Polycystic echinococcosis of the orbit.
OBJECTIVE
To report a case of polycystic echinococcosis of the orbit caused by Echinococcus oligarthrus.


METHODS
Interventional case report.


METHODS
A 14-year-old girl presented with a massive proptosis of the right eye of 9 years duration and loss of vision. The eye was phthisic, and a cystic mass was palpable. Computed tomography scan showed closely packed multiple orbital cysts with destruction of the medial orbital wall. Surgical exploration was performed.


RESULTS
The phthisic eye was enucleated. Dissection of the outer fibrous capsule yielded approximately 30 intact translucent white cysts of various sizes that were suggestive of polycystic echinococcosis. The diagnosis of echinococcosis was confirmed on histopathologic evaluation. The specific diagnosis of E oligarthrus was made on the basis of the presence of straight-backed hooks and central guards.


CONCLUSIONS
Polycystic echinococcosis of the orbit caused by E oligarthrus is rare. It may be an entirely new entity or hitherto unrecognized form of orbital echinococcosis.
Murthy
Ramesh
R
Division of Ophthalmic Plastic Surgery, Orbit, and Ocular Oncology, LV Prasad Eye Institute, LV Prasad Marg, Banjara Hills, Hyderabad 500-034, India.
Honavar
Santosh G
SG
Vemuganti
Geeta K
GK
Naik
Milind
M
Burman
Sanghamitra
S
D000293:Adolescent; D000818:Animals; D003560:Cysts / Q000000981:diagnostic imaging / Q000469:parasitology* / Q000601:surgery; D004443:Echinococcosis / Q000000981:diagnostic imaging / Q000469:parasitology* / Q000601:surgery; D004446:Echinococcus / Q000302:isolation & purification; D015353:Eye Enucleation; D015822:Eye Infections, Parasitic / Q000000981:diagnostic imaging / Q000469:parasitology* / Q000601:surgery; D005260:Female; D006801:Humans; D009916:Orbital Diseases / Q000000981:diagnostic imaging / Q000469:parasitology* / Q000601:surgery; D014057:Tomography, X-Ray Computed