Shahriarirad Reza, Erfani Amirhossein, Eskandarisani Mehrdad, Rastegarian Mohammad, Sarkari Bahador
Thoracic and Vascular Surgery Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
Surg Res Pract. 2020 Sep 18;2020:2061045. doi: 10.1155/2020/2061045. eCollection 2020.
Most cases of hydatid cysts form in the liver and lung and other tissues are considered as unusual locations in hydatid cysts. The current study aimed to find out the rate and features of hydatid cysts in uncommon locations in Fars Province, Southern Iran, over a 15-year period.
The hospital records of patients who underwent surgery for hydatid cysts in university-affiliated hospitals in Fars Province, Southern Iran, from 2004 to 2018, were retrospectively reviewed. For each patient, clinical and demographical data were recorded.
During a 15-year period, a total of 501 patients were surgically treated for hydatid cysts, and out of these, 46 (9.2%) were presented with the unusual locations of hydatid disease. Males constituted 28 (60.9%) of these patients while 18 (39.1%) of the patients were females. The patients' age ranged from 5 to 80 years (mean = 40.49; SD = 20.37). The size of the cysts ranged from 2 to 20 cm (mean = 8.69, SD = 4.59). The most common unusual location for the hydatid cyst was the spleen with 30.4% of cases, followed by the pelvic cavity (15.2%). Out of 46 cases with unusual location of the hydatid cyst, 10 (21.7%) cases had lung, 22 (47.8%) cases had liver, and 5 (10.9%) cases had both liver and lung hydatid cysts, simultaneously with cysts in unusual locations.
In cystic echinococcosis- (CE) endemic areas, hydatid disease can affect any organ, from head to toe, in humans. The disease should be considered in the differential diagnosis of any cystic entities anywhere in the body.
大多数包虫囊肿形成于肝脏和肺部，而在其他组织中出现则被视为包虫囊肿的罕见部位。本研究旨在查明伊朗南部法尔斯省15年间包虫囊肿在罕见部位的发生率及特征。
回顾性分析2004年至2018年期间在伊朗南部法尔斯省大学附属医院接受包虫囊肿手术患者的医院记录。记录每位患者的临床和人口统计学数据。
在15年期间，共有501例患者接受了包虫囊肿手术治疗，其中46例（9.2%）表现为包虫病的罕见部位。这些患者中男性有28例（60.9%），女性有18例（39.1%）。患者年龄在5至80岁之间（平均=40.49；标准差=20.37）。囊肿大小在2至20厘米之间（平均=8.69，标准差=4.59）。包虫囊肿最常见的罕见部位是脾脏，占病例的30.4%，其次是盆腔（15.2%）。在46例包虫囊肿罕见部位的病例中，10例（21.7%）有肺部囊肿，22例（47.8%）有肝脏囊肿，5例（10.9%）同时有肝脏和肺部包虫囊肿以及罕见部位的囊肿。
在囊型棘球蚴病（CE）流行地区，包虫病可影响人类从头部到脚趾的任何器官。对于身体任何部位的囊性病变进行鉴别诊断时都应考虑该病。
