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2014 ; 4
(3
): 447-52
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Uncommon locations and presentations of hydatid cyst
#MMPMID24971224
Sachar S
; Goyal S
; Goyal S
; Sangwan S
Ann Med Health Sci Res
2014[May]; 4
(3
): 447-52
PMID24971224
show ga
BACKGROUND: Hydatid disease (HD) is an ancient disease and even was known to
Hippocrates. This disease involves all human parts and most common affected
organs are liver and lungs. Incidence of unusual site is about 8-10%. The
clinical picture depends upon the involved organs, its effects on adjacent
structures, complications due to secondary infection, rupture, and anaphylaxis
caused by hydatid cysts. AIM: The aim of this study was to find out incidence of
unusual location of hydatid cyst in the human body. MATERIALS AND METHODS: A
retrospective study of HD was carried in a medical college between July 2007 and
June 2012. A total 79 cases of HD were treated during this period. Information on
clinical presentation and management were reviewed, and results presented as
summary statistics. RESULTS: Sixty one cases were of liver HD, and 11 were with
hydatid lung disease. Fifty cases were with right lobe involvement, and rest 11
were with both lobe involvement. Out of 11 lung hydatid only one case was with
bilateral lung involvement. Only eight cases of HD of uncommon locations and
presentations were encountered during this period. First case presented with left
hypochondriac mass as splenic HD, second with pelvic HD along with obstructive
uropathy, third with non-functioning right kidney with bilateral psoas muscles
HD, fourth with HD involving mesentery, fifth with pelvic pain due to right ovary
HD, sixth with simultaneous involvement of the liver and right subdiaphragmatic
region, seventh with HD of right inguinal region, and eighth with hydatid cyst of
the left kidney. Even though, there was no mortality found in these patients,
there was high morbidity. CONCLUSION: We conclude that Echinococcus granulosus
can affect any organ in the body from head to toe, and a high suspicion of this
disease is justified in endemic regions. Moreover, medical treatment should be
given in the pre-operative period as well as in the post-operative period for 4-6
weeks.