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1.
Ali Ekrem Unal Suat Can Ulukent Sancar Bayar Arda Demirkan Hikmet Akgül 《Surgery today》2001,31(9):803-805
A 53-year-old woman presented to our hospital with a painful mass in her axilla. Magnetic resonance imaging revealed a lobular
cystic mass localized in the right pectoralis major muscle, with no significant invasion of the peripheral soft tissue or
bone structures and no pulmonary or hepatic involvement. An echinococcal hemagglutination test was positive. Excision of the
cystic mass as definitive therapy and histopathologic examination of the resected specimen confirmed that it was a hydatid
cyst. For treating hydatidosis in uncommon sites, the cyst must be totally removed whenever possible. The combination of albendazole
and praziquantel seems to be the most effective medical treatment, but not an alternative to surgery. This case report serves
to demonstrate that hydatid disease should be borne in mind as the possible cause of a palpable lesion in the breast, axillary
region, or chest wall, especially in endemic locations.
Received: June 27, 2000 / Accepted: March 6, 2001 相似文献
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Spiros G. Delis Andreas Bakoyiannis Theodore Exintabelones Charina Triantopoulou John Papailiou Christos Dervenis 《Journal of gastrointestinal surgery》2007,11(2):195-198
Hydatid disease is a rare entity that mostly affects the liver and lung, but almost any organ, forming cysts. Although diagnosis
is confirmed by serology and imaging studies, a high index of suspicion is required based on the epidemiological background
of the patient. However, rare locations of the cysts remain a diagnostic and therapeutic dilemma. Surgical exploration with
special attention to avoid parasite spillage is justified in these situations because diagnostic puncture is usually contraindicated.
Pericystectomy or fenestration and omentoplasty is strongly recommended, along with the excision of involved organs when feasible. 相似文献
4.
Zulfu Arikanoglu Fatih Taskesen ?brahim Aliosmano?lu Mesut Gul Mehmet Guli Cetincakmak Akin Onder Murat Kapan 《International surgery》2012,97(3):245-248
Hydatid cysts, which are endemic to certain areas, typically are found in the liver. Spontaneous intraperitoneal rupture, which can be life threatening, is rare. This article presents a case of spontaneous rupture of a hydatid cyst in a 69-year-old woman who was admitted to the emergency department. The patient had no history of trauma. Abdominal ultrasonography and computed tomography suggested rupture of a hydatid cyst. The patient underwent a partial cystectomy, and the cystic area was washed with hypertonic saline and the peritoneal cavity was washed with isotonic saline and drained. Postoperatively, the patient was treated with albendazole for 3 months. No additional pathology was observed at the 3-, 6-, and 9-month follow-ups. Although rare, a ruptured hydatid cyst should be considered in the differential diagnosis of the acute abdomen in a patient residing in an endemic area. 相似文献
5.
Ormeci N Idilman R Tüzün A Erdem H Palabiyikoğlu M 《International urology and nephrology》2005,37(3):461-464
Renal hydatid disease is an uncommon benign parasitic infestation compared to liver hydatid disease. Although the treatment
of hydatid cysts depends on surgery which is related with high morbidity and an overall local recurrence rates, the following
case reports describing two patients with renal hydatid cysts were successfully treated with this new percutaneous method. 相似文献
6.
Güray Toğral MD Şefik M Arıkan MD Timur Ekiz MD Ahmet F Kekeç MD Mehmet F Ekşioğlu MD 《Orthopaedic Surgery》2016,8(2):246-252
Although challenges in treatment of musculoskeletal hydatid cysts (HC) lesions have been documented, data regarding the musculoskeletal HC lesions resembling tumor is scarce. This paper presented 5 patients (3 males, 2 females) with a mean age of 41.6 years with tumor‐like lesions of HC. Three of them had left ilium and acetabulum involvement, one involved left femur, and one involved left thigh muscle compartments. Pain was the main symptom and was seen in all patients. Clinical examination, radiologic evaluation, and histologic analysis were performed for diagnosis. Patients were treated through different surgical options, including simple debridement, bone cement filling with or without internal fixation, hip arthrodesis, reconstruction using hemipelvic replantation with femoral prosthesis and distal femur endoprosthetic replacement. After surgery, the operation region was washed by 20% hypertonic saline, and debridement was performed carefully without contamination. All patients received albendazole treatment. Cases were followed up 1 to 9 years for the recurrence. Walking difficulty and pain were the main symptoms during the follow‐up. One patient was symptom‐free. A reoccurrence in the perioperative soft tissue was detected in only one patient and control visits with antihelmintic treatment were recommended. We would like to emphasize that HC should be kept in mind for the differential diagnosis of the cystic or tumoral lesions of the musculoskeletal system, particularly in the endemic regions. Prompt diagnosis is of paramount importance for preventing destruction and complications. 相似文献
7.
Primary hydatid disease of musculoskletal system is rare. A 60 year old woman presented with soft swelling in medial aspect
of thigh, of long duration which was gradually increasing in size. She was initially diagnosed as lipoma of thigh, but ultrasonography
revealed to be a cystic swelling suggestive of hydatid disease. MRI further reinforced the diagnosis. However serologic test
(ELISA) was negative. Patient was given albendazole preoperatively. The swelling was removed en bloc and advised for adjunctive
albendazole chemotherapy (15 mg/kg/day) for three months. 相似文献
8.
Hydatid cysts develop most frequently in the liver and lungs, but they are occasionally found in other organs. Hydatid cysts in the axillary space are an extremely rare event in areas where the disease is endemic, and are still common in many countries, including Turkey. A 73-year-old man presented to our clinic with a painful axillary mass. Thoracoabdominal computed tomography revealed multilocular cystic masses localized in the left axillary space, with minimal invasion of the peripheral soft tissue and no pulmonary or hepatic involvement. An echinococcal indirect hemagglutination test was negative. The masses were dissected through their stalks and removed completely. Macroscopic and microscopic examination of the specimens confirmed hydatid cysts. This case report demonstrates that hydatid cysts should be considered as a possible cause for palpable lesions in the axillary region or chest wall, especially in endemic locations. 相似文献
9.
Safioleas M Stamatakos M Zervas A Agapitos E 《International urology and nephrology》2006,38(2):287-289
Seminal vesicle belongs to the unusual sites of the hydatid cyst presentation. Even though the patient had a history of surgically
treated hydatid disease of the liver, however, solitary echinococcal cyst of the seminal vesicle is a rare condition. Surgical
removal of the cyst intact is the treatment of choice. 相似文献
10.
Sami Akbulut Ridvan Yavuz Nilgun Sogutcu Bulent Kaya Sinan Hatipoglu Ayhan Senol Firat Demircan 《World journal of gastrointestinal surgery》2014,6(10):190-200
AIM: To overview the literature on pancreatic hydatid cyst(PHC) disease, a disease frequently misdiagnosed during preoperative radiologic investigation.METHODS: PubMed, Medline, Google Scholar, and Google databases were searched to identify articles related to PHC using the following keywords: hydatid cyst, hydatid disease, unusual location of hydatid cyst, hydatid cyst and pancreas, pancreatic hydatid cyst, and pancreatic echinococcosis. The search included let-ters to the editor, case reports, review articles, original articles, meeting presentations and abstracts that had been published between January 2010 and April 2014 without any restrictions on language, journal, or country. All articles identified and retrieved which contained adequate information on the study population(including patient age and sex) and disease and treatment related data(such as cyst size, cyst location, and clinical man-agement) were included in the study; articles with in-sufficient demographic and clinical data were excluded. In addition, we evaluated a case of a 48-year-old fe-male patient with PHC who was treated in our clinic.RESULTS: A total of 58 patients, including our one new case,(age range: 4 to 70 years, mean ± SD: 31.4 ± 15.9 years) were included in the analysis. Twenty-nine of the patients were female, and 29 were male. The information about cyst location was available from studies involving 54 patients and indicated the follow-ing distribution of locations: pancreatic head(n = 21), pancreatic tail(n = 18), pancreatic body and tail(n = 8), pancreatic body(n = 5), pancreatic head and body(n = 1), and pancreatic neck(n = 1). Extra-pancreatic locations of hydatid cysts were reported in the studies involving 44 of the patients. Among these, no other focus than pancreas was detected in 32 of the patients(isolated cases) while 12 of the patients had hydatid cysts in extra-pancreatic sites(liver: n = 6, liver + spleen + peritoneum: n = 2, kidney: n = 1, liver + kidney: n = 1, kidney + peritoneum: n = 1 and liver + lung: n = 1). Serological information was available in the studies involving 40 patients, and 21 of those pa-tients were serologically positive and 15 were serologi-cally negative; the remaining 4 patients underwent no serological testing. Information about pancreatic cyst size was available in the studies involving 42 patients; the smallest cyst diameter reported was 26 mm and the largest cyst diameter reported was 180 mm(mean ± SD: 71.3 ± 36.1 mm). Complications were avail-able in the studies of 16 patients and showed the fol-lowing distribution: cystobiliary fistula(n = 4), cysto-pancreatic fistula(n = 4), pancreatitis(n = 6), and portal hypertension(n = 2). Postoperative follow-up data were available in the studies involving 48 patients and postoperative recurrence data in the studies of 51 patients; no cases of recurrence occurred in any patient for an average follow-up duration of 22.5 ± 23.1(range: 2-120) mo. Only two cases were reported as having died on fourth(our new case) and fifteenth days respectively. CONCLUSION: PHC is a parasitic infestation that is rare but can cause serious pancreato-biliary complica-tions. Its preoperative diagnosis is challenging, as its radiologic findings are often mistaken for other cystic lesions of the pancreas. 相似文献
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IntroductionHydatid cyst (HC) disease is a serious health problem in endemic areas. It is a parasitic infection that commonly involves liver and lungs while muscular HC is rare. HC of abdominal wall was reported only six times. We reported a 39-year-old male presented with HC of the right loin who was managed surgically with brief literature review.ConclusionHC should be put in the differential diagnosis of the abdominal wall masses. Its pre-operative diagnosis is important to prevent rupture with subsequent anaphylaxis and recurrence. Surgery is the main modality of treatment. 相似文献
13.
Cystic echinococcosis is endemic in certain parts of the world. The growth of the cyst is often slow, and the liver and lungs are the most frequently involved organs. Diagnosis is based on clinical signs and symptoms and epidemiological data, while ultrasonography is important for the classification of hydatid cysts. Although certain types of hydatid cysts are successfully treated by percutaneous aspiration, injection, and reaspiration, surgery remains the treatment of choice. We reviewed the current trends in the diagnosis and management of cystic echinococcosis, with special emphasis on hepatic and pulmonary involvement. 相似文献
14.
Hüseyin Astarcıogˇlu Mehmet Ali Koçdor Ömer Topalak Cem Terzi Selman Sökmen Erdener Özer 《Surgery today》2001,31(10):920-922
We report herein an unusual case of primary mesosigmoidal hydatid cyst that presented as acute left colonic obstruction mimicking
sigmoid colon cancer. A 61-year-old man with a 3-day history of abdominal pain, distention, obstipation, vomiting, and fever
was admitted to the emergency department of our hospital. Surgery was performed under a presumptive diagnosis of acute left
colonic obstruction. The intraoperative findings were highly suggestive of sigmoid colonic carcinoma and Hartmann's procedure
was performed. Histopathological examination of the pathological specimen revealed an isolated hydatid cyst embedded in mesosigmoid
which had caused mechanical sigmoidal obstruction. Primary extrahepatic, intra-abdominal localization of a hydatid cyst is
not unusual. Therefore, as a hydatid cyst may cause a wide variety of clinical syndromes, it should be kept in mind in the
differential diagnosis of mechanical bowel obstruction, especially in endemic regions.
Received: December 11, 2000 / Accepted: May 15, 2001 相似文献
15.
Erdal Kalkan MD şahika L. Cengiz MD Onur ×içek MD Fatih Erdi MD 《The journal of spinal cord medicine》2013,36(3):297-300
AbstractBackground/Objective: Spinal hydatid cyst is a serious form of hydatid disease affecting less than 1% of the total cases of hydatid disease. We present a case of pathologically confirmed primary intradural spinal cyst hydatid in an otherwise healthy patient who showed no other evidence of systemic hydatid cyst disease.Case Report: An 8-year-old boy presented with back pain, left leg pain, and difficulty in walking. The patient had no other signs of systemic hydatid cyst disease. An intradural extramedullary cystic lesion was identified with magnetic resonance imaging and was shown to be a hydatid cyst by histopathologic examination after the surgical removal.Conclusion: Although extremely rare, primary intradural extramedullary hydatid cyst pathology might be the cause of leg pain and gait disturbance in children living in endemic areas. 相似文献
16.
Gurbuz R Guven S Kilinc M Abasiyanik F Gokce G Piskin MM 《International urology and nephrology》2005,37(1):21-23
The hydatid cyst of the adrenal gland is extremely rare pathology of the adrenal gland; here we report an adrenal hydatid cyst that presented as a solitary renal tumor. 相似文献
17.
肾囊肿内肾癌(附四例报告) 总被引:1,自引:0,他引:1
目的 探讨肾囊肿内肾细胞癌的诊断和治疗。方法 总结68例肾囊肿患者资料,对4例合并肾细胞癌者的资料进行分析。结果 4例患者中术前明确诊断者2例,术中发现者2例。行肾癌根治切除术2例,行囊壁和肿物切除术2例,4例随访6~12个月未见复发,结论 B超发现肾囊肿增长快或囊内有病变时应行CT平扫和增强扫描。怀疑肾囊肿内肾癌时应行手术探查。 相似文献
18.
Fatin R Polat Sabriye Polat Enver Sultanoglu 《JSLS, Journal of the Society of Laparoendoscopic Surgeons》2005,9(2):245-246
Laparoscopic surgery may be used for treating a variety of benign hepatic lesions in select patients. The anatomic location of the lesions are more important than any other peculiarity when laparoscopic management is used. The aim of this report is to discuss the effects and feasibility of laparoscopic treatment of hydatid cyst of liver. The procedure is feasible and safe, offering all the advantages of laparoscopic surgery. 相似文献
19.
Background:
One of the most common problems faced in laparoscopic treatment of hydatid cysts is the difficulty in evacuating the particulate contents (daughter cysts and laminated membrane). Although various instruments and laparoscopic techniques have been described to evacuate the contents of hydatid cysts, most are not available at many surgical centers.Methods:
By assembling disposable, cheap, and available anesthesia equipment with common laparoscopic instruments, a laparoscopic system was made to evacuate the contents of a hydatid cyst. Ten patients with hepatic hydatid disease underwent laparoscopic surgery using this new hydatid system between June 2011 and January 2013.Results:
The procedure was completely straightforward. Twelve hydatid cysts (2 patients had 2 separated cysts) were evacuated without any spillage. All patients were followed for at least 8 months, with no evidence of recurrence.Conclusions:
This simple apparatus, which can be assembled anywhere, was safely used to evacuate the contents of hydatid cysts without causing any spillage. 相似文献20.
Seijas R Catalán-Larracoechea JM Ares-Rodríguez O Joshi N de la Fuente JP Pérez-Domínguez M 《Archives of orthopaedic and trauma surgery》2009,129(1):39-41
Hydatid disease is a parasitic infection generally occurring in specific geographical areas. Exclusive involvement of the
muscles is extremely uncommon, because implantation at this site would require passage through the filters of the liver and
lung. We describe a patient with a mass in the popliteal fossa of the knee for 7 years who was seen for pain and was found
to have hydatid disease. 相似文献