A RARE CASE OF PRIMARY PANCREATIC HYDATID CYST CAUSING BILIARY TREE DILATATION

2021 ◽  
pp. 13-14
Author(s):  
R. Deepthi ◽  
Sai kumar Reddy. kami reddy ◽  
Nasin Usman

Echinococcus granulosus complex is the causative parasite of hydatid disease, endemic to regions with stock breeding and agriculture. We present a rare case of primary pancreatic hydatid disease in a 20-year-old female who had complaints of upper abdominal pain and epigastric fullness. The typical radiological ndings in ultrasound, CT and MRI helps to differentiate this lesion from other cystic lesions in the pancreas. Therefore this lesion should be kept as a differential in endemic areas

2021 ◽  
Vol 14 (7) ◽  
pp. e243052
Author(s):  
Ronal Kori ◽  
Sudhir Kumar Jain ◽  
Rehan Nabi Khan

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.


JMS SKIMS ◽  
2019 ◽  
Vol 22 (3) ◽  
Author(s):  
Syed Muzamil Andrabi ◽  
Ajaz A Malik ◽  
Javaid Ahmad Bhat

Hydatid diseases is caused by echinococcus (granulosus and multilocularis). Humans are accidental intermediate hosts where as other animals can be either intermediate or definitive hosts. Liver is involved in 50-70% of cases. Once in the liver the hydatid cyst grows upto 1 cm in first six months and 2-3 cm annually thereafter. We received a 36-year-old male in emergency department with chief complaints of right upper abdominal pain and breathlessness since 3 days. Patient was evaluated in the emergency department and found to have normal baseline investigations.


2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Manouchehr Aghajanzadeh ◽  
Mohammad Taghi Ashoobi ◽  
Hossein Hemmati ◽  
Pirooz Samidoust ◽  
Mohammad Sadegh Esmaeili Delshad ◽  
...  

Abstract Background Hydatid cysts are fluid-filled sacs containing immature forms of parastic tapeworms of the genus Echinococcus. The most prevalent and serious complication of hydatid disease is intrabiliary rupture, also known as cystobiliary fistulae. In this study, a sporadic case of biliary obstruction, cholangitis, and septicemia is described secondary to hydatid cyst rupture into the common bile duct and intraperitoneal cavity. Case presentation A 21-year-old Iranian man was admitted to the emergency ward with 5 days of serious sickness and a history of right upper quadrant abdominal pain, fatigue, fever, icterus, vomiting, and no appetite. In the physical examination, abdominal tenderness was detected in all four quadrants and in the scleral icterus. Abdominal ultrasound revealed intrahepatic and extrahepatic biliary duct dilation. Gallbladder wall thickening was normal but was very dilated, and large unilocular intact hepatic cysts were detected in segment IV and another one segment II which had detached laminated membranes and was a ruptured or complicated liver cyst. Conclusion Intrabiliary perforation of the liver hydatid cyst is an infrequent event but has severe consequences. Therefore, when patients complain of abdominal pain, fever, peritonitis, decreased appetite, and jaundice, a differential diagnosis of hydatid disease needs to be taken into consideration. Early diagnosis of complications and aggressive treatments, such as endoscopic retrograde cholangiopancreatography and surgery, are vital.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ruba A. Khasawneh ◽  
Ziyad M. Mohaidat ◽  
Rawand A. Khasawneh ◽  
Sohaib B. Zoghoul ◽  
Yousef M. Henawi

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.


Author(s):  
Ahmad E Al-Mulla

Pyogenic liver abscesses are common in tropical developing countries. They are typically present with right and upper abdominal pain; nevertheless, occasionally, we encounter atypical presentations. Here we present a rare case of complicated large liver abscesses caused by Klebsiella pneumonia, which manifests in massive pleural effusion in a young, healthy gentleman. The patient stayed ten days in the hospital for drainage and to receive appropriate antibiotics.


2018 ◽  
Vol 13 (3) ◽  
pp. 66
Author(s):  
Kirtipal Subedi ◽  
Karishma Vaidhya ◽  
Bigya Shrestha ◽  
Kamana KC

Hydatid cyst is ecchinococcal disease caused by tapeworm echinococcus, most commonly by metacestode stage of echinococcus granulosus. Liver is the most common organ to be aff ected followed by lungs and spleen. Primary hydatid cyst in the pelvis is rare. We report a case of primary isolated pelvic hydatid cyst diagnosed incidentally during laparotomy performed for adnexal mass. Key words: adnexae, albendazole, echinococcus, hydatid cyst, laparotomy


2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Antonio Granata ◽  
Antonio Basile ◽  
Giuseppe Alessandro Bruno ◽  
Alberto Saita ◽  
Mario Falsaperla ◽  
...  

Introduction. Hydatid disease is a cyclozoonotic parasitic infestation caused by the cestodeEchinococcus granulosus. The cysts mainly arise in the liver (50 to 70%) or lung (20 to 30%), but any other organ can be involved, in abdominal and pelvic locations, as well as in other less common sites, which may make both diagnosis and treatment more complex. Isolated renal involvement is extremely rare.Case Presentation. We report a rare case of isolated renal hydatid disease in a 71-year-old man with a history of vague abdominal pain, anemia, fever, and microhematuria. Ultrasonographic examination revealed a complex cyst in the right kidney, including multiple smaller cysts with internal echoes. A magnetic resonance scan of the abdomen confirmed the findings, and hydatid cyst disease was diagnosed. Right nephrectomy was performed, and microscopic examination confirmed the diagnosis of hydatid cyst. Albendazole, 10 mg/kg per day, was given for 4 weeks (2 weeks preoperatively and 2 weeks postoperatively).Conclusion. Isolated primary hydatidosis of the kidney should always be considered in the differential diagnosis of any cystic renal mass, even in the absence of accompanying involvement of liver or other visceral organs.


2015 ◽  
Vol 22 (2) ◽  
pp. 216-218 ◽  
Author(s):  
Asifa Sattar ◽  
Nazmun Nahar ◽  
Md Mizanur Rahman ◽  
ASM Tanim Anwar ◽  
Anwar Hossain

Hydatid disease is a parasitic disease, which is most commonly caused by Echinococcus granulosus. It is endemic in many parts of the world. However, Hydatid disease can occur in almost any part of the body. Isolated omenal hydatid cyst is one of the least common sites. A case of very unusual omental hydatid cyst is presented here which was diagnosed in the Department of Radiology & Imaging, Dhaka Medical College Hospital, Dhaka, and subsequently confirmed by histopathology. DOI: http://dx.doi.org/10.3329/jdmc.v22i2.21546 J Dhaka Medical College, Vol. 22, No.2, October, 2013, Page 216-218


Folia Medica ◽  
2020 ◽  
Vol 62 (3) ◽  
pp. 615-618
Author(s):  
Christos Tsalikidis ◽  
Apostolos Gaitanidis ◽  
Christos Kavazis ◽  
Konstantinos Tepelenis ◽  
Athanasia Mitsala ◽  
...  

The anatomical area of the extrahepatic bile ducts exhibits plethora of anatomic variants. The detailed study and comprehension of anatomic variations of extrahepatic bile ducts is a prerequisite in order to avoid the intraoperative biliary or tract damages, but they are also necessary for the targeted treatment of any complications. Gallbladder agenesis is a rare congenital anomaly of the biliary tree with an estimated incidence of 0.007-0.027% in surgical series which is much lower compared to the incidence of other gallbladder anomalies. It may be asymptomatic, but sometimes is associated with symptoms such as upper quadrant abdominal pain, which may be mistaken for cholecystitis and can lead the patient to the operating room. We present a case of a 30-year-old male patient without any significant past medical history presented with a 2-year history of upper abdominal complaints, dyspepsia, epigastric abdominal pain and weight loss, normal laboratory workup and unclear radiological signs which led him to exploratory laparoscopy due to the patient’s chronic symptoms, in order to exclude the presence of another underlying pathologic process. In addition to our case presentation, a relative  review of literature was conducted. As a conclusion, examinations, such as transabdominal ultrasonography, may be misleading and MCRP should be the principal method of investigation to establish a presumptive diagnosis. However, in cases with a strong suspicion for a different underlying pathology, further investigation with exploratory laparoscopy may be warranted.


2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Amir Mohammad Salehi ◽  
Hossain Salehi ◽  
Ensiyeh Jenabi

Hydatid cyst is a parasitic disease caused by Echinococcus granulosus or Echinococcus multilocularis. Humans are accidentally infected with the parasite. The cyst is usually found in the liver and lungs and rarely occurs in other body parts. The present article describes a rare case of pelvic hydatid cyst in a young man who presented with nausea, vomiting, and right abdominal pain. Two large cystic masses were discovered during a CT scan in the patient’s pelvic region, resulting in right urinary tract hydroureteronephrosis. Additionally, the antibody index was used to confirm the presence of a primary hydatid cyst.


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