A Pelvic Hydatid Cyst Presenting with Lower Limb Edema

Document Type : Case report

Authors

1 Specialist in infectious Diseases, Razi Hospital, Joundishapour University of Medical Sciences, Ahvaz, Iran

2 Associate Professor of Infection Diseases,Razi Hospital, Joundishapour University of Medical Sciences, Ahvaz, Iran

3 Assistant Professor of Infection Diseases,Razi Hospital, Joundishapour University of Medical Sciences, Ahvaz, Iran

4 Rezident Infection Diseases,RaziHospital, Joundishapour University of Medical Sciences, Ahvaz, Iran

Abstract

 
Hydatid disease is an infection caused by larval stage of Echinococcus granulosus in humans, which are carried as tapeworms by canines. The most frequent organs affected in humans are liver and lungs. We presented a case of pelvic hydatic cyst which is a rare occurrence.
 
Case report
 
There was a 75 years old man with a history of admission for left lower limb edema suspected to DVT. The patient was suffering from generalized abdominal pains especially in LLQ. On pelvic ultrasound and CT scan, a cystic mass with internal septation on the left side of pelvis was reported. After surgery, pathology report of removed cyst confirmed the hydatid cyst.
 
Conclusion
 
In endemic regions, in patients complaining of lower limb edema and suspected to have DVT, pelvic mass lesions such as hydatic cyst should be born in mind.
 
 

Keywords

References

1- Mandell G, Bennett J, Dolin R. Principles and practice of infectious diseases. 6th ed. New York: Churchill
Livingstone; 2005.p.3290-3291.
2- Cook GC, Zumla AI. Manson’s tropical diseases. 21st ed. London: Saunders; 2003. p.1561-1568.
3- Craig PS, McManus DP, Lightlowlers MW, Chabalgoity JA, Garcia HH, Gavidia CM, et al. Prevention and control
of cystic echinococcosis. Lancet Infect Dis 2007; 7:385.
4- Moreno-Gonzalez E, Segurola CL, García Ureña MA, García García I, Gómez Sanz R, Jiménez Romero C, et al.
Liver transplantation for Echinococcus granulosus hydatid disease.
Transplantation 1994; 58:797-800.
5- Vijayan VK. How to diagnose and manage common parasitic pneumonias. Curr Opin Pulm Med 2007; 13:218-224.
6- Benomar A, Yahyaoui M, Birouk N, Vidailhet M, Chikili T. Middlecerebral artery occlusion due to hydatid cysts
of myocardial and intraventricular cavity cardiac origin: 2 cases. Stroke 1994; 25:886-888.
7- Yagmur O, Demircan O, Atilla E. Cardiac tamponade due to rupture of hydatid cyst into the pericardium. Dig surg.
1992; 9:329-331.
8- Agarwal DK, Agarwal R, Barthwal SP. Interventricular septal hydatid cyst presenting as complete heart block. Br
Heart J 1996; 75: 266.
9- Sinha PR, Jaipuria N, Avasthey P. Intracardiac hydatid cyst and sudden death in a child. Int J Cardiol 1995;
51:293-295.
10- Gogus C, Safak M, Baltaci S, Turkolmez K. Isolated renal hydatidosis: experience with 20 cases. J Urol 2003;
169:186-189.
11- Gelman R, Brook G, Green J, Ben-Itzhak O, Nakhoul F. Minimal change glomerulonephritis associated with
hydatid disease. Clin Nephrol 2000; 53:152-155.
12- Ali-Khan Z, Rausch RL. Demonstration of amyloid and immune complex deposits in renal and hepatic parenchyma
of Alaskan alveolar hydatid disease patients. Ann Trop Med Parasitol 1987; 81:381-392.
13- Salinas JC, Torcal J, Lozano R, Sousa R, Morandeira A, Cabezali R. Intracystic infection ofliver hydatidosis.
Hepatogastroentrology 2000; 47:1052-1055.
14- Bounaim A, Sakit F, Janati IM. Primary pelvic hydatid cyst: a case report. Med trop (Mars) 2006; 66:279-281.
15- Emir L, Karabulut A, Balci U, Germiyanoqlu C, Erol D. An unusual cause of urinary retention: a primary
retrovesical echinococcal cyst. Urology 2000; 56:856.
16- Halefoqlu AM, Yasar A. Huge retrovesical hydatid cyst with pelvic localization as the primary site: a case report.
Acta Radiol 2007; 48:918-920.
17- Safioleas M, Stamatakos M, Zervas A, Agapitos E. Solitary hydatid cyst in the pelvis: A case report. Int Urol
Nephrol 2006; 38: 491-492.
18- Yurdakul T, Pişkin MM. Pelvic hydatid disease causing renal failure. Ankara Ǘniversitesi Tip Fakǘltesi Mecmuasi
2006; 59:80-82.
19- Sanal HT, Kocaoglu M, Bulakbasi N, Yildirim D. Pelvic hydatid disease: CT and MRI findings causing sciatica.
Korean J Radiol 2007; 8:548-551.
20- Gupta A, Kakkar A, Chadha M, Sathaye CB. A primary intrapelvic hydatid cyst presenting with foot drop and a
gluteal swelling: a case report. J Bone joint Surg [Br] 1998; 80-B: 1037-1039.
21- Varedi P, Saadat Mostafavi SR, Salouti R, Saedi D, Nabavizadeh SA, Samimi K, et al. Hydatidosis of the pelvic
cavity: a big masquerade. Infect Dis Obstet Gynecol 2008; 2008:782621. 
medical journal of mashhad university of medical sciences
Volume 53, Issue 1 - Serial Number 1
March and April 2009
Pages 53-56

Files

Share

How to cite

Statistics