CC BY-NC-ND 4.0 · Klin Monbl Augenheilkd 2023; 240(04): 464-466
DOI: 10.1055/a-2056-0000
Der interessante Fall

Surgical Procedure and Perioperative Management of a Giant Orbital Echinococcus Cyst during and after Pregnancy

Chirurgisches und perioperatives Management einer sehr großen orbitalen Echinococcus-Zyste während und nach einer Schwangerschaft
Béatrice Corinne Braun Fränkl
Department of Ophthalmology, University Hospital Zurich, Zurich, Switzerland
,
Karla Chaloupka
Department of Ophthalmology, University Hospital Zurich, Zurich, Switzerland
› Author Affiliations

Introduction

Orbital cystic echinococcosis (CE) is a rare entity and most common in poor countries. Surgical management has been published in a few case reports [1], [2], [3], [4], [5], [6]. About 0.8 – 1 percent of all CE cases show an orbital involvement [4] and present typical radiological findings [6].

Interdisciplinary workup (radiology, infectious diseases) is usually performed before surgery and antiparasitic therapy is started before surgery in consideration of intraoperative spilling and a possible anaphylactic reaction, which is caused by the spilling of fluid from the hydatid cyst [7]. The prevalence of anaphylactic shock during surgery varies among studies and might be around 2% [8].



Publication History

Received: 16 October 2022

Accepted: 11 January 2023

Article published online:
25 April 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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