Hydatidosis in Jordan: an epidemiological study of 306 cases

Amr, Samir S.; Amr, Zuhair S.; Jitawi, S.; Annab, Hassan

doi:10.1080/00034983.1994.11812913

Cited by 56 publications

(62 citation statements)

References 15 publications

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“…Nearly twothirds of splenic cystic lesions are due to hydatidosis (Kune and Morris, 1990;Amr et al, 1994;Wani et al, 2005). Splenic hydatid cysts are usually solitary (Shukla et al, 1991) but there are also cases presented with multiple cysts.…”

Section: Discussionmentioning

confidence: 99%

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Splenic cyst hydatid: A case report

Aktaş

Alçelik

Yılmaz

2012

jecm

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ÖZETKist hidatik dalakta en sık görülen parazitik kist sebebidir. Dalakta izole olabilecekleri gibi dissemine ekinokokkozisin bir parçası olarak da bulunabilirler. Bu yazıda splenektomi ve ototransplantasyonla tedavi ettiğimiz bir splenik kist hidatik vakasını sunmaktayız. On yedi yaşında bayan hasta hastanemize karın ağrısı şikayetiyle başvurdu. Hastaya primer dalak kist hidatiği tanısı konularak splenektomi ve ototransplantasyon yapıldı. Sonuç olarak dalaktaki kistik lezyonların kist hidatik açısından değerlendirilmesini öneriyoruz. Splenektomi ve ototransplantasyon hem tedavide hem de dalak fonksiyonlarının korunmasında etkindir.J. Exp. Clin. Med., 2012; 29:239-241 Hydatid cyst is the most common cause of parasitic cysts in spleen. Hydatid cysts may be isolated in spleen or as a part of disseminated echinoccosis. We report here a case of splenic hydatid cyst which we treated with splenectomy and autotransplantation. A seventeen year old female admitted to hospital complaining dull abdominal pain. Patient was diagnosed with primary splenic cyst hydatic and we performed splenectomy and autotransplantation. In conclusion, we recommend that cystic lesions of the spleen should be examined for hydatid cyst. Splenectomy and autotransplantation is useful for both treatment and for preservation of splenic functions.

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Section: Discussionmentioning

confidence: 99%

“…Splenic hydatid cysts are only 0.5-8% of all hydatid cysts (Amr et al, 1994;Amman and Eckert, 1996). Nearly twothirds of splenic cystic lesions are due to hydatidosis (Kune and Morris, 1990;Amr et al, 1994;Wani et al, 2005).…”

Section: Discussionmentioning

confidence: 99%

Splenic cyst hydatid: A case report

Aktaş

Alçelik

Yılmaz

2012

jecm

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“…Therefore, in countries where hydatid disease is endemic, clinicians and radiologists often come across this disease and, they take it into consideration in the differential diagnosis. Apart from the liver and lung, the localizations where hydatid disease is considerably seen are the kidneys, spleen, abdominal/peritoneal cavity, gallbladder, breast and brain (Çöl et al, 2003;Amr et al, 1994;Kireşi et al, 2003;Sadrieh et al, 1967;Balik et al, 2001). In our series of patients, spleen and kidney localizations, equal in number, were predominant among the unusually located hydatid cysts.…”

Section: Discussionmentioning

confidence: 99%

“…Glycoproteins (GPs) purified from cyst fluid of Taenia solium are highly specific for diagnosis of T. solium neuorcysticercosis (NCC), and specific serological test for differentiation of NCC from echinococcosis is GP-ELISA or GP-immunoblot (Ito et al, 2003). The most common organ affected by hydatid disease is the liver (55 -70 %) followed by the lungs (20 -35 %) and the two organs are affected simultaneously in about 5 -13 % of cases (Abu-Eshy, 1998;Ahmadi & Hamidi, 2008 (Amr et al, 1994;Lucandri et al, 1994;Prousalidis et al, 1998;Kireşi et al, 2003;Çöl et al, 2003). In Iran, the adult stage of infection is commonly found among dogs, wolves, foxes and jackals (Fallah et al, 1995;Eslami & Hosseini, 1998;Dalimi et al, 2002), and the larval stage among livestock (Arbabi et al, 1998;Ansari-Lari, 2005;Dalimi et al, 2002;Ahmadi, 2005).…”

Section: Introductionmentioning

confidence: 99%

Unusual localizations of human hydatid disease in Hamedan province, west of Iran

Ahmadi

Hamidi

2010

Helminthologia

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94 SummaryCystic echinococcosis (CE) is endemic in many parts of Iran. It may develop in almost any part of the human body, though the location is mostly hepatic and followed by pulmonary. This study was carried out on the 24 patients diagnosed with unusual localizations of hydatidosis among the patients admitted to the university hospitals in Hamedan province, west of Iran, during 14-year period. The cases were aged 6 -73 years, the majority being aged 40 -59 years (33.3 %). Ten of the patients diagnosed with unusually located hydatid disease were men, fourteen were women. The over-representation of housewives (50.0 %) and followed by farmers (20.8 %) among the cases was significant. Similarly, rural dwellers were also over-represented among the cases (54.2 % vs. 45.8 %). Most (19 case) of the cases had been diagnosed just by ultrasonography, but 3 case had only been diagnosed by computed tomographic (CT) scans, and another 2 had had both ultrasonography and CT scans. Spleen and kidneys, followed by abdominal/peritoneal cavity, were the organs where hydatid disease was most frequently observed after the liver and lung. The splenic cysts were solitary in 4 cases, associated with a hepatic cyst in 1 and with pelvic and abdominal wall cysts in 1. The renal cysts were usually isolated without any other organ involvement, and there was only one case of associated with hydatid disease in liver. In addition, findings in brain, mesenterium, breast, choledochus, bladder wall and inguinal area are also discussed. These results confirm that CE should be considered in the differential diagnosis of any cystic mass in all anatomic locations (including unusual localizations), especially when occurring in areas where the disease is endemic.

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“…Some larvae evade the hepatic microvascular barrier to reach the lungs forming pulmonary hydatid cysts. A small fraction of the released larvae bypass both filters and are distributed to different organs including the spleen, kidney, peritoneum, brain and mesentery (Amr et al 1994). How the larvae bypass the hepatic and pulmonary microvasculatures is not fully understood.…”

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confidence: 99%

Splenic hydatid cyst: is splenectomy necessary?

Rabie

Al-Naami

Arishi

et al. 2008

Acta Parasitologica

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The spleen is a rare location for hydatid cysts with the larvae reaching the site after escaping the hepatic and pulmonary filters. For most surgeons, splenectomy is the primary treatment in such cases which aims at eradicating the disease while decreasing the chances of recurrence by removing the intact cyst. While this is true, the risks of other two parasitic infections are increased, namely malaria and babesiosis. In the case presented here, the spleen was preserved after extirpating the cyst to keep the patient's immunity against malaria, which is endemic in our region. KeywordsSplenectomy, hydatid cyst, immune function * Corresponding author: ezzedien@hotmail.com Canines are the definitive hosts of the tapeworm Echinococcus granulosus. Humans are accidental intermediate hosts by consuming food or water contaminated by the eggs of the parasite. In the small intestine the eggs hatch and the released larvae penetrate the intestinal wall to gain access to the circulation and reside in different organs, primarily the liver, forming cysts. The disease is endemic in sheep and cattle rearing countries in both the developed and developing world (Bauman 2004).A 30-year-old female presented with pain in the left hypochondrium. On examination, she looked generally well; the vital signs were within normal and chest and heart examination showed no abnormality. The abdomen was soft with a palpable mobile mass in the left upper quadrant and bowel sounds were normal. Apart from a slightly raised white cell count (10.7 cell/cubic mm) there was no biochemical or haematological abnormalities.An ultrasound (US) and computerized axial tomography (CT) scan of the abdomen showed a large cystic lesion, 10 × 15 cm, occupying the upper half of the spleen with the characteristic appearance of hydatid cyst (Figs 1 and 2). The liver and kidneys were normal and no other lesions were detected. The diagnosis was splenic hydatid cyst and the patient was prepared for surgery.On call to surgery, intravenous Augmentin (amoxicillin and clavulanic acid) was given. Hydrocortisone was also given at the start of the operation and the abdomen was entered through a left subcostal incision. There were dense adhesions between the enlarged spleen and the anterior abdominal wall. At the medial aspect of the spleen, there was a fluctuant area marking the cyst. After isolation of the area with abdominal packs, aspiration and re-injection of the cyst cavity with 0.5% silver nitrate solution was done twice. The cyst was then opened and evacuated of the laminated membrane and all debris or membrane remnants were thoroughly removed (Fig. 3). A drain was inserted in the cyst cavity and the abdomen was closed.Oral feeding was started in the first postoperative day and the diet was gradually built up. The drain was removed on the fifth day when the drainage fluid became nil, and the patient was discharged on the 7th post-operative day.During her outpatient follow up three months later, she remained in good health and the cavity previously occupied by ...

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Hydatidosis in Jordan: an epidemiological study of 306 cases

Cited by 56 publications

References 15 publications

Splenic cyst hydatid: A case report

Splenic cyst hydatid: A case report

Unusual localizations of human hydatid disease in Hamedan province, west of Iran

Splenic hydatid cyst: is splenectomy necessary?

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