Unusual Locations of Hydatid Disease: Diagnostic and Surgical Management of a Case Series

Department of General Surgery, Bozok University, Yozgat, Turkey.
Surgical Infections (Impact Factor: 1.45). 08/2010; 11(4):349-53. DOI: 10.1089/sur.2009.017
Source: PubMed


Hydatid disease is endemic in many areas of the world, where it is an important public health problem. The aim of this study was to describe a series of patients with atypically located primary hydatid disease, accompanied by a literature review.
Six male and four female patients with atypically located hydatid cysts who presented to the Kars State Hospital between September 2004 and March 2008 were evaluated. The mean age was 42.5 years (range 17-72 years). Hydatid cysts were identified by using a combination of serology tests, ultrasonography, and computed tomography (CT).
Six of the patients underwent surgical treatment. Three patients (two with pericardial hydatid involvement and one with pancreatic involvement) were sent to a tertiary medical center for surgery, and one patient died from cardiac and renal failure two days after diagnosis.
Although this disease is seen most often in the liver and lungs, it can be found in any part of the body. Hydatid disease must be considered in the differential diagnosis of cystic lesions, especially in patients who have spent time in endemic areas.

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Available from: Atilla Celik, Aug 08, 2014
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    • "The incidence of hydatid disease, an important zoonotic disease of man, is high in sheep-raising countries like New Zealand, Turkey, Australia, and so on. In India, the pockets of high prevalence are Andhra Pradesh, Tamil Nadu, Gujarat, and West Bengal.[2] The lungs and liver are primary sites of localization for the hydatid disease, however 10% are reported to occur in unusual sites such as the peritoneum,[9] thyroid,[10] submandibular gland,[10] breast,[11] pancreas,[12] pericardium,[12] parotid gland,[13] and the supraclavicular soft tissue.[14] The involvement of Echinococcus granulosus in children has a different pattern compared to adults, as the lungs are more commonly affected than the liver. "
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    ABSTRACT: Tuberculous infection is highly prevalent in India, however, hydatid disease is relatively uncommon. Frequent sites of predilection of hydatid disease are the liver and lungs. Other unusual sites of infliction are the peritoneum, thyroid, breast, pancreas, and mediastinum. Hydatid disease in the axilla is quite uncommon. We hereby report a case of coexistent axillary hydatid disease with tuberculous lymphadenitis. To the best of our knowledge, even after extensive search of the literature we did not come across any such case. Fine needle aspiration cytology (FNAC) is a cost-effective procedure performed on an outpatient basis and helped clinch a prompt diagnosis, with minimum discomfort or complications. The role of FNAC in early diagnosis cannot be overemphasized.
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    ABSTRACT: Introduction. Hydatid disease is caused by the tapeworm Echinococcus granulosus and is still a matter of public health in many regions of the world, where it is an endemic parasitic disease. Although the liver is the most involved organ, hydatidosis can be found anywhere in the human body. Rare forms of location may lead to diagnostic and therapeutic dilemmas. Case Report. Herein we report a rare case of acute abdominal pain and progressively increasing abdominal distension due to abdominal and multiple splenic echinococcosis in a 72-year-old Caucasian male. We also provide a brief review of the literature. Conclusion. Although hydatid disease is found most often in the liver and lungs, rarely any organ of the body can be involved by this zoonosis. Though rare, the possibility of unusual location of echinococcosis must always be considered by the operating surgeon, when dealing with diffuse abdominal pain in endemic areas, because any misinterpretation may result in unfavorable outcomes.
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