VERTEBRA KAYNAKLI DEV RETROPERİTONEAL KİST HİDATİK

Year 2013, Volume: 2 Issue: 2, 118 - 121, 31.08.2013

İsmail Yaman Hayrullah Derici Gülen Demirpolat Mehmet Erduran

Abstract

Kist hidatiğin vertebra tutulumu oldukça nadir görülmektedir. Prognoz kötüdür, multipl nüksler ve paraplejiye neden olabilir. Bu bildiride T10’uncu vertebradan kaynaklandığını düşündüğümüz, retroperitoneal yerleşimli, vena cava inferior ve aortu tama yakın saran dev primer kist hidatik olgusunun sunulması amaçlanmıştır. Hasta sırt sağ üst kesimde şişlik şikayeti ile başvurdu. Fizik muayenesinde sağ Grynfelt üçgenine uyan alanda dört cm’lik kitle mevcuttu. Görüntüleme tetkiklerinde sağ anterior prevertebral alandan paravertabral kaslara genişleyen, 16x11 cm’lik semisolid kitle mevcuttu. Kitle T10. vertebranın üçte birlik kısmını dekstrükte etmiş idi, anteriorda vena cava inferior ve aortu kısmen sarıyordu. Ameliyatta kist duvarı en olgun yerinden açılarak çok sayıda kız vezikül çıkarıldı, parsiyel kistektomi, küretaj ve drenaj uygulandı.Vertebral kist hidatik tanı ve tedavisi zor bir hastalıktır. Tanıda en önemli unsur hastalığın endemik olduğu bölgelerde ayırıcı tanıda vertebral kist hidatiğin akılda tutulmasıdır.

Keywords

Kist hidatik, vertebra

GIGANTIC RETROPERITONEAL HYDATID CYST ORIGINATING FROM VERTEBRAE

Abstract

The involvement of hydatid cyst in vertebrae is exceptional. Prognosis is bad; it may cause multiple recurrences and paraplegia. In this proceeding it is aimed to present the case of gigantic primary hydatid cyst, thought to be originating from the T10th vertebrae, located in retroperitoneal space, surrounding the inferior vena cava and aorta almost completely. Patient consulted with the complaint of mass in the right upper part of the waist. In his physical examination, in the area corresponding to right Grynfelt triangle, there was a mass of 4x4 cm. In the imaging studies, there was a semisolid mass whose size was 16x11 cm. and expanding from right anterior prevertebral area to paravertebral muscles. The mass had destructed one third of the T10 vertebrae, and was partially surrounding inferior vena cava and aorta in the anterior. In the operation, opening the cyst wall from the most mature point, a great number of female vesicles were taken out. Partial cystectomy, curettage, and drainage were applied. Vertebral hydatid cyst is a disease, difficult to diagnose and treat. In the diagnosis, the most significant part is to keep the vertebral hydatid cyst in mind in differential diagnosis in the areas where the disease is endemic.

Keywords

Hydatid cyst, spine

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