Primary isolated echinococcal cyst of the seminal vesicle: A rare case

Mushtaque, Majid; Mir, Mohammad Muzaffar; Nazir, Parvez; Khan, Parwez Sajad

doi:10.4103/0974-7796.95571

Cited by 10 publications

(14 citation statements)

References 3 publications

(7 reference statements)

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“…The two patients in our study presented with lower back pain and decreased appetite respectively. Hydatid cysts in the seminal vesicles are extremely rare with scarce reports in literature [16-18]. Amongst our patients, only one had seminal vesicle involvement.…”

Section: Discussionmentioning

confidence: 79%

The Maverick Disease: Cystic Echinococcosis in Unusual Locations: A Ten Year Experience from an Endemic Region

Butt¹,

Khan²

2019

Cureus

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BackgroundCystic echinococcosis (CE) is a neglected tropical disease which affects more than 1 million people globally, causing a loss of 1-3 million disability-adjusted life years (DALYs) and a financial burden of US$ 3 billion annually.The two most commonly involved organs are the liver and the lungs with involvement in 75% and 5 -15% of cases respectively. The rest of the body can be involved in up to 10% of cases. In this study, we aim to explore the presentation, treatment and outcomes of CE in unusual locations.MethodsRetrospective review of charts of 225 patients of CE admitted at Aga Khan Hospital, Karachi from 2007-2017 was done. Demographic information, date of admission, clinical presentation, laboratory and radiological findings, histopathology reports (where applicable), treatment course and outcomes were noted.ResultsCE occurred in the liver in 146 (64.9%) patients, in the lungs in 55 (24.4%) patients and in unusual locations in 24 (10.7%) patients. Primary involvement of unusual locations was seen in 22 (91.7%) cases. Amongst the 24 patients with disease in unusual locations, 13 (54.2%) were males and 11 (45.8%) were females and the median age of these patients was 43 years. Fever and dyspnea were the most common presenting complains, occurring in 5 (20.8%) patients each followed by epigastric abdominal pain and weight loss occurring in 3(12.5%) patients each. Spleen was the most common unusual location for CE with four cases (16.7%) of splenic involvement occurring, followed by cardiac, spinal and mediastinal involvement occurring in three (12.5%) patients each. Other unusual locations included the abdominal cavity, bones, breast, kidney, seminal vesicle, brain, adrenal glands and the inguinal region. The treatment courses employed were a) medical, consisting of oral albendazole use(400 mg twice daily), b) surgical c) combined (medical plus surgical) therapy. Combined surgical and medical therapy, was the most common modality employed, with it being given to 14 (58.3%) patients. Surgery only was performed in 5 (20.8%) patients while medical therapy only to 3 (12.5%) patients. Resolution of the disease was seen in 19 (79.2%) patients on follow up imaging. Recurrence occurred in 4 (16.7%) and mortality in 1 patient. Two patients (8.3%) were lost to follow up.ConclusionsCE can be challenging to diagnose especially when it occurs in unusual locations. CE must be included in the differential diagnosis of a cystic lesion in any organ of the body, especially in endemic areas, to ensure timely diagnosis and treatment, to prevent morbidity and mortality associated with chronicity of the disease.

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Section: Discussionmentioning

confidence: 79%

The Maverick Disease: Cystic Echinococcosis in Unusual Locations: A Ten Year Experience from an Endemic Region

Butt¹,

Khan²

2019

Cureus

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“…Testicular echinococcosis, although rare, should be remembered as a differential diagnosis of testicular mass. Seminal vesicle hydatid cysts may present with lower urinary tract symptoms [44].…”

Section: Other Genitourinary Sites Of Involvementmentioning

confidence: 99%

Genitourinary Hydatid Disease

Kumar¹,

Singh²

2015

Current Topics in Echinococcosis

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Genitourinary echinococcosis is an uncommon cyclo-zoonotic disease. It is caused by Echinococcus species. Kidneys are the common target organs in the genitourinary tract. Clinical presentation is usually non-specific. Pre-operative diagnosis requires a high index of suspicion. It should be considered in differential diagnosis of cystic mass of genitourinary tract, especially in endemic regions. Computed tomography, ultrasonography, and antibody testing aid in diagnosing and classifying the stage of the cyst. Although a number of operative techniques have been described, complete removal of germinal layer with daughter cysts without spillage of viable cyst contents with perioperative medical therapy provides an optimum chance of cure with minimal morbidity. Considering the benign nature of the disease, organ preservation is feasible in majority of the cases. The conventional open surgical treatment has evolved into minimally invasive laparoscopic, endoscopic, and even robotic techniques with concomitant improvement in postoperative and cosmetic outcome. Given the rarity of the disease, no randomized control trial comparing the treatment modalities for genitourinary hydatid exists. Moreover, long-term follow up in many cases is unavailable. Overall, the incidence of local and systemic recurrence is low.

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“…Cystic echinococcosis or hydatid disease is an important public health issue, mainly in developing countries where it is endemic 1 , . 2…”

Section: Introductionmentioning

confidence: 99%

“…The main sites of infection in humans are the liver and the lungs 1 , . 2 Hydatid disease of the urogenital system, especially of seminal vesicles, is an extremely rare condition.…”

Section: Introductionmentioning

confidence: 99%

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Isolated hydatic cyst of seminal vesicle: A new case

Maatougui

Bibi

Chelly

et al. 2022

Urology Case Reports

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We present a rare case of a hydatid cyst involving the seminal vesicle of a 39-year-old man. Left lumbar pain was the initial symptom. CT-scan and MRI revealed a retro vesical cystic mass arising from the seminal vesicle. Surgical excision of the lesion was carried leaving the seminal vesicle preserved. Histopathological report was hydatid cyst of the seminal vesicle. No recurrence has been found after a 1-year follow-up.

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Primary isolated echinococcal cyst of the seminal vesicle: A rare case

Cited by 10 publications

References 3 publications

The Maverick Disease: Cystic Echinococcosis in Unusual Locations: A Ten Year Experience from an Endemic Region

The Maverick Disease: Cystic Echinococcosis in Unusual Locations: A Ten Year Experience from an Endemic Region

Genitourinary Hydatid Disease

Isolated hydatic cyst of seminal vesicle: A new case

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