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Management of Extrahepatic Abdominal Echinococcal Disease and Its Complications

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The Surgical Management of Parasitic Diseases

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Abstract

Hydatid disease is one of the major zoonotic diseases carrying significant burden on public health and economy, caused by the tapeworm Echinococcus which belongs to the family Taeniidae. Humans are considered the incidental intermediate host. The liver is the most commonly affected organ, followed by the lungs. However, any other human organ can potentially be involved. Primary extrahepatic hydatid disease has been reported in the abdominal cavity, retroperitoneum, spleen, kidneys, adrenals, and even myocardium. Parasites spread through portal circulation. Other courses of spread include lymphatic invasion by the parasite. The spread of hydatid disease in the abdomen can be along peritoneal fluid circulation or intra-abdominal recesses, which may explain intraperitoneal seeding. Treatment alternatives mainly involve anthelminthic therapy and interventional procedures including PAIR, PPDC, conservative surgical approach, and radical surgical resection (absolute pericystectomy or hepatectomy). Palliative treatment comprises of drainage of infected cysts.

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References

  1. Rasheed K, Zargar SA, Telwani AA. Hydatid cyst of spleen: a diagnostic challenge. N Am J Med Sci. 2013;5(1):10–20.

    Article  Google Scholar 

  2. Ramia-Angel JM, Gasz A, de la Plaza-Llamas R, Quinones-Sampedro J, Sancho E, Garcia PJ. Hidatidosis of the spleen. Pol Przegl Chir. 2011;83(5):271–5.

    Article  Google Scholar 

  3. Sarkar M, Pathania R, Jhobta A, Thakur BR, Chopra R. Cystic pulmonary hydatidosis. Lung India. 2016;33(2):179–91.

    Article  Google Scholar 

  4. Neil M, Burgkart RH, Guntmar G, Von Eisenhart-Rothe R. Primary extrahepatic alveolar echinococcosis of the lumbar spine and the psoas muscle. Ann Clin Microbiol Antimicrob. 2011;10:13.

    Article  Google Scholar 

  5. Ameur HB, Affes N, Abdelhedi C, Kchaou A, Boujelbene S, Beyrouti MI. Hydatid cyst of the spleen: Tunisian series of 21 cases. Indian J Surg. 2015;77(Suppl 2):515–9.

    Article  Google Scholar 

  6. Bourée P. Hydatidosis: dynamics of transmission. World J Surg. 2001;25:4–993.

    Article  Google Scholar 

  7. Manouras AJ, Nikolaou CC, Katergiannakis VA, et al. Spleen-sparing surgical treatment for echinococcosis of the spleen. Br J Surg. 1997;84:1162.

    Article  CAS  Google Scholar 

  8. Romig T. Epidemiology of echinococcosis. Langenbeck's Arch Surg. 2003;388:209–17.

    Article  Google Scholar 

  9. Magistrelli P, Masetti R, Coppola R, Messia A, Nuzzo G, Picciochi A. Surgical treatment of hydatid disease of the liver. World J Surg. 1991;126:518–23.

    CAS  Google Scholar 

  10. Prousalidid J, Tzardinoglou K, Sgouradis L, Katsohis C, Aletras H. Uncommon sites of hydatid disease. World J Surg. 1998;22:17–22.

    Article  Google Scholar 

  11. Eckert J, Deplazes P. Biological, epidemiological, and clinical aspects of echinococcosis, a zoonosis of increasing concern. Clin Microbiol Rev. 2004;17:107–35.

    Article  Google Scholar 

  12. Brunt LM, Langer JC, Quasebarth MA, et al. Comparative analysis of laparoscopic versus open splenectomy. Am J Surg. 1996;172:596–601.

    Article  CAS  Google Scholar 

  13. Mokhtari MAM, Spoutin A. Splenic hydatid cyst and relevation with anaphylaxis. Res J Med Sci. 2008;2:248–50.

    Google Scholar 

  14. Eris C, Akbulut S, Yildiz MK, et al. Surgical approach to splenic hydatid cyst: single center experience. Int Surg. 2013;98(4):346–53.

    Article  Google Scholar 

  15. Caremani M, Benci A, Maestrini R, Accorsi A, Caremani D, Lapini L. Ultrasound imaging in cystic echinococcosis. Proposal of a new sonographic classification. Acta Trop. 1997;67:91–105.

    Article  CAS  Google Scholar 

  16. Gossios KJ, Kontoyiannis DS, Dascalogiannaki M, Gourtsoyiannis NC. Uncommon locations of hydatid disease: CT appearances. Eur Radiol. 1997;7:1303–8.

    Article  CAS  Google Scholar 

  17. Meimarakis G, Grigolia G, Loehe F, Jauch KW, Schauer RJ. Surgical management of splenic echinococcal disease. Eur J Med Res. 2009;14(4):165–70.

    Article  CAS  Google Scholar 

  18. Sarkar M, Pathania R, Jhobta A, Thakur BR, Chopra R. Cystic pulmonary hydatidosis. Lung India. 2016;33(2):179–91.

    Article  Google Scholar 

  19. Harris DG, Van Vuuren WM, Augustyn J, Rossouw GJ. Hydatid cyst fistula into the aorta presenting with massive hemoptysis. Case report and literature review. J Cardiovasc Surg. 2001;42:565–7.

    CAS  Google Scholar 

  20. Gomez R, Moreno E, Loinaz C, et al. Diaphragmatic or transdiaphragmatic thoracic involvement in hepatic hydatid disease: surgical trends and classification. World J Surg. 1995;19:714–9.

    Article  CAS  Google Scholar 

  21. Dogan R, Yuksel M, Cetin G, et al. Surgical treatment of hydatid cysts of the lung: report on 1055 patients. Thorax. 1989;4(4):192–1999.

    Article  Google Scholar 

  22. Athanassiadi K, Kalavrouziotis G, Loutsidis A, Bellenis I, Exarchos N. Surgical treatment of echinococcosis by a transthoracic approach: a review of 85 cases. Eur J Cardiothorac Surg. 1998;14:134–40.

    Article  CAS  Google Scholar 

  23. Zmerli S, Ayed M, Horchani A, Chami I. El ouakdi M, Ben slama MR. Hydatid cyst of the kidney: diagnosis and treatment. World J Surg. 2001;25(1):68–74.

    Article  CAS  Google Scholar 

  24. Reza HAM, Rreza G, Nastaran B, Mousa M. Renal hydatid cyst; a rare infectious disease. Oxf Med Case Reports. 2019;2019(3):omz011.

    Article  Google Scholar 

  25. Senapati SB, Parida DK, Pattajoshi AS, Gouda AK, Patnaik A. Primary hydatid cyst of brain: two cases report. Asian J Neurosurg. 2015;10(2):175–6.

    Article  Google Scholar 

  26. Ali M, Mahmood K, Khan P. Hydatid cysts of the brain. J Ayub Med Coll Abbottabad. 2009;21(3):152–4.

    PubMed  Google Scholar 

  27. Ruiz-rabelo JF, Gomez-alvarez M, Sanchez-rodriguez J. Rufian peña S. complications of extrahepatic echinococcosis: fistulization of an adrenal hydatid cyst into the intestine. World J Gastroenterol. 2008;14(9):1467–9.

    Article  Google Scholar 

  28. Su L, Yu J, Dai C, Liu Y, Peng L. Echinococcosis in left ventricle: a case report. Medicine (Baltimore). 2019;98(16):e15267.

    Article  Google Scholar 

  29. Ahmed Z, Chhabra S, Massey A, et al. Primary hydatid cyst of pancreas: case report and review of literature. Int J Surg Case Rep. 2016;27:74–7.

    Article  Google Scholar 

  30. Krasniqi A, Limani D, Gashi-luci L, Spahija G, Dreshaj IA. Primary hydatid cyst of the gallbladder: a case report. J Med Case Rep. 2010;4:29.

    Article  Google Scholar 

  31. Noomene R, Ben Maamer A, Bouhafa A, Haoues N, Oueslati A, Cherif A. Primary hydatid cyst of the gallbladder: an unusual localization diagnosed by magnetic resonance imaging (MRI). Pan Afr Med J. 2013;14:15.

    PubMed  PubMed Central  Google Scholar 

  32. Bhake A, Agrawal A. Hydatid disease of the spine. J Neurosci Rural Pract. 2010;1(2):61–2.

    Article  Google Scholar 

  33. Khazim RM. Spinal hydatid disease. South Med J. 2006;99:114.

    Article  Google Scholar 

  34. Illuri HR, et al. Hydatid disease: a 2 years retrospective study in a tertiary care center in South India. Inte Surg J. 2018;5(2):602–7.

    Article  Google Scholar 

  35. Teggi A, Lastilla MG, De Rosa F. Therapy of human hydatid disease with mebendazole and albendazole. Antimicrob Agents Chemother. 1993;37:1679–84.

    Article  CAS  Google Scholar 

  36. Karavias DD, Vagianos CE, Bouboulis N, et al. Improved techniques in the surgical treatment of hepatic hydatidosis. Surg Gynecol Obstet. 1992;174:176–80.

    CAS  PubMed  Google Scholar 

  37. Stamatakis J. Hepatic hydatid disease. In: Johnson CD, Taylor I, editors. Recent advances in surgery (17). London: Churchill Livingstone; 1994. p. 35–48.

    Google Scholar 

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Author information

Authors and Affiliations

  1. Liver Transplantation and Hepatopancreaticobiliary Unit, Department of Surgery, American University of Beirut-Medical Center, Beirut, Lebanon

    Walid Faraj, Hussein Nassar & Mohamad Khalife

  2. Liver Transplantation and Hepatopancreaticobiliary Unit, Department of Surgery, Division of Pediatric Surgery, American University of Beirut Medical Center, Beirut, Lebanon

    Ahmad Zaghal

Authors
  1. Walid Faraj
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  2. Hussein Nassar
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  3. Ahmad Zaghal
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  4. Mohamad Khalife
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Corresponding author

Correspondence to Walid Faraj .

Editor information

Editors and Affiliations

  1. Department of Surgery, Aristotle University of Thessaloniki, Thessaloniki, Greece

    George Tsoulfas

  2. Department of Surgery, American University of Beirut Medical Centre, Beirut, Lebanon

    Jamal J. Hoballah

  3. Department of Surgery, Massachusetts General Hospital, Boston, MA, USA

    George C. Velmahos

  4. Department of Surgery, James Cook University, Douglas, Australia

    Yik-Hong Ho

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Faraj, W., Nassar, H., Zaghal, A., Khalife, M. (2020). Management of Extrahepatic Abdominal Echinococcal Disease and Its Complications. In: Tsoulfas, G., Hoballah, J., Velmahos, G., Ho, YH. (eds) The Surgical Management of Parasitic Diseases. Springer, Cham. https://doi.org/10.1007/978-3-030-47948-0_11

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  • DOI: https://doi.org/10.1007/978-3-030-47948-0_11

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-47947-3

  • Online ISBN: 978-3-030-47948-0

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