Simultaneous giant hydatid cysts of brain and liver.
While hepatic hydatid cysts are most common in occurrence, intracranial hydatid cyst is less common. Simultaneous presence of both varieties is quite rare and poses a challenge for management in terms of involvement of multidisciplinary team and multiple interventions. An 8-year boy presented with neurological symptoms of a space occupying lesion. There was also hepatomegaly. Radiological investigations revealed giant hydatid cysts involving left cerebral hemisphere and left lobe of liver. Cerebral hydatid cyst was operated first by pediatric neurosurgeons. After 10 days of stabilization period, hepatic lesion was removed by pediatric surgeons. Patient showed uneventful recovery and discharged on oral albendazole for 6 months. There was no recurrence at follow-up.
Department of Pediatric Neurosurgery, The Children's Hospital and the Institute of Child Health, Lahore.
Lubna
L
Ijaz
Department of Pediatric Surgery, The Children's Hospital and the Institute of Child Health, Lahore.
Bilal
B
Mirza
Department of Pediatric Neurosurgery, The Children's Hospital and the Institute of Child Health, Lahore.
Malik Muhammad
MM
Nadeem
Department of Pediatric Surgery, The Children's Hospital and the Institute of Child Health, Lahore.
Muhammad
M
Saleem
D015766:Albendazole / Q000627:therapeutic use; D000818:Animals; D000871:Anthelmintics; D001921:Brain / Q000469:parasitology / Q000473:pathology; D020809:Central Nervous System Helminthiasis / Q000175:diagnosis* / Q000628:therapy*; D002648:Child; D015653:Cystectomy; D004443:Echinococcosis / Q000175:diagnosis / Q000628:therapy; D004444:Echinococcosis, Hepatic / Q000175:diagnosis* / Q000628:therapy*; D004446:Echinococcus / Q000302:isolation & purification; D006801:Humans; D008099:Liver / Q000469:parasitology / Q000473:pathology; D019635:Neurosurgical Procedures / Q000379:methods; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D000871:Anthelmintics; D015766:Albendazole