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Some rare presentations of hydatid cysts: two case reports.

Zaidi SH - Cases J (2009)

Bottom Line: Hydatid disease is a considerable health problem worldwide.Two case reports of relatively uncommon presentations of the disease are presented.The first case is that of a 25 years old female from region of Afghanistan that borders Pakistan's Baluchistan province.She presented with cough, hemoptysis and left hypochondrium pain due to concurrent involvement of the right lung and the spleen due to hydatid disease, whilst sparing the liver.The second case is that of a 32 years male from the same region of Afghanistan as above.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Surgery, PNS Rahat Hospital, Karsaz, Karachi, Pakistan. hashimzee@hotmail.com.

ABSTRACT
Hydatid disease is a considerable health problem worldwide. Two case reports of relatively uncommon presentations of the disease are presented.The first case is that of a 25 years old female from region of Afghanistan that borders Pakistan's Baluchistan province. She presented with cough, hemoptysis and left hypochondrium pain due to concurrent involvement of the right lung and the spleen due to hydatid disease, whilst sparing the liver.The second case is that of a 32 years male from the same region of Afghanistan as above. He presented with upper abdominal discomfort, postprandial vomiting and jaundice due to a hydatid cyst involving the head of the pancreas only.

No MeSH data available.


Related in: MedlinePlus

Case 1 – Hydatid cyst in the right lung. Posteroanterior chest film shows a well demarcated oval opacity occupying the right middle zone.
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Figure 1: Case 1 – Hydatid cyst in the right lung. Posteroanterior chest film shows a well demarcated oval opacity occupying the right middle zone.

Mentions: A 25 years old female from Afghanistan presented to the medical out patient department of Combined Military Hospital Quetta with complaints of cough for 2 years, and hemoptysis and left hypochondrium pain for the last six months. There was history of occasional fever but no weight loss. Her weight was 48 Kg. Breath sounds were diminished over right mid zone. She had received various medications including anti-tuberculous treatment in Afghanistan. Posteroanterior and right lateral chest x-rays (Fig 1) revealed a large dense round well demarcated opacity involving the mid zone of the right lung field posteriorly. Ultrasonography revealed large simple cysts in the right lung (Fig 2) and the spleen (Fig 3). Both cysts showed the classic double wall sign. The liver and the rest of the abdomen were free of cysts. Hemoglobin, total leukocyte count and differentials were normal. A large unilocular hydatid cyst was removed form the right lung through a posterolateral thoracotomy. Oral albendazole 400 mg b.i.d. was given for 5 days preoperatively and 4 weeks postoperatively. The splenic cyst (Fig 4) was removed six weeks later, preserving the spleen. The patient's immediate recovery was remarkable and her symptoms were relieved completely.


Some rare presentations of hydatid cysts: two case reports.

Zaidi SH - Cases J (2009)

Case 1 – Hydatid cyst in the right lung. Posteroanterior chest film shows a well demarcated oval opacity occupying the right middle zone.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2651114&req=5

Figure 1: Case 1 – Hydatid cyst in the right lung. Posteroanterior chest film shows a well demarcated oval opacity occupying the right middle zone.
Mentions: A 25 years old female from Afghanistan presented to the medical out patient department of Combined Military Hospital Quetta with complaints of cough for 2 years, and hemoptysis and left hypochondrium pain for the last six months. There was history of occasional fever but no weight loss. Her weight was 48 Kg. Breath sounds were diminished over right mid zone. She had received various medications including anti-tuberculous treatment in Afghanistan. Posteroanterior and right lateral chest x-rays (Fig 1) revealed a large dense round well demarcated opacity involving the mid zone of the right lung field posteriorly. Ultrasonography revealed large simple cysts in the right lung (Fig 2) and the spleen (Fig 3). Both cysts showed the classic double wall sign. The liver and the rest of the abdomen were free of cysts. Hemoglobin, total leukocyte count and differentials were normal. A large unilocular hydatid cyst was removed form the right lung through a posterolateral thoracotomy. Oral albendazole 400 mg b.i.d. was given for 5 days preoperatively and 4 weeks postoperatively. The splenic cyst (Fig 4) was removed six weeks later, preserving the spleen. The patient's immediate recovery was remarkable and her symptoms were relieved completely.

Bottom Line: Hydatid disease is a considerable health problem worldwide.Two case reports of relatively uncommon presentations of the disease are presented.The first case is that of a 25 years old female from region of Afghanistan that borders Pakistan's Baluchistan province.She presented with cough, hemoptysis and left hypochondrium pain due to concurrent involvement of the right lung and the spleen due to hydatid disease, whilst sparing the liver.The second case is that of a 32 years male from the same region of Afghanistan as above.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Surgery, PNS Rahat Hospital, Karsaz, Karachi, Pakistan. hashimzee@hotmail.com.

ABSTRACT
Hydatid disease is a considerable health problem worldwide. Two case reports of relatively uncommon presentations of the disease are presented.The first case is that of a 25 years old female from region of Afghanistan that borders Pakistan's Baluchistan province. She presented with cough, hemoptysis and left hypochondrium pain due to concurrent involvement of the right lung and the spleen due to hydatid disease, whilst sparing the liver.The second case is that of a 32 years male from the same region of Afghanistan as above. He presented with upper abdominal discomfort, postprandial vomiting and jaundice due to a hydatid cyst involving the head of the pancreas only.

No MeSH data available.


Related in: MedlinePlus