Clinical Echinococcosis

Amir-Jahed, A.K.; Fardin, R.; FARZAD, A.; Bakshandeh, Kiumars

doi:10.1097/00000658-197511000-00001

Cited by 123 publications

(76 citation statements)

References 7 publications

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“…To our knowledge, isolated subcutaneous hydatid cyst has not been previously reported [1,2]. Sonography and CT are useful for delineating the location of the cyst, but the findings are nonspecific [6].…”

Section: Discussionmentioning

confidence: 99%

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Hydatid cyst of the subcutaneous tissue without other involvement: MR imaging features.

Chevalier¹,

Rhamouni²,

Bretagne³

et al. 1994

American Journal of Roentgenology

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Section: Discussionmentioning

confidence: 99%

“…is often manifested by a slowly growing cystic mass, most often involving the liver and the lungs (78%) [1]. The 22% of cases that do not involve the liver on lung affect muscle, peritoneum, bone, spleen, pancreas, heart, kidney, or brain instead [1 , 2].…”

Section: Hydatid Cyst Caused By Echinococcus Granulosusmentioning

confidence: 99%

Hydatid cyst of the subcutaneous tissue without other involvement: MR imaging features.

Chevalier¹,

Rhamouni²,

Bretagne³

et al. 1994

American Journal of Roentgenology

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“…Other serologic tests, such as the complement fixation test, have been used with variable accuracy. [9][10][11][12][13][14][15][16] Diagnostic X-ray evaluations are not accurate because the pictures are not characteristic, and interpretation varies among radiologists. Other investigations, like isotope scanning and ultrasonography, in suspected cases of echinococcosis may improve the diagnostic accuracy and give a good idea about the number, size, and location of the cysts.…”

Section: Diagnosismentioning

confidence: 99%

“…The residual cavity should be filled with 20% hypertonic saline after suction of the parasitic fluid and left for five to ten minutes to lower the incidence of secondary echinococcosis. 1,13,[17][18][19][20] Despite all measures taken, the recurrence rate is 3% to 11%, 9 and the latent period is between two and three years. Radiotherapy is not advisable.…”

Section: Therapymentioning

confidence: 99%

Echinococcosis: An Obstetric and Gynecologic View

et al. 1988

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Four patients had echinococcosis that required obstetric and gynecologic management. Patients under treatment for echinococcosis require timely contraceptive or prepregnancy advice, although reproductive function is rarely affected by the hydatid.EA Kidess, AS Akiel, HS Ba'aqeel, SS Malaika, Echinococcosis: An Obstetric and Gynecologic View. 1988; 8(3): 202-205 MeSH KEYWORDS: Echinococcosis; Pregnancy complications Human echinococcosis is relatively common in Saudi Arabia, and the sex incidence of patients with echinococcosis is 62.8% and 37.2% for females and males, respectively, with maximal incidence between the ages of 25 and 40 years, 1 the fertile age of females. Although mortality is low, complications may occur to make its morbidity of great interest in obstetrics and gynecology, especially in a country where pregnancy and motherhood are high priority. Here we describe four cases that stimulated us to evaluate and review the management of echinococcosis from obstetric and gynecologic viewpoints. Case Reports Case 1A 39-year-old woman, gravida 5, para 3 + 1, was referred with secondary amenorrhea of six weeks' duration and a positive pregnancy test. She had a four-year history of pain in the upper right quadrant of the abdomen. Four months prior to consultation, she underwent surgery for removal of a 5.7 × 5.2 cm hydatid cyst containing multiple daughter cysts from the right and left lobes of the liver with involvement of the diaphragm. Post-operatively a sixmonth course of mebendazole was prescribed. Four weeks prior to consultation, she was admitted with upper right quadrant pain, and fluid was aspirated from the right subdiaphragmatic area. For maternal medical indications, termination of pregnancy was approved. The patient underwent suction curettage, and an intrauterine contraceptive device was inserted. Both husband and wife refused tubal ligation. The histopathology report confirmed the presence of products of conception. This patient continued to receive mebendazole therapy. Case 2A 30-year-old woman, para 6 + 1, with regular menstrual cycles and no gynecological complaints gave a fouryear history of heaviness in the right hypochondrium. This became a colicky pain of a few weeks' duration and prompted her admission to the surgical service. Clinical, sonographic, and radiologic investigations suggested a hydatid cyst, and hydatid serology was positive. Liver function tests were normal. She underwent surgery, and a hydatid cyst measuring 12 × 15 cm and smaller multiple cysts were removed from the right lobe of the liver. Echinococcosis: An Obstetric and Gynecologic ViewAnnals of Saudi Medicine, Vol 8 No. 3; 1988 Postoperatively she received a six-month course of mebendazole. At postoperative consultation, contraception was advised, and an intrauterine contraceptive device was inserted. Case 3A 36-year-old woman, gravida 3, para 2 + 0, had regular menstrual cycles and an unremarkable gynecologic history. She presented for antenatal care at nine weeks' gestation. Her first pregnancy fiv...

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“…Complication associated rather than disease itself, are difficult to treat. 2 Although hydatid cysts can be treated by various modalities, like surgery, chemotherapy, and or percutaneous aspiration, but surgery by far remains the gold standard for treatment among day by day evolving new procedures. It is the only treatment which is applicable over the entire spectrum of disease.…”

Section: Introductionmentioning

confidence: 99%