Primary hydatid cyst of the neck

Abstract

Hydatid cysts in the cervicofacial region are rare. We present an unusual case of a hydatid cyst found in the nape of a 66-year-old Turkish woman. There was no pulmonary or hepatic involvement. Excision of the cystic mass as definitive therapy was performed. The location of the lesion, diagnostic tests available and therapeutic approach are discussed and the literature reviewed.

Unusual Location of Primary Hydatid Cyst: Soft Tissue Mass in the Supraclavicular Region of the Neck

“…Eroglu et al [8], Iynen et al [4], each have been reported an unusual case of hydatid cyst found in the neck, and just like our case report, there was no pulmonary or hepatic involvement.…”

“…Hydatid serology is only valuable when it is positive, negative serologic test does not exclude the diagnosis. We performed hemagglutination test and ELISA test in our patient and the result was negative [1,2,4,[7][8][9][10].…”

“…If the cyst cannot be excised without opening, the fluid contents should be removed, the laminated membrane should be totally excised, and the cyst pouch should be irrigated with protoscolicidal solutions [2,4,7,8,11]. Subcutaneous located cysts are more prone to rupture since they have not been diagnosed pre operatively.…”

“…Subcutaneous located cysts are more prone to rupture since they have not been diagnosed pre operatively. Medical treatment with antihelmintic drugs, such as melbendazole and albendazole, should be included especially for disseminated, inaccessible hydatidosis and for patients who do not favor the morbidity of an operative process [4,8,[10][11][12][13][14]. These drugs may also play an important role in conjunction with surgery, both preoperatively for sterilization of the cyst and postoperatively in case of spillage [4,12,14].…”

Primary Large Hydatid Cyst of The Neck

“…Hydatid disease has its highest incidence in sheep-and cattle-rearing regions, such as the Mediterranean countries, the Middle East, South America, New Zealand, Australia, and Southeast Asia [3]. It is endemic in Morocco, where close and continuous contact exists among dogs, the definitive host, and sheep, the intermediate host of the parasite [4]. The adult tapeworm, a true hermaphrodite, lives in the intestine of the definitive hosts.…”