Hydatid Cyst

Echinococcosis is an important zoonotic parasitic disease that produces hydatid cyst in different body tissues, preferentially in liver and lungs. It has a major public health as well as economic impacts throughout the world. In this study the incidence of hydatidosis and pathological changes in the liver and lung of goat were investigated at the selected abattoirs of Barishal metropolitan area in Bangladesh. The study was carried out on
278 (n=278) randomly selected goats slaughtered for meat purposes; sex, breed, age and seasons were taken into account during the experimental period. The overall incidence in goats was found to be 11.87%. The prevalence of hydatidosis was more in male goats (13.25%) than female goats (9.27%). Black Bengal goats (13.52%) were found to be more susceptible than Jamunapari goats (7.04%). The prevalence rate was higher in adult (≥4.1 years) goats (17.59%) as compared to the young (≤3 years) goats (5.15%). Highest prevalence was found during rainy season (22.39%) and lowest prevalence was found during winter season (6.67%). In this study, liver (48.49%) was found to be the mostly affected organ followed by lungs (27.27%), whereas, in 24.25% cases both lungs and liver was found positive. Grossly, variable sized (1-5cm) cyst of 1-4 in number was observed in both liver and lung. In the histopathological examination, major findings were hepatic edema, vaculated hepatocytes in liver; and presence of pockets within hydatid cyst wall with infiltration of inflammatory cells in both liver and lung parenchyma. Affected lungs revealed a thick coat of granulation with fibrosis, resulting in atelectasis and desquamation of bronchial epithelium. The indiscriminate slaughtering of goats is done in markets, streets and open fields; viscera, blood, bones and other organs are found here and there in the studied area. Thus hydatidosis that cause lesions in lungs and liver might be capable to transmit in human. So this situation possesses a serious threat to public health as it is a zoonotic disease. This paper reports the prevalence and pathological changesof hydiatidosis in the slaughtered goats of Barishal metropolitan area in Bangladesh.

Hydatid cyst is a parasitic disease caused by Echinococcus granulosus. The cysts may involve many organs, but they are mostly located in liver. Morbidity is usually secondary to free rupture of the echinococcal cyst (associated with anaphylaxis), infection of the cyst or dysfunction of involved organs. Hydatid cyst with pulmonary artery involvement is extremely rare. A 33-year-old woman was admitted to our clinic with dyspnea, fatigue and palpitation, which had started for 1 month before admission. She had a history of migraine. On physical examination, there was a grade 3 midsystolic murmur over the left second intercostal space. Electrocardiography and chest radiography were normal. Twodimensional transthoracic echocardiography short-axis views showed a pulmonary artery cyst (Fig. , Video 1. See corresponding video/movie images at www.anakarder.com). The cyst was well-demarcated and unilocular. The cyst wall was thickened and regular. Examination with continuous wave Doppler showed that there was a considerable mean gradient (25 mmHg) over the pulmonary artery cyst (Fig. ). Transesophageal echocardiography examination was also confirmed a pulmonary artery cyst over the pulmonary valve (Fig. ). She was referred to a cardiovascular surgeon. After the proper preparation for surgery, the patient was operated and the cystic material was excision. Pathological examination showed that the cyst was echinococcal (hydatid). Post-surgical antiparasite chemotherapy, based on albendazole, was prescribed for the patient.

Laparoscopic surgery for hepatic echinococcosis is a technically difficult and demanding surgical procedure even for the most experienced abdominal surgeon. Surgery is performed after the conservative treatment with albendazole for 28 days. We report a case of laparoscopic partial pericystectomy with biliostasis and omentoplasty in a patient with two previously open surgeries (laparotomies)--right subcostal laparotomy for acute inflammation of the gallbladder and right pararectal laparotomy for perforated gangrenous appendix. The patient underwent extensive laparoscopic adhesiolysis due to pronounced intra-abdominal adhesions to gain access to a large hydatid cyst with the diameter of 11 cm. Laparoscopic surgery is much less traumatic to the patient with a better cosmetic effect.

Operative treatment of hepatic hydatid cyst is technically demanding procedure. The method of choice is conservative treatment with Albendazolum followed by surgery. Open laparotomy or laparoscopic operation can be performed. We prefere laparoscopic exploration followed by laparoscopic total pericystectomy or laparoscopic partial pericystectomy. If laparoscopic operation is not possible due to technical reasons and patient safety, conversion to an open operation should be done, followed by total or partial pericystectomy. The case and our detailed technique of laparoscopic partial pericystectomy with biliostasis and omentoplasty is described. Laparoscopic operation is equally safe for the patient, yet with minor trauma and better aesthetic effect.

Hepatic hydatid cysts are a serious medical problem in some regions like Mediterranean region. In Croatia 25-30 new cases of hepatic hydatid cysts are recorded each year In University Hospital Dubrava 7 patients with hepatic hydatid cysts were operated in 2008. Surgical approach recognizes open laparotomy and laparoscopy. The case and technique of laparoscopic operation of hepatic hydatid cyst in seventh segment and three disseminated intraabdominal cysts is described. Laparoscopy should be attempted even in complex cases with dissemination.

Echinococcocal cysts are predominantly located in the right liver. They are usually solitary and asymptomatic, but large cysts can cause compression symptoms. CASE REPORTS: We report two cases of huge (25 cm and 20 cm in diameter, respectively) echinococcal cysts located in the left liver, which presented as a large palpable mass causing compression symptoms. Diagnosis was established with CT scan showing a cystic mass with the characteristic daughter cysts and reactive layer (pericystic wall) consisting of fibrous connective tissue and calcifications. Both patients were treated radically with left hepatectomy and had uneventful postoperative course and no recurrence upon follow-up. DISCUSSION: The treatment of liver echinococcal cysts represent a unique surgical challenge. Even though conservative approaches are less technically demanding, the radical approach with resection has better outcome with less recurrences, when performed by experienced surgeons. CONCLUSION: Resection rather than drainage is the management of choice for such huge liver echinococcal cysts.

Hydatid disease, caused by the Echinococcus granulosus parasite, is traditionally associated with liver and lung involvement. However, recent years have seen an increase in cases with atypical localizations, such as the kidneys, thyroid, soft tissues, and bones. The study by Celik et al presents a series of five clinical cases where hydatid cysts were found in these rare anatomical regions, challenging conventional diagnostic and therapeutic approaches. The paper emphasizes the importance of differential diagnosis, as these cases can mimic other conditions, such as cancer, abscesses, or cysts. Advanced imaging techniques, such as computed tomography, magnetic resonance imaging, and ultrasound, play a crucial role in accurate diagnosis and help avoid misdiagnosis. The study demonstrates that early diagnosis and appropriate treatment of echinococosis in atypical localizations are critical for preventing complications like cyst rupture and secondary infections. The use of albendazole and surgical intervention, especially in combination with modern imaging techniques, yields good outcomes in these patients. However, several unanswered questions remain: What are the precise criteria for selecting the optimal treatment method in each case? What is the long-term effectiveness of different approaches? Do patients with hydatid cysts in atypical locations require additional monitoring and preventive treatment to avoid recurrence? Addressing these questions requires further research, and a multidisciplinary approach involving radiologists, surgeons, and infectious disease specialists is essential to optimize diagnosis and treatment. Early and accurate diagnostic methods based on differential diagnosis play a key role in improving treatment outcomes and reducing morbidity.

Hydatid disease is a parasitosis caused by Echinococcus granulosus and an important health problem worldwide. Incidental human infestation with larval form results in formation of hydatid cysts in various parts of the body, the liver being the most common site. Peritoneal cavity, spleen, kidney, spinal column, retroperitoneal space, abdominal wall, myocardium, and the thoracic wall are unusually involved.

Collapsed membranes and daughter cysts are pathognomonic for hydatid cysts on imaging. The comma-shaped lesions, visible within the hydatid cyst in sagittal view of MRI, are collapsed membranes. Although primary hydatid cyst of pelvic cavity is rare, clinicians should remember to include hydatid cysts in differential diagnosis of pelvic cysts.

Key Clinical MessageCollapsed membranes and daughter cysts are pathognomonic for hydatid cysts on imaging. The comma‐shaped lesions, visible within the hydatid cyst in sagittal view of MRI, are collapsed membranes. Although primary hydatid cyst of pelvic cavity is rare, clinicians should remember to include hydatid cysts in differential diagnosis of pelvic cysts.

to introduce five different type of orbital involvement by hydatid cyst in 8 consecutive patients. descriptive case series. Herein 8 patients with slowly progressive proptosis from 2 to 4months earlier at their first presentation are introduced. Complete ophthalmic examinations were done. Complete blood count, serologic test, ESR (erythrocyte sedimentation rate), CT scan and MRI were requested. Surgical removal of the lesions performed in all patients. The hydatid cysts found in the extraconal (2 patients) and intraconal space (3 patients), lacrimal gland (1 patient), medial rectus (1 patient) and intraosseous of orbital wall (1 patient). The diagnosis of the isolated orbital hydatid cyst without any lesion in other parts of the body was confirmed in all patients. The recurrence was not observed in any patients during 2 - 6 years follow up. Although the most common site of involvement of orbital hydatid cyst is intraconal, it can invade various locations within the orbit.

We report two cases of primitive pleural hydatid cyst. These two boys aged 13 and 14 who were referred for suspected tuberculosis. Front of the x-rays showed, Fluid pleural effusions with lobulated internal limits. Ultrasound has helped highlight the patient of 13 years a multi-vesicular cystic mass (cluster of grapes) compatible with girls vesicles. CT has helped highlight the pleural headquarters multiloculated cystic mass. CT allowed to objectify the right mediastinal pleura and the small fissure of multiple cystic formations without wall or mural nodule. It is noted an extension of the lesions to the diaphragm and to adjacent soft parts. The diagnosis of primary pleural cyst was raised in both cases before the characteristic appearance of the images. The confirmation was made by the hydatid serology was positive and 8kDa 18kDa respectively. The curative treatment is surgical. The outcome was favorable.

Cardiac involvement of hydatid disease is rare. In Peru, a country with a high prevalence of this infectious disease, few cases of cardiac hydatid disease have been reported. We present the case of a man with a cardiac hydatid cyst of more than 10 cm in diameter that debuted with malignant arrhythmia and successfully treated with surgery.

Sarcocystis fusiformis and Hydatid cysts are considered to be serious problems for both public health and the livestock economy. The current study aimed to determine their prevalence in slaughtered animals at Menofia governorate. Physical examination of 1916 slaughtered animals at different abattoirs of Menofia governorate was carried out from September 2016 to August 2017 to determine the prevalence of recovered parasites. Histopathological examination was performed on the infected tissues. The results reported that 20.5% of the examined animals were infected with S. fusiformis. The infection rate of S. fusiformis was 85.96% and 0.1% in buffaloes and cattle respectively without any infections recorded in camels, sheep and goats. Sarcocystis infections increased with increasing the age of animals. The highest infection was recorded in winter and spring at 33.3% and 27.13% respectively. The total infection rate of Hydatid cyst was 3.6% with (29.18% in camels and 1.75% in buffaloes). In conclusion S. fusiformis and Hydatid cysts prevailed at Menofia governorate with considerable percentages that require more molecular studies to determine their genes and putting strategies to control stray dogs and cats near the abattoirs and efficient condemnation of affected organs.

Multivesicular, pulmonary and cardiac hydatidosis are rarely observed and can give rise to serious complications. Cysts can remain asymptomatic for a long time, until they reveal themselves perforating into cardiac chambers and/or pulmonary arteries or the systemic circulation. A rare case of multivesicular interatrial septum hydatid cyst with multiple pulmonary involvement in a native Italian farm labourer is reported. Clinical, radiological, serological and histological findings are described. MR imaging showed the exact anatomic location and the multivesicular nature of the cardiac cyst and was useful in planning surgical treatment. A successful outcome was achieved with a combination of pre-and post-operative albendazole therapy and a three-step surgery procedure. The patient made a rapid recovery and his post-operative period was totally uneventful. This case highlights the importance of an early multidisciplinary surgical approach and long-term chemotherapy treatment of this serious and rare disease. MR Imaging was crucial in the pre-surgical and follow-up observations.

Introduction: Even though the development of the recent anti-parasitic drugs has led to a high degree of efficiency, surgical treatment still remains the gold standard for a number of conditions. Material and method. The authors discuss a series of 90 cases in a multicenter and retrospective analysis that stretches over 20 years. Results and discussions. These cases have been diagnosed and treated – through different surgical methods, both classical and laparoscopic – for hepatic hydatid cysts. The paper also presents a short review of the major types of surgical procedures cited in the international literature, with a specific focus on the advantages brought by Romanian innovations in this field. Conclusions. Even though the classical open approach still assumes the first place among surgical procedures, modern laparoscopic techniques have earned a much appreciated place in providing positive results based on long-term assessment, with virtually no or only minor complications. In t...

A 30-year-old woman was treated successfully for renal hydatid cyst disease by using the Transperitoneal Laparoscopic Technique. The peritoneal cavity was protected with the use of betadine-soaked gauze pieces, to avoid spillage. Hypertonic saline was used as the scolicidal solution to sterilize the cyst. The endocyst was removed completely and retrieved in an endobag. There were no intraoperative or early postoperative complications. This appears to be only the second reported case of renal hydatid cyst disease treated with the help of laparoscopy.

Hydatid cyst (HC), the most parasitic disease of the lung, is still an important health problem in Tunisia. In this study, we reviewed our experience in a surgical management of 33 patients with giant pulmonary hydatid cyst (GPHC) (diameter ≥ 10 cm). Between 1998 and 2019, a total of 33 patients with GPHC were operated in the Thoracic Surgery Department in Abderrahmane Mami Hospital. Seventeen were males (51.51) and 16 were females (48.48%). The median age was 33.9 years (range 7–83 years). The diameters of the cyst ranged between 10 and 20 cm (mean 13.15 cm). The most common symptoms were chest pain (63.63%) and cough (33.33%). Imaging showed a single GPHC in all cases. GPHC was intact in 75.75% cases and complicated in 24.25% cases. Posterolateral thoracotomy was performed in 27 cases (81.81%). For the residual cavity, parenchyma-saving procedures were performed in 54.54% and anatomical resection was performed in 45.46%. Morbidity was low, and no mortality was seen. GPHC are consi...

Objective: The aim of this work was to report a case of hydatid cyst located in the axilla. Clinical Presentation and Intervention: A 36-year-old female presented with a painless right axillar swelling of 6 months duration. We removed the entire cyst surgically, and macroscopic and histopathological examinations confirmed the diagnosis of axillar hydatid disease. Seventeen months after the operation there was no recurrence. Conclusion: This case report showed that in cases of a cystic mass in an endemic zone, the diagnosis of hydatid cyst should be considered.

Dört yıl önce başka bir merkezde sağ akciğerde kist hidatik nedeniyle kistotomi ve kapitonaj ameliyatı yapılan hasta, tekrarlayan hemoptizi yakınması ile kliniğimize başvurdu. Göğüs bilgisayarlı tomografide sağ alt lob posterior segmentte yerleşik kaviter lezyon tespit edildi. Hastaya, hemoptizi ve kaviter lezyon nedeniyle, tekrar torakotomi ve sağ alt lobektomi yapıldı. Patolojik inceleme bronşektazi, parenkim içi hemoraji ve intrakaviter aspergilloma olduğunu ortaya çıkardı. Kist hidatik ameliyatları sonrası kalan rezidüel boşlukların içinde de aspergilloma gelişebilir. Bu yazıda cerrahi teknik, takip ve tedavide bu patolojinin dikkate alınması gerektiğini vurgulamak amacıyla, çok nadir rastlanan bir olgu sunuldu. Anah tar söz cük ler: Aspergilloma; kapitonaj; kistotomi; pulmoner kist hidatik.

Purpose:  To find out the demographics, presentation, and outcome of surgical treatment in patients of orbital hydatid cyst. Study Design:  Interventional case series. Place and Duration of Study:  Khyber Teaching Hospital Peshawar, Pakistan from 2009 to 2019. Methods:  This study included 11 patients with orbital hydatid cyst who presented in Khyber Teaching Hospital, Peshawar. Detailed history, ocular examination and Orbital imaging (Ophthalmic B-Scan, CT scan and/or MRI) was performed. The patients underwent Orbitotomy, cyst extirpated and sent for histopathology. Albendazole was given to the patients for 12 weeks after surgery. The preoperative and postoperative data until last follow-up was analyzed. Results:  Male to Female ratio was 5:6 and the mean age of the patients was 18.17 ± 17.4 years. Mean amount of proptosis was 26.27 ± 2.05mm and visual acuity was 0.23 ± 0.33 decimal in the affected eye at presentation. Eight patients (72.8%) had Relative Afferent Pupillary Defect w...

Hydatidosis is possible in all organs. However, brain involvement is only observed in only 1-2% of patients and is very rare. Common symptoms of brain involvement include headache, vomiting, seizures, behavioral disorders, or unilateral symptoms such as paralysis of one half of the body. Here we present a patient with cerebral hydatidosis that has recurred due to drug interactions between phenytoin and albendazole. The patient is a 19 -year-old man with a history of cerebral hydatidosis who underwent two surgeries with complaints of generalized tonic-clonic seizures. CT scan of the brain showed a lobule cyst with internal septa in the right hemisphere of the brain with an adjacent lesion that has wall calcification, suggesting cerebral hydatidosis. To control the patient's seizures, sodium valproate was substituted for phenytoin and oral albendazole was recommended in consultation with the Infectious Diseases Service. The patient was discharged after five days in good general condition. CONCLUSION: According to this case, concomitant use of anticonvulsant drugs including phenytoin, phenobarbital, and carbamazepine with albendazole has been reported to reduce plasma levels of albendazole and reduce its efficacy. Therefore, to control seizures in patients with cerebral hydatidosis treated with albendazole, it is better to use other anticonvulsant drugs.

Hydatid cyst (HC) is one of the common silent zoonotic disease worldwide distributions, with medical importance and economical effect. The present study was conducted from January 2011 to March, 2012 to determine the prevalence rate of hydatid disease among slaughtered livestock including sheep, goats and cattle in Slemani province. A total of 7698 slaughtered animals were examined from different abattoirs for hydatid cyst during post mortem inspection including 6550 sheep, 348 goats and 800 cattle. The study showed that the prevalence rates among slaughtered animals were 12.7% in sheep, 4.8% in goats and 4.3% in cattle. The fertility rate of HCs was higher in sheep than that of goats and cattle furthermore, the rate of the fertility was higher in liver cysts than in lung cysts in all studied intermediate hosts.

The Fistulization Of Hydatid Cysts In Neighboring Organs Is A Known Complication, Especially Of Bile Ducts And Bronchi. Fistulization In The Hollow Organs Remains Rare. The Particularity Of Our Case Is The Rupture Of These Hydatid Cysts In A Colonic Tumor. We Report The Observation Of A 82-Year-Old Man, Splenectomized 5 Years Ago For A Spleen Hydatid Cyst, Admitted For The Management Of Right Hypochondrium Pain Associated To Melena .Both Biological And Imagine Explorations Showed A Peritoneal Hydatid Cyst Fistulized In A Right Colic Tumor. We Performed A Right Hemicolectomy Carrying The Fistulized Hydatid Cyst Followed By Adjuvant Chemotherapy.

An enzyme-linked immunoelectrotransfer blot for the diagnosis of human hydatid disease was performed, and the different antibody responses were analyzed by a discriminant analysis. This multivariate technique gave us, first, a selection of the most important responses against Echinococcus granulosus infection and, second, a procedure for the classification of patients into two groups: patients with hydatid disease and patients without a history of hydatid disease. This method was applied to 67 patients, 25 with active hydatid cysts (24 hepatic and 1 pulmonary) and 42 without a history of hydatid disease and was compared with the results obtained by conventional serology: indirect hemagglutination, latex particle agglutination, and basophil degranulation. An immunoelectrotransfer blot coupled to a discriminant analysis was more sensitive than conventional serological diagnosis and detected 100% of patients with an active hepatic hydatid cyst with a specificity of 100%. This method, h...

We report a case of ovarian hydatic cyst, of rare presentation, without evidence of systemic hydatidosis in a 29 year-old woman with one previous delivery and an abortion, admitted to the Gynecology Ser- vice with the diagnosis of right adnexal tumor. A unilocular cyst was removed by laparotomy and the diagnosis was ovarian hydatidic cyst by pathological examination. We describe

Hydatid disease is still endemic in several regions of the world and is caused by two species of tapeworms, Echinococcus granulosus and Echinococcus alveolaris. It primary involves liver and lung, and bone involvement is relatively rare (0.2-4%), where it is most commonly seen in the spine. The skeletal involvement is usually due to secondary extension such as hematogenous spread. The disease has usually a silent manifestation until a complication exists; so, many cases are diagnosed intraoperatively. Treatment of hydatid disease because of its bone involvement and spillage of fluid with subsequent contamination seeding is difficult, so it has a high mortality rate and many cases will recur. Therefore, we can prevent these occurrences if we treat hydatid disease completely and in the primary stage. Adjuvant medical treatment, if the diagnosis is known, prevents systemic spread and recurrence. Here, we present a primary recurrent hydatosis at the site of non-union humerus fracture. W...

Duplikasyon kisti, gastrointestinal sistemin (G‹S) embriyonik geliflimi s›ras›nda oluflan benign bir do¤umsal anomalidir. En s›k distal ileumda olmak üzere G‹S'in her yerinde görülebilir. Görülme s›kl›¤› 1:4500 ile 1:10000 aras›ndad›r ve her iki cins için eflit orandad›r (1,2). Duodenum, duplikasyon kistlerinin en nadir görüldü¤ü yerdir ve tüm duplikasyon kistlerinin %2-12'sini oluflturur (3). Duodenal duplikasyon kistleri (DDK) kar›n a¤r›s›, kusma, pankreatit, kolesistit, invaginasyon ya da kanama gibi klinik tablolara neden olabilir (2). DDK, akut pankreatitin nadir bir nedenidir . Burada akut pankreatit tablosu ile baflvuran ve duodenumda duplikasyon kisti saptanan bir olgu sunulmufltur.

Echinococcosis is a parasitic disease that is produced by Echinococcus granulosus and still represents an important medical problem in many countries. Echinococcosis in extrahepatic sites is usually asymptomatic unless the cyst causes symptoms due to pressure, as in our case, or ruptures to the peritoneal cavity. Echinococcal cysts at unusual locations many times pose diagnostic dilemmas, and the diagnosis sometimes is made intraoperatively. Primary ovarian and paraovarian cyst hydatid disease is a very rare entity. In our case, a 25-year-old female gravida 1, para 1, was admitted to the emergency department of the Alzahra Hospital of Tabriz due to diffuse abdominal pain, nausea, abdominal distension and urinary frequency of ten-day duration and exacerbation of pain from a few hours before admission. Clinical examination revealed tachycardia of 105 per minute, normal body temperature and normal blood pressure. Abdominopelvic sonography revealed a mass with regular thick contour located in the left ovary suggestive of huge cystadenoma or carcinoma of the ovary. Emergent laparotomy was performed for suspected adnexal torsion. Intra operative findings were a large paraovarian mass with thick wall without any torsion. Mass was removed completely and sent for frozen section study. Pathological examination showed the diagnosis of hydatid cyst. The postoperative period was uneventful and the patient was discharged 3 days later, with the advice to receive Albendazole. The patient referred to a general surgeon for management of the hepatic cysts.

Primary peritoneal echinococcosis is rare and the mechanism of primary peritoneal infestation is still not clear. Clinical presentations vary with the site and size of cyst and usually result from complications due to mass effect of the enlarging abdominal cyst. We present a case of hydatid cyst of sigmoid mesocolon who presented with chronic abdominal pain.

The present study was conducted for the comparative quantitative analysis of hydatid cyst fluid for the presence of glucose, total protein, triglycerides, calcium, potassium, chloride and sodium, from ovine lungs and livers collected from local abattoirs. The study revealed that mean values of glucose, total protein, and sodium were significantly (P<0.01) higher in cysts from lungs (46.81±0.84 mg/dl; 26.30±0.46 mg/dl; 113.64±0.72 mmol/L) when compared with those from liver (35.64±0.42 mg/dl; 21.14±0.32 mg/dl; 107.92±0.59 mmol/L). However, the mean values of calcium, potassium and chloride were significantly (p<0.01) higher in cysts from liver (24.94±0.38 mmol/L; 6.17±0.074 mmol/L; 124.22±0.96 mmol/L) when compared with those from lungs (22.51±0.22 mmol/L; 5.42±0.048 mmol/L; 104.47±0.54 mmol/L). The mean triglycerides levels in cysts from lungs (2.76±0.039 mg/dl) were significantly lower than those from liver (2.90±0.036 mg/dl). The study reflected that the difference in the fl...

A 45 years male, Omar Ali, farmer from Elenga, Tangail, attended in Medical out patient department (MOPD), Khwaja Yunus Ali Medical College & Hspital (KYAMCH) on 08.01.13 with the complaints of intermittent cough and haemptysis, low grade fever, weight loss, anorexia for the last two month. He went to local doctor and took conservative management. But could not relief. After he attended in OPD a chest radiograph (CXR) and associated investigations were done.

A 45 years male, Omar Ali, farmer from Elenga, Tangail, attended in Medical out patient department (MOPD), Khwaja Yunus Ali Medical College & Hspital (KYAMCH) on 08.01.13 with the complaints of intermittent cough and haemptysis, low grade fever, weight loss, anorexia for the last two month. He went to local doctor and took conservative management. But could not relief. After he attended in OPD a chest radiograph (CXR) and associated investigations were done.

A purposive study was conducted from November 2011 to April 2012 with the objective of determining the characteristics of hydatid cysts and to assess the current status of economic losses of hydatidosis in cattle slaughtered at Adama municipality abattoir. Hydatid cysts were characterized on the basis of their size, fertility and viability. Routine meat inspection procedure was conducted on organs namely lung, liver, kidney, heart and spleen involving visualization and palpation to detect the presence of hydatid cysts. Out of the total of 2276 hydatid cysts counted, 1126(49.5%), 913(40.1%) and 237(10.4%) were found to be small, medium and large size respectively. Out of the total of 300 cysts examined for the fertility test, 29(9.6%), 188(62.6%) and 83(27.6%) were found to be fertile, sterile and calcifi ed respectively. The rate of cyst calcifi cation was higher in the liver than in the lung while fertility rate was higher among the cysts of the lung. The direct fi nancial loss during the study period was 8,749 ETB. This result was assessed from the mean retail market price of each organs multiplied by the total number of organs condemned at Adama abattoir during the study period.

In pulmonary hydatid disease, lung resection is not a desirable treatment. Two young boys, aged 9 and 15, presented at our institution, the 9-year-old with a destroyed lung as the result of a delayed diagnosis of a giant cyst; the second with a massive hemoptysis as the result of preoperative albendazole use. Both children underwent a lobectomy for the treatment of pulmonary hydatidosis. Delayed diagnosis and use of albendazole, respectively, were considered the causes necessitating lung resection in these cases of giant and complicated pulmonary hydatid disease.

The chest wall is an unusual location for primary echinococcus disease. We report on case of a primary chest wall hydatid cysts, resembling a mass lesion, in a 50-year-old woman who had no prior surgery for hydatid disease before. Chest wall hydatid disease should be considered in the atypical location and differential diagnosis of chest wall masses.

Primary multiple chest wall hydatid cysts associated with spinal canal involvement through an intervertebral foramen is an uncommon clinical entity. We present a 54-year-old man who underwent cystotomy and total resection of ribs five through seven via a left posterolateral thoracotomy followed by Th5-Th6 anterolateral partial pediculotomies for removal of cysts in the spinal canal. Although spinal reconstruction was not required, the chest wall defect was repaired with mersilene mesh-methyl methacrylate sandwich graft. Hydatid disease should be considered in the differential diagnosis of mass lesions located in the chest wall. In cases of spinal canal involvement, detailed visualization of spinal canal utilizing MRI and/or CT is essential for planning surgical approach.

Primary multiple chest wall hydatid cysts associated with spinal canal involvement through an intervertebral foramen is an uncommon clinical entity. We present a 54-year-old man who underwent cystotomy and total resection of ribs five through seven via a left posterolateral thoracotomy followed by Th5- Th6 anterolateral partial pediculotomies for removal of cysts in the spinal canal. Although spinal reconstruction was not required, the chest wall defect was repaired with mersilene mesh- methyl methacrylate sandwich graft. Hydatid disease should be considered in the differential diagnosis of mass lesions located in the chest wall. In cases of spinal canal involvement, detailed visualization of spinal canal utilizing MRI and/or CT is essential for planning surgical approach. q 2003 Elsevier B.V. All rights reserved.

Hydatid disease is a zoonotic disease caused by Echinococcus species. Echinococcus granulosus is the most common species which is responsible for hydatid disease in the humans who act as accidental intermediate hosts in the life cycle of the parasite. Pre-operative albendazole therapy followed by surgery is the mainstay of treatment for pulmonary and hepatic hydatid cyst at present. Not much data is available to support the sole use of albendazole for complete cure apart from its usage for those patients who have refused surgery or cannot undergo surgery because of any reason. We hereby report the case of a 12 year old female patient who was diagnosed with bilateral pulmonary hydatid cysts that responded well to Albendazole 15mg/kg /day given for a period of nine months with a drug free interval of one week every month. There was complete clinical and radiological resolution of hydatid cyst after the treatment. There has been no recurrence on follow-up of one year.

Omental cysts are rare entity with a prevalence of 1:1,000,000 in adults and in 1:20,000 in children. We are reporting a case of a 30 year female patient with abdominal lump over epigastrium and left hypochondrium for 6 months; diagnosed on laparotomy as uniloculated omental cyst originating from lesser omentum. Omental cyst is a challenging diagnostic entity with varied presentations and a wide range of differential diagnosis has to be kept in mind.

Hydatid disease is common in the tropics. It is caused by infection with the larval stage of Echinococcus tapeworm. Infestation of humans, who are accidentally the intermediate host, occurs from ingestion of water or food contaminated by fecal material of definitive host (dog, wolves, deer, sheeps). The most frequent organ of involvement is the liver in up to 70%, followed by the lung about 18% and with a lower reported incidence in other organs or tissues in the body. It primarily affects the liver and shows typical imaging findings. However clinical presentation varies widely and is non specific. Thus, imaging plays an important role in diagnosis of hydatid diseases. Ultrasound (US), computed tomography (CT), and magnetic resonance imaging (MRI) can depict hydatid disease. The imaging methods used depend on involved organ and the radiological findings which range from purely cystic lesions to completely solid appearance. We report a very rare case of a calcified huge hydatid cyst ...

A case of hydatid cyst within a congenital cystic adenomatoid malformation (CCAM) of the right lower lobe of lung in an 8-year-old girl is reported. Presence of CCAM was confirmed on histopathology of the lung tissue attached to the specimen.