Primary Hydatid Cyst of Umbilicus, Mimicking an Umbilical Hernia
| Autor: | Hamidreza Alizadeh Otaghvar, Mohammadreza Tarahomi, Nazila hasanzadeh Ghavifekr, Daryanaz Shojaei, Amir Molaei, Farhood Goravanchi |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Umbilicus (mollusc) Perforation (oil well) lcsh:Surgery Case Report Abdominal wall 03 medical and health sciences 0302 clinical medicine parasitic diseases medicine Pharmacology (medical) Cyst 030212 general & internal medicine Echinococcus granulosus biology business.industry lcsh:RD1-811 biology.organism_classification medicine.disease Abdominal mass Surgery Umbilical hernia medicine.anatomical_structure 030211 gastroenterology & hepatology medicine.symptom Differential diagnosis business |
| Zdroj: | Case Reports in Surgery Case Reports in Surgery, Vol 2016 (2016) |
| ISSN: | 2090-6919 2090-6900 |
| DOI: | 10.1155/2016/9682178 |
| Popis: | Hydatid cyst caused byEchinococcus granulosusdemonstrates an endemic infection in several countries such as Middle Eastern countries. Liver is the most frequently involved organ, followed by the lung. The case we present is solitary primary localization of cyst in abdominal wall which is extremely rare. A 57-year-old woman presented with an abdominal wall lesion in umbilical area that had been evolving for about 2 years with recent complaint of pain and discomfort. We detected a midline abdominal mass12⁎13centimeters in diameter which was bulged out in umbilicus. Preoperative clinical diagnosis of incarcerated umbilical hernia was made due to its physical examination while surgical exploration disproved the primary diagnosis and we found cystic mass adherent to superficial fascia without any communication to peritoneal space. The cyst was excised completely without any injury or perforation of containing capsule. The diagnosis of hydatid cyst was confirmed by histopathological examination of specimen. The retrograde evaluation showed no involvement of other organs. The patient was followed for two years and no recurrence of hydatid disease has been observed. Hydatid cyst should be considered as a differential diagnosis of abdominal wall and umbilical lesions especially in endemic regions. |
| Databáze: | OpenAIRE |
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