Subscribe to RSS
DOI: 10.1055/a-2056-0000
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 SchwangerschaftIntroduction
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/)
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany
-
References
- 1 Lentzsch AM, Göbel H, Heindl LM. Primary Orbital Hydatid Cyst. Ophthalmology 2016; 123: 1410
- 2 Thapa S, Ghosh A, Ghartimagar D. et al. Hydatidosis of infratemporal fossa with proptosis – an unusual presentation: a case report and review of the literature. J Med Case Rep 2018; 12: 309
- 3 Assimakopoulos SF, Marangos M. Orbital Hydatid Cyst. N Engl J Med 2020; 382: 1352
- 4 Chtira K, Benantar L, Aitlhaj H. et al. The surgery of intra-orbital hydatid cyst: a case report and literature review. Pan Afr Med J 2019; 33: 167
- 5 Fasina O, Ogun OG. Hydatid cyst of the orbit in a young Nigerian female: a case report. Ghana Med J 2017; 51: 204-206
- 6 Oztekin PS, Yilmaz BK, Gokharman FD. et al. Primary orbital hydatid cyst: computed tomography and magnetic resonance imaging findings. Singapore Med J 2014; 55: e184-e186
- 7 Dziri C, Haouet K, Fingerhut A. et al. Management of cystic echinococcosis complications and dissemination: where is the evidence?. World J Surg 2009; 33: 1266-1273
- 8 Minciullo PL, Cascio A, David A. et al. Anaphylaxis caused by helminths: review of the literature. Eur Rev Med Pharmacol Sci 2012; 16: 1513-1518