scholarly journals Myxoedema ascites-Rare presentation of long standing hashimotos thyroiditis

2021 ◽  
Vol 6 (3) ◽  
pp. 204-206
Author(s):  
Garima Shah ◽  
Shubham Sharma ◽  
Bikram Shah
Keyword(s):  
Hashimoto’S Thyroiditis ◽  
Abdominal Distension ◽  
Autoimmune Disorder ◽  
Hashimoto's Thyroiditis ◽  
Dramatic Improvement ◽  
Rare Presentation ◽  
Thyroid Medication ◽  
Clinical Conditions ◽  
Rule Out

Hypothyroidism is among the common clinical conditions which are encountered in the medicine OPD. An autoimmune disorder called Hashimoto’s thyroiditis is a common cause for hypothyroidism followed by over response to hyperthyroidism treatment, radiation therapy, medications, congenital disease etc. Patients can present with sensitivity to cold, weight gain, constipation, menstrual abnormalities, and slow mentation with irritability, dry skin, hair loss, and fatigue. Rarely, uncontrolled hypothyroidism can present as pericardial effusion, pleural effusion and ascites. Ascites as the feature of hypothyroidism is uncommon and only less than four percent of patients with hypothyroidism /develop ascites.As it is rarely presented as ascites so its diagnosis is delayed but once it is diagnosed, treatment leads to clinical improvement.: A 20-year-old female presented to medicine OPD with non- tender abdominal distension, vomiting. She was a known case of Hashimoto's thyroiditis an autoimmune disorder; however, she was not compliant to thyroid medication. All necessary investigations were carried out to rule out the cause for ascites. With all the negative reports including imaging and supportive fluid cytology we attributed the symptoms to uncontrolled hypothyroidism as the patient was non-compliant to the thyroid medications. Also the picture of macrocytic anaemia in our patient supported the diagnosis. She was started on levothyroxine and was counselled. On a follow-up visit there was dramatic improvement of all the symptoms including ascites and her TSH was normal-2.017. Ascites as a symptom of hypothyroidism is rare and its pathophysiology is not fully understood however there are few theories and studies in the past which do explain ascites as the manifestation of hypothyroidism. Severe uncontrolled hypothyroidism though uncommon but can cause ascites. Being a reversible cause of ascites, it becomes important for clinicians to take hypothyroidism as one of the differential diagnosis for ascites. Our case supports the need of taking hypothyroidism as one of the cause, as it is easily treatable and patient can show dramatic improvement.

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