Title: Multi Organ Echinococcosis Including Liver, Lung, and Breast: A Rare Case Report
Authors: Dr Nafees Ahmad Khan, Dr Salauddin, Prof. Mohammad Shameem, Dr Ashish Jain, Dr Arshad Ejazi, Dr Arif, Dr Shahzad
DOI: https://dx.doi.org/10.18535/jmscr/v6i7.80
Abstract
Hydatid disease (HD) is endemic in the many part of the world with more prominent regions are South America, New Zealand, Australia, Middle East Africa, Turkey and Southern Europe, but small foci are common in almost every region of the world including India where the prevalence of Hydatid cyst high in Tamil Nadu, Andhra Pradesh, and Jammu and Kashmir. Infestation by Echinococcus granulosus in humans most commonly occurs in the liver (55-70%) followed by the lung (18-35%); the two organs can be affected simultaneously in about 5-13% of cases. Incidence of unusual sites is about 8-10%. It is not very common to find multi-organ involvement of hydatid cyst. We present a case of a 23-year-old Female with multi-organ echinococcosis with extensive pulmonary and hepatic involvement including breast.
Keywords: Hydatid cyst, multi-organ involvement, lung, liver.
References
- McManus DP, Zhang W, Li J, Bartley PB. Echinococcosis. Lancet. 2003;362:1295–304. [PubMed]
- Goel MM, Verma N, Sagar M. Disseminated intra-abdominal hydatidosis causing acute intestinal obstruction-a rare presentation. BMJ Case Rep. 2010:2010. [PMC free article] [PubMed]
- Kumar S, Gautam S, Prakash R, Kumar S, Srivastava VK. Simultaneous primary hydatid cysts of liver and spleen with spontaneous intraperitoneal rupture of liver cyst. J ClinDiagn Res. 2014;8: NJ01.[PMC free article] [PubMed]
- Grainger RG, Allison D, Adam A, Dixon AK. Diagnostic Radiology. 4th ed. New York: Churchill Livingstone, 2001: 400-401.
- Dahnert W. Radiology Review Manual. 6th ed. Philadelphia: Lippincott Williams & Wilkins, 2007: 500-501.
- Symeonidis N, Pavlidis T, Baltatzis M, Ballas K, Psarras K, Marakis G, Sakantamis A. Complicated liver echinococcosis: 30 years of experience from an endemic area. Scand J Surg. 2013;102:171–177. [PubMed]
- Mastrandrea S, Stegel G, Piseddu T, Ledda S, Masala G. A retrospective study on burden of human echinococcosis based on Hospital Discharge Records from 2001 to 2009 in Sardinia, Italy. Acta Trop.2012;123:184–189. [PubMed]
- Hahm MH, Kim HJ, Shin KM, Cho SH, Park JY, Jung JH, Jeong JY, Bae JH. Concurrent invasive ductal carcinoma of the breast and malignant follicular lymphoma, initially suspected to be metastatic breast cancer: a case report. J Breast Cancer. 2014;17:91–97. [PMC free article] [PubMed]