1/6. Hydatid cyst of the uterus.BACKGROUND: Hydatidosis is a common zoonosis that affects a large number of humans and animals, especially in poorly developed countries. The infesting parasite has four forms named Echinococcus granulosis, E. multilocularis, E. vogeli and E. oligarthrus (very rare in humans). The most frequently involved organs are liver followed by the lung. The involvement of the genital tract is rare and the occurrence in the uterus is an extreme rarity. We report a case of hydatid cyst in the uterus. CASE: A 70-year-old female with a history of hydatid cysts of the liver, was admitted to hospital after complaining of low abdominal pains. On physical and gynecological examinations, no pathological finding was detected. However, the uterus was significantly large for a postmenopausal patient. Transvaginal sonography (TS) revealed a cystic mass in the uterus with a size of 7 x 6 cm. After further examinations a subtotal hysterectomy was performed. Microscopic examination showed scolices of Echinococcus granulosis. CONCLUSION: Hydatid cysts in the genital tract are rare and the occurrence in the uterus is an extreme rarity. Differentiation between hydatid cyst and malignant disease of the related organ is difficult. To avoid misdiagnosis, a careful examination of pelvic masses should be carried out in endemic areas for detection of hydatid cysts.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
2/6. Giant hydatid cysts of lung and liver.A 13-year-old girl was admitted to our clinic with the complaints of dyspnea, abdominal distention, cough, and right-sided chest pain.The diagnosis of disease was made with physical examination and radiologic evaluation. She underwent right thoracotomy and phrenotomy for the management of the hydatid cysts of the lung and the liver. The postoperative course was uneventful and she was discharged on the 10th postoperative day. We believe that the simultaneous management of concomitant pulmonary and hepatic hydatid cysts through a thoracicroute is a convenient option.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
3/6. Salvage treatment with amphotericin b in progressive human alveolar echinococcosis.Most patients with alveolar echinococcosis are diagnosed at a late stage when the disease has advanced to unresectable hepatic lesions. These patients require lifelong therapy with benzimidazoles, the only medical treatment currently available. To date, no treatment option remains for patients with benzimidazole intolerance or treatment failure. amphotericin b was recently shown to exert antiparasitic activity in vitro. Here, we report the efficacy of amphotericin b in human alveolar echinococcosis. In three patients with extensive disease and without further treatment options, disease progression had been documented over several months. They were treated with amphotericin b intravenously at a dose of 0.5 mg/kg of body weight three times per week. Follow-up parameters were physical examination, laboratory parameters, and imaging techniques. amphotericin b treatment effectively halted parasite growth in all three patients. The antiparasitic effect was most evident by spontaneous closure of cutaneous fistulae in two patients and by constant size of parasitic lesions during treatment, as assessed radiologically. Metabolic activity in parasitic areas was visualized by positron emission tomography and significantly decreased during treatment. However, progressive affection of the heart in one patient could not be stopped. All patients currently continue on amphotericin b and have been treated for 25, 17, and 14 months, respectively. We introduce amphotericin b as salvage treatment for alveolar echinococcosis patients with intolerance or resistance to benzimidazoles, as it effectively suppresses parasite growth. amphotericin b is not parasitocidal; therefore long-term treatment has to be anticipated.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
4/6. Hepatic echinococcus granulosus. A case report.A 32-year-old woman was admitted to hospital complaining of right upper quadrant and epigastrium abdominal pain, and nausea. On routine physical examination an abdominal mass was discovered on the right upper quadrant. liver tests were normal. magnetic resonance imaging of the abdomen revealed a low-density cystic mass. A cystectomy was performed. Hydatid sand containing a protoscolex of echinococcus granulosus was seen on microscopical examination. Specific antiparasitic treatment was given and after two months the patient is asymptomatic- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
5/6. Hydatid thrill: an explanation of the phenomenon.The hydatid thrill is a rare but pathognomic sign of hydatid disease. The physical basis of the thrill was studied in two patients with the disease. The thrill occurs when a mother cyst packed with unruptured daughter cysts is gently percussed. The consistency of the wall of the daughter cyst and the tension of the fluid inside it are responsible for making the cysts vibrate and produce the sensation of a thrill. Free fluid from ruptured daughter cysts dampens the vibrations. It is extremely rare for a mother cyst to have all the daughter cysts in an intact condition.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
6/6. Echinococcus multilocoularis infection in india: First case report proved at autopsy.The occurrence of echinococcus multilocularis is reported in india for the first time. The patient was a young man, various clinical diagnoses were made and he finally died after an attempted membranotomy for suspected membranous obstruction in the inferior vena cava. autopsy revealed classical E. multilocularis infection of the liver with direct spread of the inferior vena cava, the right atrium and through the diaphragm into the base of the left lung. It also had caused an outflow tract obstruction to the hepatic venous flow by direct physical pressure distorting the proximal intrahepatic portion of the inferior vena cava. In addition the patient had multi-valvular lesions of rheumatic origin and a terminal infective endocarditis due to staphyloccal infection.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |