Alabed Ammer, Alobaid Batoul, Alhallak Shaghaf, Alamawi Seba, Kadi Zaynab
Faculty of Medicine, University of Damascus, Damascus, Syria.
Faculty of Medicine, Albaath University, Homs, Syria.
J Surg Case Rep. 2025 Mar 12;2025(3):rjaf135. doi: 10.1093/jscr/rjaf135. eCollection 2025 Mar.
In endemic regions, intra-orbital hydatid cysts are a rare manifestation of Echinococcus granulosus infection, classically disturbing the liver and lungs. This report details a patient's case with an intra-orbital cyst presenting. Diagnostic imaging revealed a cystic lesion causing optic nerve displacement. Serology confirmed echinococcosis. Surgical excision was performed, resulting in proptosis resolution but subsequent exophoria and visual acuity reduction due to surgical complications. Orbital hydatid cysts are considered diagnostic challenges due to symptom overlap with other pathologies. Treatment primarily includes surgical removal, supplemented by anthelmintic therapy to prevent recurrence. This case underlines the importance of early detection and careful surgical intervention to minimize complications and ensure optimal outcomes in managing this rare condition.
在流行地区，眼眶内包虫囊肿是细粒棘球绦虫感染的罕见表现，该病通常会累及肝脏和肺脏。本报告详细介绍了一例眼眶内囊肿患者的病例。诊断性影像学检查显示有一个导致视神经移位的囊性病变。血清学检查确诊为包虫病。进行了手术切除，眼球突出症状得到缓解，但由于手术并发症随后出现了外斜视和视力下降。由于眼眶包虫囊肿的症状与其他疾病重叠，因此被视为诊断难题。治疗主要包括手术切除，并辅以驱虫治疗以防止复发。该病例强调了早期检测和谨慎手术干预的重要性，以尽量减少并发症，并确保在处理这种罕见疾病时获得最佳结果。
