Isolated Retrobulbar Hydatid Cyst: A Case Report

Shahnaz Sali, Javad Minooeifar, Azadeh La'li, Zahra Doosti, Masoud Ebrahimi

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Abstract

Background: Hydatid cyst is caused by Echinococcus granulosus and human is the accidental host. The most common sites of involvement are the liver and lungs, and involvement of other organs is less common. Ocular involvement of hydatid cyst is one of the most uncommon manifestations of hydatid cyst.

Cases Report: The case was a 40-year-old woman with a retrobulbar cystic lesion who was examined for the left eye pain and then proptosis. With the initial diagnosis of retrobulbar tumor, the patient underwent surgery and the removed mass was sent to the pathology laboratory. Since the result indicated the existence of a hydatid cyst, the patient was referred to the infectious service and was treated with albendazole.

Conclusion: Although the ocular involvement of hydatid cyst is uncommon, it should be considered as a differential diagnosis in patients with proptosis in the endemic areas.

Keywords

Echinococcus granulosus; Orbit; Hydatid cyst

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References

Mandell G, Bennett J, Dolin R. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. 7th ed. Imprint: Churchill Livingstone; 2009.

Iyigun O, Uysal S, Sancak R, Hokelek M, Uyar Y, Bernay F, et al. Multiple Organ Involvement Hydatid Cysts in a 2-year-old boy. J Tropical Pediatrics. 2004;50(6):374–6.

Blanton R, Kliegman RM. Echinococcosis (Echinococcus granulosus and E. multilocularis) In: Behrman RE, Beds JH, (editors) Nelson Textbook of Pediatrics, Philadelphia. 16th ed. WB Saunders; 2008. p.1079–81.

Rokni, M.B. Echinococcosis /hydatidosis in Iran. Iranian J Parasitol. 2009;4(2):1-16.

Wang Q, Huang Y, Huang L, Yu W, He W, Zhong B, et al. Review of risk factors for human echinococcosis prevalence on the Qinghai-Tibet Plateau, China: a prospective for control options. Infectious Diseases of Poverty. 2014 29;3(1):3.

Khazaei S, Rezaeian Sh, Khazaei Z, Goodarzi E, Khazaei S, Mohammadian M, et al. Epidemiological and Clinical Characteristics of Patients with Hydatid Cysts in Khorasan Razavi Province, from 2011 to 2014. Iran J Parasitol. 2016;11(3):364–70.

Kayal, A, Hussain A, A Comprehensive Prospective Clinical Study of Hydatid Disease. ISRN Gastroenterology. 2014; ID 514757, 5.

Cappello E, Cacopardo B, Caltabiano E, Li Volsi S, Chiara R, Sapienza M, et al. Epidemiology and clinical features of cystic hydatidosis in Western Sicily: A ten-year review. World J Gastroenterol. 2013;19(48):9351–8.

Amr SS, Amr ZS, Jitawi S, Annab H. Hydatidosis in Jordan: an epidemiological study of 306 cases. Ann Trop Med Parasitol. 1994;88(6):623-7.

Hatami H., Khojasteh M., Khodakarim S. Epidemiological, clinical and paraclinical study on hydatic cyct infected patients operated in the hospitals of Imam khomeini, Shahid Modarres, and Shariati hospital 2011-2012. 2014;32(3):239-46.

Mardani A, Babakhan L, Abedi Astaneh F, Rafiei M, Mardani H. A Survey of Epidemiological Situation of Patients Infected with Hydatid Cyst Operated in Hospitals of Qom, Iran (2004-2007). mljgoums. 2009;3(2):6-10.

Benazzou S, Arkha Y, Derraz S, E Ouahabi A, El Khamlichi A. Orbital hydatid cyst: review of 10 cases. J Craniomaxillofac Surg. 2010;38(4):274-8.

Mathad V.U, Singh H, Singh D, Butte M. V, Kaushik M. Large primary intraorbital hydatid cyst in elderly. Asian J Neurosurg. 2013;8(3):163.

Thatte S, Thatte S. Ocular Hydatid Cyst. Ann Clin Pathol. 2016;4(5):1081.

Anandpara KM, Aswani Y, Hira P, Sathe PA. Isolated primary orbital hydatid disease presenting as multiple cystic lesions: a rare cause of proptosis. Ann Parasitol. 2015;61(3):193-5.

Al-Muala HD, Sami SM, Shukri MA, Hasson HK, Alaboudy AT. Orbital hydatid cyst. Ann Maxillofac Surg. 2012; 2(2):197-9.

Ahmadi M, Khalili B. A case report of orbital hydatid cyst in Shahrekord. J Shahrekord Univ Med Sci. 2015;16(6):148-53.

Rajabi MT, Bazvand F, Makateb A, Hosseini S, Tabatabaie SZ, Rajabi MB. Orbital hydatid cyst with diverse locality in the orbit and review of literatures. Arch Iran Med. 2014;17(3):207-10.