1/5. Latent fatality due to hydatid cyst rupture after a severe cough episode.Hydatid disease is a parasitic disease caused by echinococcus granulosus characterised by cyst formation in various organs. The infestation mostly involves the liver. Hydatid cysts of the liver can rupture either spontaneously or due to trauma. incidence of rupture is about 3-17% of all cases with hydatid disease. Unless treated surgically, rupture can result in death. Here, we present a case of hydatid cyst ruptured after a severe cough episode and disseminated first to the subcapsular area, then to the peritoneal space. Probably due to a decrease in parenchymal pressure in the liver after decompressive effect of rupture, the patient felt an improvement in abdominal pain, refused operation, and left the hospital on his own responsibility. This unfortunate relief resulted in a delay of 55 hours in management. The leakage of liquid materials into peritoneal space resulted in a severe inflammatory reaction and eventually death of the patient. The patient died of a late peritonitis rather than anaphylaxis, which is the most common reason for death in such patients. As a conclusion, physicians should be aware of a temporary relief in abdominal pain after cyst rupture that may cause a delay in management and in turn loss of patient due to peritonitis.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
2/5. Unilocular hydatid cyst disease: a challenging diagnosis.echinococcosis, a disease uncommon in the united states, is extremely rare in south dakota, although it is endemic in several regions of the united states and prevalent in certain areas of the world. Due to the mobile state of the world's population, recognition of this disease is important. echinococcosis carries the potential for significant morbidity and mortality which can be minimized by appropriate surgical management. awareness of this disease and proper history taking will allow the physician to make the often challenging diagnosis.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
3/5. Surgical treatment of giant hydatid cyst of the left ventricle and diagnostic value of magnetic resonance imaging.Cardiac echinococcosis has not been reported frequently. Because of the risk of potentially lethal complications, early diagnosis and definitive treatment are very important. The case of a 41-year-old physician, in whom diagnosis of giant left ventricular hydatid cyst was established with cross-sectional echocardiography and magnetic resonance imaging, is presented. The cyst was removed surgically and mitral valve replacement performed because of destruction of the valve.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
4/5. Spontaneous systemic anaphylaxis as an unusual presentation of hydatid cyst: report of two cases.We report two cases presenting with severe spontaneous systemic anaphylactic reaction who were subsequently found to have hydatid cyst(s) in one or more intra-abdominal organs. This unusual presentation in otherwise asymptomatic patients, without known precipitating factors, i.e., trauma, or accidental (needle aspiration or surgical) rupture of the cyst emphasizes that physicians in endemic regions should keep a high index of suspicion for the hydatid disease as a possible etiology for seemingly idiopathic anaphylactic reaction.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
5/5. Percutaneous treatment of an orbital hydatid cyst: a new therapeutic approach.PURPOSE: To describe the percutaneous treatment of an orbital hydatid cyst as an alternative approach to conventional surgery. methods: In a 21-year-old man with diplopia and right proptosis, radiologic studies disclosed a 25 x 25 x 20-mm purely cystic mass in the right retrobulbar area. Based on the presumptive diagnosis of hydatid cyst, the cyst was treated percutaneously under ultrasonographic guidance with aspiration, 15% hypertonic saline injection, and reaspiration without any complication. RESULTS: A substantial decrease in the size of the cyst was observed in the 3 months after treatment. Nine months after treatment, the shrunken cyst had a volume of only 0.5 ml, and the patient was asymptomatic. Twenty-one months after the procedure, the findings were consistent with those at 9 months of follow-up. CONCLUSION: Percutaneous treatment of orbital hydatid cysts, which is more satisfactory to both the patient and the physician, may be a safe and effective alternative to surgical extirpation.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |