Extrahepatic Intra-abdominal Hydatid Cyst Detected Incidentally After Trauma: A Case Report

Year 2024, Volume: 6 Issue: 1, 92 - 95, 26.02.2024

Mehmet Metin , Hande Kahraman Nurcan Coşkun , Hülya İpek , Gül Doğan , Çağatay Afşarlar

https://doi.org/10.52827/hititmedj.1358131

Abstract

Hydatid cyst is a parasitic disease frequently encountered in the liver and lungs, caused by the larval form of Echinococcus granulosus. Occasionally, hydatid cysts can be seen in the spleen, kidney, heart, bone, ovaries and peritoneal cavity. We presented a case of extrahepatic intra-abdominal hydatid cyst, which we have detected incidentally in an eight-year-old girl who was investigated for post-traumatic abdominal pain. Radiologic examination of the patient showed a midline cystic mas including septations superior to the bladder, and mesenteric cyst, ovarian mass and hydatid cyst were considered for differential diagnosis. The indirect hemagglutination (IHA) test result of the patient was negative (<1/160), and the diagnosis of hydatid cyst was made by the histopathological evaluation and microscobic examination of cyst fluid following the removal of cystic mass which was well circumscribed by omentum. We are of the opinion that extrahepatic hydatid cyst should be considered in the differential diagnosis of intra-abdominal cystic masses particularly in endemic regions.

Project Number

Not applicable

Travma Sonrası İnsidental Tespit Edilen Ekstrahepatik İntraabdominal Kist Hidatik: Olgu Sunumu

Abstract

Kist hidatik, Echinococcus granulosus’un larval formunun neden olduğu sıklıkla karaciğer ve akciğerlerde karşılaşılan paraziter bir hastalıktır. Nadiren de olsa dalak, böbrek, kalp, kemik, overler ve peritoneal kavitede kist hidatik görülebilir. Travma sonrası karın ağrısı nedeniyle araştırılan 8 yaşında bir kız hastada insidental olarak tespit ettiğimiz extrahepatik intraabdominal kist hidatik olgusu sunduk. Radyolojik incelemede orta hatta mesane superiorunda septasyon gösteren kistik kitle saptanan hastada mezenter kisti, over kaynaklı kitle ve kist hidatik ayırıcı tanılarda düşünüldü. İndirekt hemaglütinasyon (İHA) testi sonucu negatif (<1/160) olarak raporlanan hastada operasyon sırasında çıkarılan düzgün sınırlı omentumla sarılı kistik kitlenin histopatolojik değerlendirilmesi ve kist sıvısının mikroskobik incelenmesiyle kist hidatik tanısı konuldu. Özellikle endemik bölgelerde karın içi kistik kitle saptanan olgularda ekstrahepatik kist hidatik ayırıcı tanıda düşünülmesi kanaatindeyiz.
Hydatid cyst is a parasitic disease frequently encountered in the liver and lungs, caused by the larval form of Echinococcus granulosus. Occasionally, hydatid cysts can be seen in the spleen, kidney, heart, bone, ovaries and peritoneal cavity. We presented a case of extrahepatic intra-abdominal hydatid cyst, which we have detected incidentally in an eight-year-old girl who was investigated for post-traumatic abdominal pain. Radiologic examination of the patient showed a midline cystic mas including septations superior to the bladder, and mesenteric cyst, ovarian mass and hydatid cyst were considered for differential diagnosis. The indirect hemagglutination (IHA) test result of the patient was negative (<1/160), and the diagnosis of hydatid cyst was made by the histopathological evaluation and microscobic examination of cyst fluid following the removal of cystic mass which was well circumscribed by omentum. We are of the opinion that extrahepatic hydatid cyst should be considered in the differential diagnosis of intra-abdominal cystic masses particularly in endemic regions.

Keywords

Trauma, Cystic mass, hydatid cyst, extrahepatic

Ethical Statement

Not applicable

Supporting Institution

None

Project Number

Not applicable

References

• Kütükçü E, Kapan S, Turhan AN, Ede B, Aygün E. Pankreatik kist hidatik: Olgu sunumu. Bakırköy Tıp Dergisi 2005; 1: 74-76.
• Balik AA, Çelebi F, Basoglu M, Oren D, Yildirgan, Atamanalp SS. Intra-abdominal extrahepatic echinococcosis. Surg Today 2001; 31: 881-884.
• Topçu R, Sezikli İ, Erkent M, et al. Ekstrahepatik yerleşimli primer intraabdominal kist hidatiklere cerrahi yaklaşım. Turkish Journal of Clinics and Laboratory 11(5), 419-423.
• Oneto AR, Salgueiro FO, Fiorentino JA, et al. A complicated liver hydatid: experience at one center. Cir Pediatr 1998; 11:30-36.
• Erkan N, Yıldırım M, Özdemir DA, Akdeniz S, Boz A, Polat AF. Dev intraabdominal hidatid kist: Preoperatif tanı zorluğu ve tedavisi. Akademik Gastroenteroloji Dergisi 2004; 3: 39-41.
• El-Sherbini M, Yousif A, Ismail S, Abdelraouf A, Abdel-Shafi I. Anatomical patterns of intrahepatic cystic echinococcosis in reference to serological and clinical findings. Parasitologists United Journal 2020; 13(2): 107-113.
• Guraya SY, Alzobydi AH, Guraya SS. Primary extrahepatic hydatid cyst of the soft tissue: a case report. J Med Case Rep 2012 Nov 26;6:404
• Aras Y, Sabancı AS, Boyalı O. ve ark. Kraniyal Metastazlı Alveolar Ekinokok: Olgu Sunumu ve Literatürün Gözden Geçirilmesi. Türk Nöroşir Derg 2014, Cilt: 24, Sayı: 3, 298-305
• Prousalidis J, Tzardinoglou K, Sgouradis L, Katsohis C, Aletras H. Uncommon sites of hydatid disease. World J Surg 1998; 22: 17-22.