AI Summary & Key Takeaways
AI InsightWe are of the opinion that extrahepatic hydatid cyst should be considered in the differential diagnosis of intra-abdominal cystic masses particularly in endemic regions.
📌 3 Key Takeaways
Abstract
Hydatid cyst is a parasitic disease frequently encountered in the liver and lungs, caused by the larval form of Echinococcus granulosus. Occasionally, hydatid cysts can be seen in the spleen, kidney, heart, bone, ovaries and peritoneal cavity. We presented a case of extrahepatic intra-abdominal hydatid cyst, which we have detected incidentally in an eight-year-old girl who was investigated for post-traumatic abdominal pain. Radiologic examination of the patient showed a midline cystic mas including septations superior to the bladder, and mesenteric cyst, ovarian mass and hydatid cyst were considered for differential diagnosis. The indirect hemagglutination (IHA) test result of the patient was negative (<1/160), and the diagnosis of hydatid cyst was made by the histopathological evaluation and microscobic examination of cyst fluid following the removal of cystic mass which was well circumscribed by omentum. We are of the opinion that extrahepatic hydatid cyst should be considered in the differential diagnosis of intra-abdominal cystic masses particularly in endemic regions.
Özet
Kist hidatik, Echinococcus granulosus’un larval formunun neden olduğu sıklıkla karaciğer ve akciğerlerde karşılaşılan paraziter bir hastalıktır. Nadiren de olsa dalak, böbrek, kalp, kemik, overler ve peritoneal kavitede kist hidatik görülebilir. Travma sonrası karın ağrısı nedeniyle araştırılan 8 yaşında bir kız hastada insidental olarak tespit ettiğimiz extrahepatik intraabdominal kist hidatik olgusu sunduk. Radyolojik incelemede orta hatta mesane superiorunda septasyon gösteren kistik kitle saptanan hastada mezenter kisti, over kaynaklı kitle ve kist hidatik ayırıcı tanılarda düşünüldü. İndirekt hemaglütinasyon (İHA) testi sonucu negatif (<1/160) olarak raporlanan hastada operasyon sırasında çıkarılan düzgün sınırlı omentumla sarılı kistik kitlenin histopatolojik değerlendirilmesi ve kist sıvısının mikroskobik incelenmesiyle kist hidatik tanısı konuldu. Özellikle endemik bölgelerde karın içi kistik kitle saptanan olgularda ekstrahepatik kist hidatik ayırıcı tanıda düşünülmesi kanaatindeyiz. Hydatid cyst is a parasitic disease frequently encountered in the liver and lungs, caused by the larval form of Echinococcus granulosus. Occasionally, hydatid cysts can be seen in the spleen, kidney, heart, bone, ovaries and peritoneal cavity. We presented a case of extrahepatic intra-abdominal hydatid cyst, which we have detected incidentally in an eight-year-old girl who was investigated for post-traumatic abdominal pain. Radiologic examination of the patient showed a midline cystic mas including septations superior to the bladder, and mesenteric cyst, ovarian mass and hydatid cyst were considered for differential diagnosis. The indirect hemagglutination (IHA) test result of the patient was negative (<1/160), and the diagnosis of hydatid cyst was made by the histopathological evaluation and microscobic examination of cyst fluid following the removal of cystic mass which was well circumscribed by omentum. We are of the opinion that extrahepatic hydatid cyst should be considered in the differential diagnosis of intra-abdominal cystic masses particularly in endemic regions.