Unusual presentations of hydatid disease in Nassiria 1996-2003
Keywords:
Hydetid diease, unusual presentationsAbstract
Background: Hydatid diseases still constitutes a serious public health problem in endemic areas in the Middle East and areas around the Mediterranean.The life cycle of this parasite exists between carnivores and herbivores, like dogs and sheep; man is an accidental intermediate host and an end-point in the parasite’s life cycle.The growth of the cyst is often insidious and becomes symptomatic only late in the course of the disease.Liver and lungs are the first and second most frequently involved organs respectively, but hydatid disease can occur in all viscera and soft tissues. Objectives: The purpose of this paper is to describe an unusual presentation of hydatid disease in this locality. Methodes: During 8 years period 1996-2003 we came across 27 unusual cases of hydatid diseases which were treated in 2nd surgical unit 5th floor al Nassiria general hospital, both elective and emergency admissions. Resultes: A total of 27 patients were admitted [8males,19 females]: The mean age was 23 years ranging from 6 years to48 years, three quarters of patients came from rural areas and commonest presenting complaint was mass. Preoperative diagnosis were positive in 45%. Liver&/or lung involved in only one fourth of the cases ,all patients undergoing surgery and also received post op treatment medical treatment. Discussion: Females are more often affected than males ,patients presented mainly in 3rd decade& the disease was more prevalent in rural population. Soft tissue hydatid is usually the only hydatid disease of the body &preoperative diagnosis were not settled in nearly 2/3rd of cases especially extra abdominal one ,majority of extra abdominal hydatid were unilocular while multilcular were common in intra abdominal one Conclusion: Hydatid disease should be considered in the differential diagnosis of all cystic masses in all anatomic locations of the study.References
Barnes SA, Lillemoe K . D Liver abscess and Hydatid cyst Disease. In: Zinner MJ-Schwartz S.I-Ellis itMaingot’s abdominal operations. 10th ed, Stanford,Appleton and lange 1997; 1513–46.
Tor M, Atasalihi A, Altuntas N, et al. Review of cases withcystic hydatid lung disease in a tertiary referral hospital locatedin an endemic region: a 10 years' experience. Respiration.2000; 67: 539-4
El Marsfy YS, Morsy TA. A preliminary study on echinococcosisin Riyadh, Saudia Arabia. J Pak Med Assoc 1975; 25:10-1.
Goel MC, Agarwal MR, Misra A. Percutaneous drainage of renal hydatid cyst: early results and follow-up. Br J Urol 1995; 75: 724—8.
Altinors N, Senveli E, Donmez T, Bavbek M, Kars Z, Sanli M. Management of problematic intracranial hydatid cysts. Infection 1995; 23: 283—7.
Brown RA, Millar AIW, Steiner Z, Krige JEJ, Burkimsher D, Cywes S. Hydatid cyst of the pancreas: a case report in a child. Eur J Pediatr Surg 1995; 5:121—4.
Saidi F. Surgery of Hydatid Disease. 1st ed. London: W.B. Saunders Company, Ltd., 1976:22-5.
Cobb PJ, Schmeig R, Hunt TK, Mundy LM. Inflammation,infection and antibiotics. In: Way LW, Doherty GM, eds.:Current surgical diagnosis and treatment. 11th edition,McGraw-Hill Co., 2003; 129.
MacPherson CN, Kachani M, Lyagoubi M, et al. Cystic echinococcosisin the Berber of the Mid Atlas mountains, Morocco:new insights into the natural history of the diseasein humans. Ann Trop Med Parasitol. 2004; 98: 481-90.
bailey&lovesshortpracticeofsurgery22ndedition708-710
postgraduatesurgery2ndeditioneditedbyM.A.R.AL.Fallouji141
Kir A, Baran E. Simultaneous operation for hydatid cyst of right lung and liver. Thorac Cardiovasc Surgeon 1995; 43: 62—4
Guntz M, Coppo B, Lorimier G, Cronier P. Hydatid cyst of the liver appearing late (10—22 years) after surgical treatment of pulmonary hydatidosis. Physiopathologic problems J Chir Paris 1990; 127: 375—81.
Klan T, Hammami S. Pulmonary hydatid and otherlung parasitic infections. Current opinion inPulmonary Medicine 2002; 8(3): 218-23.
Aribas OK, Kanat F, Gormus N, Turk E. Pleural complications of hydatid disease. J Thoracic Cardio VascSurg 2002; 123 (3): 492-7.
Dziri C. Hydatid disease - Continuing seriouspublic health problem: ntroduction. World J Surg2001; 25:1-3. [PMID 11213146]
Kayabali I, Gokcora IH, Ormeci N. Surgicaltreatment of hydatid cysts of the pancreas. Int Surg1991; 76:185-8. [PMID 1938210]
Abi F, el Fares F, Khaiz D, Bouzidi A. Unusuallocalizations of hydatid cysts. Apropos of 40 cases. JChir (Paris) 1989; 126:307-12. [PMID 2663895]
- Elburjo M, AbdulGani E. Surgical management of pulmonary hydatid cysts in children. Thorax 1995;50(4): 396-8.
Anadol D, Ozcelik U, Kiper N, Gocmen A.Treatment of Hydatid Disease. Paediatric Drugs2001; 3(2): 123-35
Barnes SA, Lillemoe K . D Liver abscess and Hydatidcyst Disease. In: Zinner MJ-Schwartz S.I-Ellis itMaingot’s abdominal operations. 10th ed, Stanford,Appleton and lange 1997; 1513–46.
Holcomb GW, Pietschj B, Hepatic infection. In:Oneill JA, Rowe MI, Grosfeld JL, Fonkalsrud EW,Coran AG. Pediatric Surgery. 5th ed, St louis. MosbyCo 1998; 1506,13.
Barnes SA, Lillemoe K . D Liver abscess and Hydatidcyst Disease. In: Zinner MJ-Schwartz S.I-Ellis itMaingot’s abdominal operations. 10th ed, Stanford,Appleton and lange 1997; 1513–46.
Beauchamp RD, Holzman MD, Fabian T Cspleen,townsend CM, Beauchamp RD, Evers BM. Sabiston textbook of surgery. 6th ed Philadelphia, W.B.Saunderscompany 2001; pp: 1151-52.
Halezeroglu S, Celik M, Uysal A, et al. Giant hydatid cyst of the lung. J Thoracic Cardiovascular Surg 1997; 113: 712-17
HYDATID DISEASE IN CHILDREN:A different pattern than adults Abdol Hassan Talaiezadeh1, Sharif Maraghi2Pak J Med Sci July - September 2006 Vol. 22 No. 3 329-332
Buttenschoen K, Schorcht P, Reuter S, et alcaZ Gastroenterol 2004; 42: 1101-8
