Abstract
Purpose
Hydatid cyst (HC) is a serious health problem in developing countries. The aim is to discuss the clinical information, surgical and puncture–aspiration–injection–re-aspiration (PAIR) treatments, and results of patients with HC in a developing country.
Methods
Patients were analyzed in terms of gender, age, presenting complaint, misdiagnosed HC, cyst location, cyst number, cyst size, liver HC type according to the World Health Organization Informal Working Group Echinococcosis (WHO-IWGE) classification, pulmonary HC, hemithorax locations, treatments and interventions, duration of hospitalization, follow-up period, postoperative complications, and recurrence.
Results
There were 106 girls and 99 boys with a mean age of 10.7 years. The most common location was the liver (n = 170), and the second most common was the lungs (n = 67). The mean diameter for liver HC was 86.27 mm, and it was 73.90 mm for pulmonary HC. PAIR was performed on 61 patients with liver HC using interventional radiology. 109 patients underwent surgery. The most common complications were cystobiliary fistula in liver HC and atelectasis in pulmonary HC.
Conclusion
HC should be one of the first considerations in the differential diagnosis in all anatomical areas in the presence of suspicious radiological and clinical findings in endemic regions.
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References
Sahin E, Yüksek Y, Daglar G, Gözalan U, Kama N (2008) Diagnosis and treatment of hydatid cysts: results of 120 patients. TRAKYA UNIVERSITESI TIP FAKULTESI DERGISI 25(1):6–14
Varela A, Burgos R, Castedo E (2008) Esophageal surgery. In: Churchill LP (ed) Parasitic diseases of the lung and pleura, 3rd edn. pp 550–565
Sayek I, Tirnaksiz MB, Dogan R (2004) Cystic hydatid disease: current trends in diagnosis and management. Surg Today 34(12):987–996
Dandan IS, Soweid AM, Abiad F (2008) Hydatid cyst. Drugs, Diseases & Procedures Available from: http://emedicine.medscape.com/article/178648-overview/
Harris K, Morris D, Tudor R, Toghill P, Hardcastle J (1986) Clinical and radiographic features of simple and hydatid cysts of the liver. Br J Surg 73(10):835–838
Ammann RW, Eckert J (1996) Cestodes: echinococcus. Gastroenterol Clin 25(3):655–689
Eckert J (1996) Guidelines for treatment of cystic and alveolar echinococcosis in humans. Bull World Health Organ 74(3):231–242
Tanki H, Singh H, Raswan US, Bhat AR, Kirmani AR, Ramzan AU (2018) Pediatric intracranial hydatid cyst: a case series with literature review. Pediatr Neurosurg 53(5):299–304
Donnellan WL (1996) Hydatid cyst in children. Abdominal surgery of infancy and children. Harwood Acad Publ, Luxembourg 64:19–25
Djuricic SM, Grebeldinger S, Kafka DI, Djan I, Vukadin M, Vasiljevic ZV (2010) Cystic echinococcosis in children—the seventeen-year experience of two large medical centers in Serbia. Parasitol Int 59(2):257–261
Dashti AS, Kadivar MR, Alborzi A, Sadeghi E, Pouladfar GR, Bagherian N et al (2017) Analysis of hospital records of children with hydatid cyst in the south of Iran. J Parasit Dis 41(4):1044–1048
Koca T, Dereci S, Gençer A, Duman L, Aktas AR, Akçam M et al (2016) Cystic echinococcosis in childhood: five-years of experience from a single-center. Turkiye Parazitol Derg 40(1):26
Çakir D, Çelebi S, Gürpinar A, Agin M, Bozdemir SE (2009) Kist Hidatikli Olgularin Degerlendirilmesi/Evaluation of Cases with Hydatid Diseases. J Pediatr Inf 3(1):104–108
Pekmezci S, Kılıç İ (2006) The diagnosis of the hydatid disease: imaging methods, serological and cytopathological examinations. Turkiye Klinikleri J Surg Med Sci 2(9):13–16
Altintas N (2003) Past to present: echinococcosis in Turkey. Acta Trop 85(2):105–112
Kapan S, Turhan AN, Kalayci MU, Alis H, Aygun E (2008) Albendazole is not effective for the primary treatment of hepatic hydatid cysts. J Gastroint Surg 12(5):867–871
Yetim B, Kilic E (2018) The role of combination pre-and postoperative albendazole therapy in the surgical management of liver hydatidosis. Ann Ital Chir 89(6):528–533
Karabulut B, Bayram G, Azılı Mn, Özcan F, Şenaylı A, Akbıyık F et al Karaciğer Kist Hidatiğinin Cerrahi ve Perkütan Tedavi Sonuçlarının Karşılaştırılması. Türkiye Çocuk Hastalıkları Dergisi 8(3):141–145. Retrieved from https://dergipark.org.tr/en/pub/tchd/issue/44379/548975
Demirbilek S, Sander S, Atayurt H, Aydın G (2001) Hydatid disease of the liver in childhood: the success of medical therapy and surgical alternatives. Pediatr Surg Int 17(5):373–377
Kosar A, Orki A, Haciibrahimoglu G, Kiral H, Arman B (2006) Effect of capitonnage and cystotomy on outcome of childhood pulmonary hydatid cysts. J Thorac Cardiovasc Surg 132(3):560–564
Yigithan A, Cevizci MN, Demir M, Demir B, Kiliç Ö (2013) Complicated pulmonary hydatid cyst. J Pediatr Inf 7(2):72
Dar MA, Shah OJ, Wani NA, Khan FA, Shah P (2002) Surgical management of splenic hydatidosis. Surg Today 32(3):224–229
Berrada S, Ridai M, Mokhtari M (eds) (1991) Hydatid cysts of the spleen: splenectomy or conservative surgery? Annales de chirurgie
Kayaalp C, Bzeizi K, Demirbag AE, Akoglu M (2002) Biliary complications after hydatid liver surgery: incidence and risk factors. J Gastrointest Surg 6(5):706–712
Demir S, Ilikan GB, Erturk A, Oztorun CI, Guney D, Azili MN et al (2020) A serious complicatıon of liver hydatid cysts in children: cystobiliary fistulas. Pediatr Surg Int 1–10
Fındık G, Aydoğdu K, Hazer S, Öz G, Küçükbayrak A, Karaoğlanoğlu N et al (2012) The management of postoperative complications in childhood pulmonary hydatid cysts. Turkish J Thorac Cardiovasc Surg 20:850–856
Brahim MB, Nouri A, Ksia A, El Ezzi O, Krichene I, Mekki M et al (2008) Management of multiple echinococcosis in childhood with albendazole and surgery. J Pediatr Surg 43(11):2024–2030
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Öztorun, C.İ., Demir, S., Güney, D. et al. An unsolved problem in developing countries: hydatid cysts in children. Pediatr Surg Int 37, 1235–1241 (2021). https://doi.org/10.1007/s00383-021-04904-3
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DOI: https://doi.org/10.1007/s00383-021-04904-3