Management of Extra-Hepatopulmonary Hydatid Cysts (157 cases).
OBJECTIVE
Hydatid cyst disease (HCD) is a zoonotic infestation of Echinococcus granulosus, which is frequently seen in some regions of the world. Unusual localization of Echinococcus granulosus is very rare. Hence, we would like to present our experience of identifying an extra-hepatopulmonary location of hydatid cysts.


METHODS
A total of 157 patients with an unusual location of hydatid cysts treated between 2000 and 2012 were retrospectively evaluated according to their age, sex, symptoms, diagnosis, stage, location of the cyst, and treatment modality.


RESULTS
Out of 157 patients, 68 were male and 89 were female. The mean age was 43.65 (4-85) years. The most involved organ was the spleen. The cysts were classified in 96, 57, and 4 patients as type I-II, III, and IV-V, respectively.


CONCLUSIONS
The Puncture, Aspiration, Injection, and Reaspiration regimen should be the primary treatment option for hydatid cysts with unusual locations. As much as possible, organ-preserving surgery should be a treatment of choice in extra-hepatopulmonary hydatid cysts.
Department of General Surgery, Necmettin Erbakan University Meram School of Medicine, Konya, Turkey. drmuratcakir@hotmail.com.
Murat
M
Çakır
Mehmet
M
Balasar
Tevfik
T
Küçükkartallar
Ahmet
A
Tekin
Adil
A
Kartal
Ömer
Ö
Karahan
Süleyman
S
Kargın
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000818:Animals; D002648:Child; D002675:Child, Preschool; D004443:Echinococcosis / Q000000981:diagnostic imaging / Q000453:epidemiology* / Q000601:surgery; D048209:Echinococcus granulosus / Q000302:isolation & purification*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013158:Splenic Diseases / Q000000981:diagnostic imaging / Q000453:epidemiology* / Q000601:surgery; D013514:Surgical Procedures, Operative; D014421:Turkey / Q000453:epidemiology; D055815:Young Adult