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A Rare Case of Orbital Hydatid Cyst

Received: 10 December 2019    Accepted: 26 February 2020    Published: 30 April 2020
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Abstract

Background: Cystic echinococcosis, also known as hydatid disease, which is mostly caused by larval stage of Echinococcusgranulosus. The orbital localization in rare and uncommon. Preoperative diagnosis is important to prevent from complications. Case information: Here we report the case of a child admitted for chronic proptosis whose investigations concluded with an orbital hydatid cyst. Result: We describe the case of an 8-year-old child, who consulted in our ophthalmic emergency department for a painful proptosis of the right eye with a progressive decrease in visual acuity and chronic fatigue that had been evolving for 6 months. Due to this highly evocative lesion of an orbital hydatid cyst, we carried out with an ELISA and Western Blot hydatid serology which ended negative. Faced with this orbital involvement, we performed an orbital MRI which objectified two right T2-hypersignal eye cystic lesions, well-limited, exerting a mass effect on the optic nerve and responsible of a grade 2 exophthalmos. We also performed a biological assessment including hemogram, renal and hepatic function that had been normal. The patient remained under medical treatment with albendazole before and after surgery. Conclusion: Orbital involvement, although rare, should not be ignored especially when it comes to chronic proptosis with or without a visual impact in children living around dogs or breeders or in deplorable hygienic conditions.

Published in Advances in Surgical Sciences (Volume 8, Issue 1)
DOI 10.11648/j.ass.20200801.13
Page(s) 11-13
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Echinococcusgranulosis, Hydatid Cyst, Proptosis, Surgery

References
[1] Vuitton DA, Brunetti E. Cystic and alveolar echinococcosis: fraternal twins both in search of optimal treatment. In: Sing A, ed. Zoonoses e Infections Affecting Humans and Animals. Berlin: Springer Netherlands; 2015: 715e747.
[2] Grosso G, Gruttadauria S, Biondi A, Marventano S, Mistretta A. Worldwide epidemiology of liver hydatidosis including the Mediterranean area. World J Gastroenterol. 2012; 18 (13): 1425e1437.
[3] Otero-Abad B, Torgerson PR. A systematic review of the epidemiology of echinococcosis in domestic and wild animals. PLoSNegl Trop Dis. 2013; 7 (6): e2249.
[4] Shoaee S, Rezvanizadeh M, Haghighi M, Yousefi H. Epidemiological, clinical and paraclinical study of hydatid cysts in three educational medical centers in 10 years. Nov Biomed. 2016; 4 (1): 28e33.
[5] Eckert J, Deplazes P. Biological, epidemiological, and clinical aspects of echinococcosis, a zoonosis of increasing concern. ClinMicrobiol Rev. 2004; 17 (1): 107e135.
[6] Eckert J, Gemmell MA, Meslin FX, Pawlowski ZS. WHO/OIE Manual on Echinococcosis in Humans and Animals: A Public Health Problem of Global Concern. Paris, France: WHO/OIE; 2001: 20e71.
[7] Basset D, D’hermis F, Leport et coll. Localisation oribitaire d’un kystehydatique chez un enfant surinamien. BullSoc FrParasit 1989; 7: 241-4.
[8] Moro P, Schantz PM. Echinococcosis: a review. Int J Infect Dis. 2009; 13 (2): 125e133.
[9] Benazzou, S., Arkha, Y., Derraz, S., El Ouahabi, A., & El Khamlichi, A. (2010). Orbital hydatid cyst: review of 10 cases. Journal of Cranio-Maxillofacial Surgery, 38 (4), 274-278.
[10] Öztekin, P. S., Yilmaz, B. K., Gokharman, F. D., &Koşar, P. N. (2014). Primary orbital hydatid cyst: computed tomography and magnetic resonance imaging findings. Singapore medical journal, 55 (11), e184.
[11] Gomez Morales, A., Croxatto, J. O., Crovetto, L., &Ebner, R. (1988). Hydatid cysts of the orbit: a review of 35 cases. Ophthalmology, 95 (8), 1027-1032.
[12] Turgut, A. T., Turgut, M., & Koşar, U. (2004). Hydatidosis of the orbit in Turkey: results from review of the literature 1963–2001. International ophthalmology, 25 (4), 193-200.
[13] Torun, F., Tuna, H., Bozkurt, M., & Deda, H. (2004). Orbital Hydatic Cyst: Case Report. Türk Nöroşirürji Dergisi, 14, 184-7.
[14] Gökçek, C., Gökçek, A., Bayar, M. A., Tanrikulu, S., & Buharali, Z. (1997). Orbital hydatid cyst: CT and MRI. Neuroradiology, 39 (7), 512-515.
[15] Berradi, S., Hafidi, Z., Lezrek, O., Lezrek, M., &Daoudi, R. (2014). Orbital hydatid cyst. QJM, 108 (4), 343–344
[16] Turgut AT, Turgut M, Kosar U. Hydatidosis of the orbit in Turkey: results from review of the literature 1963-2001. IntOphthalmol. 2004; 25 (4): 193e200.
[17] Betharia SM, Pushker N, Sharma V, Avinash M, Kashyap S. Disseminated hydatid disease involving orbit, spleen, lung and liver. Int J Ophthalmol. 2002; 216 (4): 300e304.
Cite This Article
  • APA Style

    Nabil Albab, Ibrahim Madiq, Sarah Belghmaidi, Ibtissam Hajji, Abdeljalil Moutaouakil, et al. (2020). A Rare Case of Orbital Hydatid Cyst. Advances in Surgical Sciences, 8(1), 11-13. https://doi.org/10.11648/j.ass.20200801.13

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    ACS Style

    Nabil Albab; Ibrahim Madiq; Sarah Belghmaidi; Ibtissam Hajji; Abdeljalil Moutaouakil, et al. A Rare Case of Orbital Hydatid Cyst. Adv. Surg. Sci. 2020, 8(1), 11-13. doi: 10.11648/j.ass.20200801.13

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    AMA Style

    Nabil Albab, Ibrahim Madiq, Sarah Belghmaidi, Ibtissam Hajji, Abdeljalil Moutaouakil, et al. A Rare Case of Orbital Hydatid Cyst. Adv Surg Sci. 2020;8(1):11-13. doi: 10.11648/j.ass.20200801.13

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  • @article{10.11648/j.ass.20200801.13,
      author = {Nabil Albab and Ibrahim Madiq and Sarah Belghmaidi and Ibtissam Hajji and Abdeljalil Moutaouakil and El Ghali Boufrioua and Brahim Admou and Houda Kabbaj and Zakaria Aziz and Nadia Mansouri},
      title = {A Rare Case of Orbital Hydatid Cyst},
      journal = {Advances in Surgical Sciences},
      volume = {8},
      number = {1},
      pages = {11-13},
      doi = {10.11648/j.ass.20200801.13},
      url = {https://doi.org/10.11648/j.ass.20200801.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ass.20200801.13},
      abstract = {Background: Cystic echinococcosis, also known as hydatid disease, which is mostly caused by larval stage of Echinococcusgranulosus. The orbital localization in rare and uncommon. Preoperative diagnosis is important to prevent from complications. Case information:  Here we report the case of a child admitted for chronic proptosis whose investigations concluded with an orbital hydatid cyst. Result:  We describe the case of an 8-year-old child, who consulted in our ophthalmic emergency department for a painful proptosis of the right eye with a progressive decrease in visual acuity and chronic fatigue that had been evolving for 6 months. Due to this highly evocative lesion of an orbital hydatid cyst, we carried out with an ELISA and Western Blot hydatid serology which ended negative. Faced with this orbital involvement, we performed an orbital MRI which objectified two right T2-hypersignal eye cystic lesions, well-limited, exerting a mass effect on the optic nerve and responsible of a grade 2 exophthalmos. We also performed a biological assessment including hemogram, renal and hepatic function that had been normal. The patient remained under medical treatment with albendazole before and after surgery. Conclusion:  Orbital involvement, although rare, should not be ignored especially when it comes to chronic proptosis with or without a visual impact in children living around dogs or breeders or in deplorable hygienic conditions.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - A Rare Case of Orbital Hydatid Cyst
    AU  - Nabil Albab
    AU  - Ibrahim Madiq
    AU  - Sarah Belghmaidi
    AU  - Ibtissam Hajji
    AU  - Abdeljalil Moutaouakil
    AU  - El Ghali Boufrioua
    AU  - Brahim Admou
    AU  - Houda Kabbaj
    AU  - Zakaria Aziz
    AU  - Nadia Mansouri
    Y1  - 2020/04/30
    PY  - 2020
    N1  - https://doi.org/10.11648/j.ass.20200801.13
    DO  - 10.11648/j.ass.20200801.13
    T2  - Advances in Surgical Sciences
    JF  - Advances in Surgical Sciences
    JO  - Advances in Surgical Sciences
    SP  - 11
    EP  - 13
    PB  - Science Publishing Group
    SN  - 2376-6182
    UR  - https://doi.org/10.11648/j.ass.20200801.13
    AB  - Background: Cystic echinococcosis, also known as hydatid disease, which is mostly caused by larval stage of Echinococcusgranulosus. The orbital localization in rare and uncommon. Preoperative diagnosis is important to prevent from complications. Case information:  Here we report the case of a child admitted for chronic proptosis whose investigations concluded with an orbital hydatid cyst. Result:  We describe the case of an 8-year-old child, who consulted in our ophthalmic emergency department for a painful proptosis of the right eye with a progressive decrease in visual acuity and chronic fatigue that had been evolving for 6 months. Due to this highly evocative lesion of an orbital hydatid cyst, we carried out with an ELISA and Western Blot hydatid serology which ended negative. Faced with this orbital involvement, we performed an orbital MRI which objectified two right T2-hypersignal eye cystic lesions, well-limited, exerting a mass effect on the optic nerve and responsible of a grade 2 exophthalmos. We also performed a biological assessment including hemogram, renal and hepatic function that had been normal. The patient remained under medical treatment with albendazole before and after surgery. Conclusion:  Orbital involvement, although rare, should not be ignored especially when it comes to chronic proptosis with or without a visual impact in children living around dogs or breeders or in deplorable hygienic conditions.
    VL  - 8
    IS  - 1
    ER  - 

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Author Information
  • Ophtalmology Department, Mohamed VI University Hospital, Marrakech, Morocco

  • Ophtalmology Department, Mohamed VI University Hospital, Marrakech, Morocco

  • Ophtalmology Department, Mohamed VI University Hospital, Marrakech, Morocco

  • Ophtalmology Department, Mohamed VI University Hospital, Marrakech, Morocco

  • Ophtalmology Department, Mohamed VI University Hospital, Marrakech, Morocco

  • Laboratory of Medical Analysis, Immunology Unit, Mohamed VI University Hospital, Marrakech, Morocco

  • Laboratory of Medical Analysis, Immunology Unit, Mohamed VI University Hospital, Marrakech, Morocco

  • Department of Maxillofacial Surgery, Mohamed VI University Hospital, Marrakech, Morocco

  • Department of Maxillofacial Surgery, Mohamed VI University Hospital, Marrakech, Morocco

  • Department of Maxillofacial Surgery, Mohamed VI University Hospital, Marrakech, Morocco

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