A solitary primary subcutaneous hydatid cyst in the abdominal wall of a 70-year-old woman: a case report

Abstract

IntroductionA solitary primary hydatid cyst in the subcutaneous abdominal wall is an exceptional entity, even in countries where the Echinococcus infestation is endemic.Case presentationWe report a case of a 70-year-old Caucasian woman who presented to our hospital with a subcutaneous mass in the para-umbilical area with a non-specific clinical presentation. The diagnosis of subcutaneous hydatid cyst was suspected on the basis of radiological findings. A complete surgical resection of the mass was performed and the patient had an uneventful post-operative recovery. The histopathology confirmed the suspected diagnosis.ConclusionHydatid cyst should be considered in the differential diagnosis of every subcutaneous cystic mass, especially in regions where the disease is endemic. The best treatment is the total excision of the cyst with an intact wall.

Primary subcutaneous implantation hydatid cyst

“…[2,3,6,7] The presence of diagnostic hooklets ensures correct identifi cation, as in our case. No urticaria or anaphylactic reactions have been reported as a complication of this procedure.…”

“…[6,7] The two proposed mechanism include systemic dissemination via lymphatic route and direct spread. Direct spread may occur from inoculation (wasp bite) [8] or implantation of daughter cyst due to improper sterilization of contaminated instruments and drapes.…”

“…[1][2][3][4][5][6][7] Signs include an inert, painless, and noninfl ammatory mass. [1][2][3][4][5][6][7] At times the cyst may get superinfected or cracked and may simulate an abscess or a cancer. [7] Radiological imaging is useful for diagnosis, showing the size, location, relationship to adjacent organs, and type of the cyst.…”

Hydatid Cyst in the Anterior Abdominal Wall; A Case Presentation

“…Various studies suggest that liver is most frequently involved organ (75%) followed by lung (15%), other organ involved are heart pericardium, orbit, gastric wall, mussels and adrenal glandes [10][11][12][13].…”

Subcutaneous hydatid cyst in forearm – a diagnostic dilemma with neurofibroma

“…The best treatment option is total surgical excision without opening the cyst. If the cyst cannot be excised without opening, the cyst contents have to be removed, laminated membrane should be totally excised and cyst irrigated with protoscolicidal solutions 8,9 . Other options include percutaneous treatment under ultrasound guidance with needle aspiration of irrigation of scolicidal solutions as well as medical treatment with albendazole 10 .…”