Extra Hepatic Primary Hydatid Diseases in Different Anatomic Location - A Case Series with Review of Literature

Gurushantappa Yalagachin and Ranjita Hegde

Department of Surgery, Karnataka Institute of Medical Sciences, India

^*Correspondance to: Ranjita Hegde 

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Abstract:

Hydatid disease is caused by the parasite Echinococcus granulosus. Humans are accidental intermediate hosts, and the parasite commonly affects the liver and the lungs. Primary extra hepatic, extra pulmonary hydatid disease is rare. We are presenting cases of retroperitoneal extra hepatic hydatid cyst, extra hepatic hydatid cyst in calf muscle, extra hepatic extra pleural hydatid cyst. With this case series we want to create awareness about occurrence of that hydatid cyst at different anatomical locations and one of the differential diagnoses of tumours at such location. Aims: To create awareness to consider hydatid cyst as differential diagnosis at different anatomical locations. Settings and
Design: Prospective cohort study at Karnataka Institute of Medical Science, Hubli. Methods and Material: All cases admitted at Department of Surgery, Karnataka Institute of Medical Science, and Hubli.
Results: All the admitted cases were operated; intraoperative finding and histopathology came as features consistent with hydatid cyst. Postoperative period was uneventful and discharged with oral Albendazole.
Conclusion: Hydatid cyst can be present in any anatomical location. Presentation at times is misleading. FNAC of Hydatid cyst is contraindicated due to anaphylactic reactions once the cyst ruptures. Therefore diagnosis of hydatid cyst should be considered as a differential diagnosis of every cystic mass in any anatomical location before diagnostic invasive intervention especially when they occur in areas where the disease is endemic. Total and careful surgical excision is the gold standard therapy followed by postoperative albendazole.

Keywords:

Hydatid Disease; Retroperitoneum; Extra Hepatic Echinococosis; Albendazole; Hydatidosis

Cite the Article:

Yalagachin G, Hegde R. Extra Hepatic Primary Hydatid Diseases in Different Anatomic Location - A Case Series with Review of Literature. World J Surg Surgical Res. 2019; 2: 1094.