Clinical and surgical evaluation of cyst hydatid cases in a training and research hospital in Şanlıurfa province

Year 2022, Volume: 39 Issue: 2, 503 - 506, 18.03.2022

Mehmet Patmano , Funda Cansun , Gülsün Gülten

Abstract

Introduction and Purpose: Echinococcus, which is a zoonotic agent, is endemic in our country and causes hydatid disease by localizing in various organs in the human intermediate host. This study aims to present the demographic and clinical characteristics of patients treated for hydatid cysts in our hospital, determine the methods used for treatment, and review the complications in detail.

Material and method: Cases reported to have a hydatid cyst in the surgical material pathology result in XXXXXXXX were evaluated between March 2017 and December 2019. All patients were living in Turkey, which is endemic for hydatid cysts. The records of the patients who were operated on with the pre-diagnosis of cyst hydatid after the examinations and whose pathology results were reported as hydatid cysts were reviewed retrospectively.

Results: During the study dates, a total of 84 patients, 55 (65.4%) female and 29 (34.5%) male, were operated on for cyst hydatid in our hospital. The mean age of the patients was 28.6 (min: 2-max: 67). Seventeen (20%) of the patients were in the pediatric age group. When the patients were examined in terms of the number of cysts, 65 (77.3%) patients had a single cyst, while 19 (22.6%) patients had more than one cyst. When evaluated in terms of cyst location, liver localization was observed in 35 (41.6%) patients, liver and lung co-location in 4 (4.7%) patients, lung location in 19 (22.6%) patients, spleen location in 2 (2.3%) patients, and brain location in 2 (2.3%) patients. localization, adnexal localization in 6 (7.1%) patients, renal localization in 2 (2.3%) patients, and soft tissue localization in 14 (16.6%) patients. In the pediatric age group, cyst localization was 4 in the liver, 10 in the lung, 2 in the brain, and 1 in soft tissue. Preoperative serology test results of 42 patients were reported as positive (+) (1/320-1/2560).
The average duration of hospitalization was 1-27 days. When the postoperative complications of the patients were examined, the biliary fistula was found in 4 (4.7%) patients, prolonged air leak in 2 (2.3%) patients, pneumothorax in 1 (1.1%) patient, empyema in 1 (1.1%) patient, who was operated for liver cyst hydatid and postoperative seroma was observed in 5 (5.9%) patients. The mean specimen diameter in the pathology results was 2-20 cm.


Conclusion: Cyst hydatid disease caused by echinococcus is endemic in our country and often requires surgical intervention. Imaging methods and serology are used in the diagnosis, but a negative serology does not rule out this disease. Patients should be followed up for possible complications after surgery.

Keywords

echinococcus granulosus, hydatid cysts, treatment, complication

References

• Referans1. Eckert J, Deplazes P. Biological, epidemiological, and clinical aspects of echinococcosis, a zoonosis of increasing concern. Clin Microbiol Rev. 2004;17:107-135.
• Referans2. Poyrazoglu OB, Donder Y, Dulger AC, Arikan TB. Celiac disease prevalence in patients with hydatid cyst. Journal of Turgut Ozal Medical Center. 2017; 24(4).
• Referans3. Altay N, Yüce HH, Kücük A, Aydoğan H, Yalçin S, Yildirim ZB. Anesthetic management in hydatid disease: a review of 435 cases. Clin Ter. 2014;165:e90-93.
• Referans4. Anesthetic management in hydatid disease: a review of 435 cases. Clin Ter. 2014;165:e90-93.
• Referans5. Kayaalp C, Dirican A, Aydin C. Primary subcutaneous hydatid cysts: a review of 22 cases. Int J Surg 2011; 9:117-121.
• Referans6. Köksal AS, Arhan M, Oğuz D. Kist Hidatik. Güncel Gastroenteroloji 2004; 1: 61-67.
• Referans7. Kammerer WS, Schantz PM. Echinococcal disease. Infect Dis Clin North Am. 1993;7:605-618
• Referans8. Sarkar M, Pathania R, Jhobta A, Thakur BR, Chopra R. Cystic pulmonary hydatidosis. Lung India. 2016;33:179-191
• Referans9. Bhutani N, Kajal P. Hepatic echinococcosis: a review. Ann Med Surg (Lond). 2018;36:99-105.
• Referans10. Pawlowski Z, Eckert J, Vuitton DA, Ammann RW, Kern P, Craig P, Set al. Echinococcosis in humans: clinical aspects, diagnosis, and treatment. In: Eckert J, Gemmell MA, Meslin FX, Pawlowski Z, eds. WHO/OIE Manual on Echinococcosis in humans and animals. Paris: Office International des Épizooties; 2001: 20-71.
• Referans11. McManus DP, Zhang W, Li J, Bartley PB. Echinococcosis. Lancet 2003; 362: 1295-304
• Referans12. Brunetti E, Kern P, Vuitton DA, Writing Panel for the WHO-IWGE. Expert consensus for the diagnosis and treatment of cystic and alveolar echinococcosis in humans. Acta Trop. 2010;114: 1-16.
• Referans13. Sayek İ. Kist Hidatik Hastalığı: Klinik Yönleri. Altıntaş N, Tınar R, Çoker R (eds). Hidatoloji Derneği Yayınları, İzmir 2004:141-147.
• Referans14. Kokturk O, Guruz Y, Akay H, Akhan O, Biber Ç, Çağırıcı U, ve ark. Toraks Derneği Paraziter Akciğer Hastalıkları Tanı ve Tedavi Rehberi. Toraks Dergisi 2002; 3: 1-16.
• Referans15. Irmak H, Özkan AT. Türkiye’de Kistik Ekinokokkoz Mevcut Durum Raporu, Türk Hijyen ve Deneysel Biyoloji Dergisi. 2020;77:3
• Referans16. Annual Epidemiological Report for 2016 Echinococcosis European Centre for Disease Prevention and Control, 2018.
• Referans17. Garg MK, Sharma M, Gulati A, Gorsi U, Aggarwal AN, Agarwal R, et al. imaging in pulmonary hydatid cysts. World journal of radiology 2016; 8(6): 581-587.
• Referans18. Hakverdi S, Sayar H, Yaldız M, Erdoğan Ş, Akansu B, Canda MŞ. Çukurova yöresinde seyrek yerleşimli ekinokokkozis. Türk Parazitol Derg 2009; 33: 77-81.
• Referans19. Köktürk O. Akciğer hidatik kist hastalığı. In: Ekin N, Uçan ES eds. Solunum Sistemi Enfeksiyonları. Ankara, Turgut yayıncılık, 2001:557-604.
• Referans20. Mono PL. Clinical manifestations and diagnosis of echinococcus. www.uptodate.com 2013.)
• Referans21. Akısı Ç, Delibaş SM, Yuncu G, Aksoy Ü, Özkoç S, Biçmen C. Akciğer hidatidozunun tanısında IHA, ELISA ve Western Blot testlerinin değerlendirilmesi. Tüberküloz ve Toraks Dergisi 2005;53:156-160
• Referans22. Yenigul AE, Cetin DA. Two rare cases; primary soft-tissue hydatid cyst mimicking soft tissue tumor. Annals of Medical Research 2019; 26(2), 293-295.
• Referans23. Akova A, Özkan S. Karaciğer hidatik kisti. Göztepe T›p Dergisi.2004; 19: 213-215.
• Referans24. Durceylan E, İliklerden DM. Akciğer Hidatik Kisti Cerrahi Tedavisindeki Klinik Deneyimlerimiz. Van Tıp Derg. 2020;27(2): 144-149.
• Referans25. Aldahmashi M, Alassal M, Kasb I, Elrakhawy H. Conservative Surgical Management for Pulmonary Hydatid Cyst: Analysis and Outcome of 148 Cases. Can Respir J. 2016;8473070.
• Referans26. Tercan M, Tanriverdi TB, Kaya A, Altay N. Our clinical experience and follow-up results in hydatid cyst cases: a review of 393 patients from a single center. Revista Brasileira de Anestesiologia.2020; 70(2), 104-110.