A Rare Case of Femoral Hydatidosis

Mogrambi, S. Al; Fragandreas, G.; Papadopoulos, Savvas; Arapoglou, Stergios; Kambaroudis, Apostolos; Gerasimidis, Thomas

doi:10.1089/sur.2009.067

Cited by 4 publications

(3 citation statements)

References 10 publications

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“…Rare anatomic locations reported for hydatid cysts are numerous. These include: breast, pancreas, adrenal gland, spleen, ovary, pleura, chest wall, cavernous sinus, thyroid, parotid gland, submandibular gland, peritoneal cavity, retroperitoneum, inguinal canal, muscle, bone, thigh, femoral region and subcutaneous tissue [ 3 , 4 , 34 - 36 ] . One of them is iliac and hydatid cysts affecting the femoral region.…”

Section: Discussionmentioning

confidence: 99%

Unusual Hydatid Cysts: Cardiac and Pelvic-Ilio femoral Hydatid Cyst Case Reports and Literature Review

Kankılıç¹,

Aydın²,

Günendi³

et al. 2020

Braz J Cardiovasc Surg

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Introduction: Hydatid cyst is a parasitic disease caused by Echinococcus granulosus, most commonly seen in the liver and lungs. The hydatid cyst is rarely seen in the heart and iliofemoral region, representing less than 2% of all cases. In this article, we report our cases of hydatid cysts in unusual loci. Methods: Between 2015 and 2018, 6 rare cases of hydatid cysts were diagnosed at the Cardiovascular Surgery Department of Harran University. Four of these patients had cardiac localization and two patients had their cysts located in the iliofemoral region, extending to the pelvic zone. All patients were female. Three patients had no other organ involvement. One patient with cardiac hydatid cyst underwent normothermic cardiopulmonary bypass + total pericystectomy + Cooley-like aneurysmectomy. Total pericystectomy was performed in three other patients with intrathoracic locus by normothermic cardiopulmonary bypass. Two patients who were referred to our clinic with palpable iliofemoral mass were evaluated with appropriate imaging methods and diagnosed accordingly. Multiple iliofemoral cysts were managed with pericystectomy and drainage by a single incision made over the inguinal ligament. Conclusion: Hydatid cyst disease can develop in cardiac chambers and inguinal region with or without hepatic or pneumatic involvement. Normothermic cardiopulmonary bypass can be safely used in patients with cardiac hydatid cysts, and capitonnage similar to ventricular aneurysm repair in patients with a widely involved cystic lesion can be very useful for the protection of ventricular functions.

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Section: Discussionmentioning

confidence: 99%

Unusual Hydatid Cysts: Cardiac and Pelvic-Ilio femoral Hydatid Cyst Case Reports and Literature Review

Kankılıç¹,

Aydın²,

Günendi³

et al. 2020

Braz J Cardiovasc Surg

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“…It would be wise to include hydatid disease in the differential diagnosis of a retroperitoneal cystic tumor, especially in cases where patients come from endemic areas [ 7 ]. The presence of hydatid disease in uncommon sites may be secondary, due to cyst rupture and spillage of its content, or primary through implantation via the lymphatic vessels of the gastrointestinal tract and the hepatic portal system [ 8 ]. Secondary retroperitoneal echinococcosis is more common.…”

Section: Discussionmentioning

confidence: 99%

Primary Retroperitoneal Echinococcal Cyst Treated With a Total Cystectomy

Pichioni,

Kokkinovasilis,

Stylianou

et al. 2024

Cureus

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Cystic echinococcosis is a zoonotic disease caused by Echinococcus granulosus and causes significant morbidity, especially in endemic areas. It may remain asymptomatic for a long period. The clinical presentation depends on the exertion of pressure on adjacent organs or the sudden rupture of formed cysts. The presence of primary retroperitoneal echinococcal cysts, with no other organ involvement, has been scarcely reported in the literature. The aim of this study is to present the case of a 69-year-old male complaining of right flank pain for a month. Abdominal CT and MRI were performed, both revealing a large retroperitoneal mass measuring 18 centimeters in diameter, with daughter cysts and spots of calcification. The enzyme-linked immunosorbent assay (ELISA) for hydatid was positive. The patient denied any prior history of hydatidosis; thus, the diagnosis of a primary retroperitoneal echinococcal cyst was established. The patient underwent a successful total cystectomy and is in follow-up, reporting no recurrence of symptoms. Although the presence of echinococcal cysts in locations other than the liver or the lungs is rare, clinicians should always consider the possibility of a hydatid cyst diagnosis and perform the required diagnostic tests.

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“…Imaging examinations for echinococcosis include USG, CT, and magnetic resonance imaging (MRI) [13,14]. Ultrasonography is useful for a screening diagnosis, whereas CT and MRI are supporting examinations after USG.…”

Section: Discussionmentioning

confidence: 99%