Left retroperitoneal hydatid cyst disease and the treatment approach

Abstract

Hydatid disease is one of the oldest diseases known to mankind. In 85-95% of the cases, the liver and/or the lung are involved and in only 5-15% the cyst occurs at the other sites. Echinococcal cysts are mostly found in the liver (60%-70% of cases), followed by the lungs (10%-25%), spleen, ovaries, kidneys, brain, bones and heart, but rarely elsewhere in the body.1-3 Retroperitoneal location of hydatid cyst is encountered rarely and only occasional case reports have appeared since Lockhart and Sapinza first reported this entity in 1958.4-6 Primary retroperitoneal hydatid cyst is extremely rare. Hydatid disease in extrahepatic locations usually remains asymptomatic unless the cyst grows and produces symptoms due to pressure, rupture to the pleural or peritoneal cavity, secondary infection, or an allergic reaction. The differential diagnosis of a retroperitoneal cystic mass includes soft tissue tumors, cystic lymphangioma, retroperitoneal abscess, pseudocyst, and embryonal cysts.7-8 We reported a rare case of a 21-year-old woman with a hydatid cyst in her left retroperitoneum, with concomitant left diaphragmatic involvement.

Keywords

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Left retroperitoneal hydatid cyst disease and the treatment approach

Öz

Anahtar Kelimeler

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References

1. Tepetes K, Christodoulidis G, Spryridakis M, Hatzitheofilou K. Large solitary retroperitoneal echinococcal cyst: A rare case report. World J Gastroenterol 2007;13:6101-6103.
2. Saidi, F. Surgery of Hydatid Disease. 1st edition, W. B. Saun- ders Company Ltd., Philadelphia, 1976: 32.
3. Tekin R, Kara AF, Tekin RC, Cimen D. Cardiac hydatid cyst case recovered with medical treatment. Anadolu Kardiyol Derg 2011;11:650-651.
4. Lockhart J. Sapinza VC. Primary retroperitoneal hydatid cyst, Excerpta Med 1958;12:968-970.
5. Hatipoglu AR, Coskun K, Karakaya K, Ibis C. Retroperitoneal localization of hydatid disease. Hepatogastroenterology 2001;48:1037-1039.
6. Balik AA, Celebi F, Basoglu M, Oren D, Yildirgan I, Atamanalp SS. Intra-abdominal extrahepatic echinococcosis. Surg To- day 2001;31:881-884.
7. Shambesh MA, Craig PS, Macpherson CN, et al. An extensive ultrasound and serologic study to investigate the prevalence of human cystic echinococcosis in northern Libya. Am J Trop Med Hyg 1999; 60:462-468.
8. Athanassiadi K, Kalavrouziotis G, Loutsidis A, Bellenis I, Exar- chos N. Surgical treatment of echinococcosis by a transtho- racic approach: A review of 85 cases. Eur J Cardithorac Surg 1998;14:134-140.

9. McManus DP, Gray DJ, Zhang W, Yang Y. Diagnosis, treat- ment, and management of echinococcosis. BMJ 2012; 344:e3866.