Eur J Pediatr Surg 2009; 19(4): 270-271
DOI: 10.1055/s-2008-1039201
Case Gallery

© Georg Thieme Verlag KG Stuttgart · New York

Disseminated Hydatid Disease in a Child

M. M. Harjai1 , S. Saxena2 , A. Devgan3 , S. Kakkar4
  • 1Department of Paediatric Surgery, Surgical Division, Base Hospital Delhi Cantt, New Delhi, India
  • 2Department of Radiology, Base Hospital Delhi Cantt, New Delhi, India
  • 3Department of Paediatrics, Base Hospital Delhi Cantt, New Delhi, India
  • 4Department of Pathology, Base Hospital Delhi Cantt, New Delhi, India
Weitere Informationen

Publikationsverlauf

Publikationsdatum:
06. Februar 2009 (online)

Introduction

Hydatid disease is a unique parasitic disease that is endemic in many parts of the world. Hydatid disease can occur almost anywhere in the body and demonstrates a variety of imaging features that vary according to growth stage, associated complications, and affected tissue. The two main types of hydatid disease are caused by Echinococcus granulosus and Echinococcus multilocularis. The most common organ affected by hydatid disease is the liver, followed by the lungs, and the two organs are affected simultaneously in about 5 – 13 % of cases [5]. The involvement of multiple sites in a young child with enormous cysts has not been previously reported. Here, we present a 3-year-old patient with multifocal involvement. The rarity of this case is the huge size of the cysts, which developed within a short span of life without any symptomatology.

References

  • 1 Czermak B V, Akhan O, Hiemetzberger R. et al . Echinococcosis of the liver.  Abdom Imaging. 2008;  33 133-143
  • 2 Inan N, Arslan A, Akansel G. et al . Diffusion-weighted imaging in the differential diagnosis of simple and hydatid cysts of the liver.  AJR Am J Roentgenol. 2007;  189 1031-1036
  • 3 Kabaalioğlu A, Ceken K, Alimoglu E. et al . Percutaneous imaging-guided treatment of hydatid liver cysts: do long-term results make it a first choice?.  Eur J Radiol. 2006;  59 65-73
  • 4 Kaya Z, Gursel T. A pediatric case of disseminated cystic echinococcosis successfully treated with mebendazole.  Jpn J Infect Dis. 2004;  57 7-9
  • 5 Kir A, Baran E. Simultaneous operation for hydatid cyst of right lung and liver.  Thorac Cardiovasc Surgeon. 1995;  43 62-64
  • 6 Kiyak G, Ozer M, Aktimur R. et al . Primary hydatid disease of the soft tissue.  Internet J Surg. 2006;  8 (2)
  • 7 Maazoun K, Mekki M, Chioukh F Z. et al . Laparoscopic treatment of hydatid cyst of the liver in children. A report on 34 cases.  J Pediatr Surg. 2007;  42 1683-1686
  • 8 Mavridis G, Livaditi E, Christopoulos-Geroulanos G. Management of hydatidosis in children. Twenty-one year experience.  Eur J Pediatr Surg. 2007;  17 400-403
  • 9 Nepalia S, Joshi A, Shende A. et al . Management of echinococcosis.  J Assoc Physicians India. 2006;  54 458-462
  • 10 Paniker C KJ ed.. Cestodes (tapeworms). Textbook of medical parasitology. 5th ed. New Delhi; Jaypee Brothers 2004: 140-144
  • 11 Placer C, Martin R, Sanchez E. et al . Rupture of abdominal hydatid cysts.  Br J Surg. 1988;  75 157
  • 12 Rao R RN, Rajagoplan C R, Reddy D J. Hydatid diseases of lung.  Ind J Surg. 1964;  73 774-778
  • 13 Sayek I, Tirnaksez M B, Dogan R. Cystic hydatid disease: current trends in diagnosis and management.  Surg Today. 2004;  34 987-996

Dr. MCh (Paed Surg) Man Mohan Harjai

Department of Paediatric Surgery
Surgical Division
Base Hospital Delhi Cantt

Dhaula Kuan

110010 New Delhi

India

eMail: harjai101@hotmail.com

    >