Home | About Us | Current Issue | Ahead of print | Archives | Search | Instructions | Subscription | Feedback | Editorial Board | e-Alerts | Login 
Journal of Indian Association of Pediatric Surgeons
     Journal of Indian Association of Pediatric Surgeons
Official journal of the Indian Association of Pediatric Surgeons         
 Users Online:533 
  Print this page Email this page   Small font sizeDefault font sizeIncrease font size


 
Table of Contents   
LETTER TO THE EDITOR
Year : 2015  |  Volume : 20  |  Issue : 2  |  Page : 99
 

Primary hydatid cyst of fronto-temporo-zygomatic region: A rare presentation


Department of Surgery, Devision of Pediatric Surgery, Mahatma Gandhi Memorial Medical College and Maharaja Yeshwantrao Hospital, Indore, Madhya Pradesh, India

Date of Web Publication17-Feb-2015

Correspondence Address:
Dr. Lukesh A Patil
Room No. 31, P G Block, Mahatma Gandhi Memorial Medical College Boys Hostel, White Church Colony, Indore - 452 001, Madhya Pradesh
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9261.151562

Rights and Permissions

 



How to cite this article:
Patil LA, Laddha AK, Sharma SS, Lahoti BK. Primary hydatid cyst of fronto-temporo-zygomatic region: A rare presentation. J Indian Assoc Pediatr Surg 2015;20:99

How to cite this URL:
Patil LA, Laddha AK, Sharma SS, Lahoti BK. Primary hydatid cyst of fronto-temporo-zygomatic region: A rare presentation. J Indian Assoc Pediatr Surg [serial online] 2015 [cited 2019 Nov 13];20:99. Available from: http://www.jiaps.com/text.asp?2015/20/2/99/151562


Sir,

Primary hydatid cyst of head and neck region is a rare presentation even in the geographical areas known to be endemic for echinococcosis. [1] Only a few cases of primary hydatid cyst located in head and neck region have been reported. Therefore, in this case, we wish to draw attention to possibility of the hydatid disease in the specific region.

An 8-year-old male came to pediatric surgery department of our institution with 3-year history of a slowly growing fronto-temporal mass that was painless and without fever [Figure 1]. Clinical examination revealed 8 × 6 × 4 cm round swelling to be cystic and fluctuant with no local inflammatory response. Physical and neurological examinations revealed no abnormalities. Computed tomography (CT) scan showed a cyst in the left temporal region, measuring 6.1 × 7 × 3.9 cm in size. The cystic lesion was round and well-delineated by a thin wall. As the past history was unremarkable and findings were suggestive of cystic lesion, it was thought to be a benign cyst. Possibility of cystic hygroma was ruled out as the lesion appeared at the age of 8 year and was absent at the time of birth. The cyst was removed surgically intact through a lateral approach. In histopathology, there was a single globular cyst measuring 6 × 5.5 × 4 cm in diameter. On sectioning, the cyst was unilocular, filled with white gelatinous membrane. Wall thickness was 0.2 cm microscopic examination demonstrated a unicellular hyalinized lamellated layer of ectocyst with fibrous outer layer. Marked foreign body type giant cell reaction was also seen confirming hydatid cyst. Ultrasonography of the abdomen was done to know status of other visceral organs but it did not reveal any other organ involvement by the disease process. Patient was given medical treatment with albendazole (200 mg/d) for 6 weeks.
Figure 1: Picture of the patient with visible swelling on left temporal region with streching of the lateral canthus of left eye

Click here to view


The outcome was good, and patient remained asymptomatic for the follow-up period of 2 month.

Soft tissue hydatid disease represents less than 3% of all hydatid disease. [2] Hydatid disease in extracranial region is rare, with only a few cases reported in the literature. Hydatid cysts are usually not considered in the differential diagnosis of head and neck cystic swellings, especially in non-endemic areas in the absence of hydatid disease elsewhere in the body. [3] The rarity of the disease in this anatomical location presents a diagnostic difficulty for the physician if he or she is not familiar with the disease.

Our patient did not have any evidence of hydatid disease elsewhere in the body, neither at the time of presentation nor on post-operative diagnostic imaging. These symptoms are characteristic of any slow-growing benign tumor in the body.

The case is a reminder that although rare in head and neck, clinicians has to bear in mind hydatid cyst in the differential diagnosis of extracranial swellings especially in countries where echinococcus infestation is endemic.

 
   References Top

1.
Geramidazadeh B. Unusual locations of the hydatid cyst: A review from Iran. Iran J Med Sci 2013;38:2-14.  Back to cited text no. 1
    
2.
Mushtaque M, Mir MF, Malik AA, Arif SH, Khanday SA, Dar RA. Atypical localizations of hydatid disease: Experience from a single institute. Niger J Surg 2012;18:2-7.  Back to cited text no. 2
[PUBMED]  Medknow Journal  
3.
Zulfikaroglu B, Koc M, Ozalp N, Ozmen MM. A rare primary location of echinococcal disease: Report of a case. Ups J Med Sci 2005;110:167-71.  Back to cited text no. 3
    


    Figures

  [Figure 1]



 

Top
Print this article  Email this article

    

 
  Search
 
  
 
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Article in PDF (371 KB)
    Citation Manager
    Access Statistics
    Reader Comments
    Email Alert *
    Add to My List *
* Registration required (free)  


    References
    Article Figures

 Article Access Statistics
    Viewed4580    
    Printed61    
    Emailed1    
    PDF Downloaded82    
    Comments [Add]    

Recommend this journal


Contact us | Sitemap | Advertise | What's New | Copyright and Disclaimer 

  2005 - Journal of Indian Association of Pediatric Surgeons | Published by Wolters Kluwer - Medknow 

Online since 1st May '05