A Rare Case of Orbital Hydatid Cyst

Nabil Albab; Ibrahim Madiq; Sarah Belghmaidi; Ibtissam Hajji; Abdeljalil Moutaouakil; El Ghali Boufrioua; Brahim Admou; Houda Kabbaj; Zakaria Aziz; Nadia Mansouri

doi:doi:10.11648/j.ass.20200801.13

A Rare Case of Orbital Hydatid Cyst

Nabil Albab, Ibrahim Madiq, Sarah Belghmaidi, Ibtissam Hajji, Abdeljalil Moutaouakil, El Ghali Boufrioua, Brahim Admou, Houda Kabbaj, Zakaria Aziz, Nadia Mansouri

Published in Advances in Surgical Sciences (Volume 8, Issue 1)

Received: 10 December 2019 Accepted: 26 February 2020 Published: 30 April 2020

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Abstract

Background: Cystic echinococcosis, also known as hydatid disease, which is mostly caused by larval stage of Echinococcusgranulosus. The orbital localization in rare and uncommon. Preoperative diagnosis is important to prevent from complications. Case information: Here we report the case of a child admitted for chronic proptosis whose investigations concluded with an orbital hydatid cyst. Result: We describe the case of an 8-year-old child, who consulted in our ophthalmic emergency department for a painful proptosis of the right eye with a progressive decrease in visual acuity and chronic fatigue that had been evolving for 6 months. Due to this highly evocative lesion of an orbital hydatid cyst, we carried out with an ELISA and Western Blot hydatid serology which ended negative. Faced with this orbital involvement, we performed an orbital MRI which objectified two right T2-hypersignal eye cystic lesions, well-limited, exerting a mass effect on the optic nerve and responsible of a grade 2 exophthalmos. We also performed a biological assessment including hemogram, renal and hepatic function that had been normal. The patient remained under medical treatment with albendazole before and after surgery. Conclusion: Orbital involvement, although rare, should not be ignored especially when it comes to chronic proptosis with or without a visual impact in children living around dogs or breeders or in deplorable hygienic conditions.

Published in	Advances in Surgical Sciences (Volume 8, Issue 1)
DOI	10.11648/j.ass.20200801.13
Page(s)	11-13
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Echinococcusgranulosis, Hydatid Cyst, Proptosis, Surgery

References

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[2]	Grosso G, Gruttadauria S, Biondi A, Marventano S, Mistretta A. Worldwide epidemiology of liver hydatidosis including the Mediterranean area. World J Gastroenterol. 2012; 18 (13): 1425e1437.
[3]	Otero-Abad B, Torgerson PR. A systematic review of the epidemiology of echinococcosis in domestic and wild animals. PLoSNegl Trop Dis. 2013; 7 (6): e2249.
[4]	Shoaee S, Rezvanizadeh M, Haghighi M, Yousefi H. Epidemiological, clinical and paraclinical study of hydatid cysts in three educational medical centers in 10 years. Nov Biomed. 2016; 4 (1): 28e33.
[5]	Eckert J, Deplazes P. Biological, epidemiological, and clinical aspects of echinococcosis, a zoonosis of increasing concern. ClinMicrobiol Rev. 2004; 17 (1): 107e135.
[6]	Eckert J, Gemmell MA, Meslin FX, Pawlowski ZS. WHO/OIE Manual on Echinococcosis in Humans and Animals: A Public Health Problem of Global Concern. Paris, France: WHO/OIE; 2001: 20e71.
[7]	Basset D, D’hermis F, Leport et coll. Localisation oribitaire d’un kystehydatique chez un enfant surinamien. BullSoc FrParasit 1989; 7: 241-4.
[8]	Moro P, Schantz PM. Echinococcosis: a review. Int J Infect Dis. 2009; 13 (2): 125e133.
[9]	Benazzou, S., Arkha, Y., Derraz, S., El Ouahabi, A., & El Khamlichi, A. (2010). Orbital hydatid cyst: review of 10 cases. Journal of Cranio-Maxillofacial Surgery, 38 (4), 274-278.
[10]	Öztekin, P. S., Yilmaz, B. K., Gokharman, F. D., &Koşar, P. N. (2014). Primary orbital hydatid cyst: computed tomography and magnetic resonance imaging findings. Singapore medical journal, 55 (11), e184.
[11]	Gomez Morales, A., Croxatto, J. O., Crovetto, L., &Ebner, R. (1988). Hydatid cysts of the orbit: a review of 35 cases. Ophthalmology, 95 (8), 1027-1032.
[12]	Turgut, A. T., Turgut, M., & Koşar, U. (2004). Hydatidosis of the orbit in Turkey: results from review of the literature 1963–2001. International ophthalmology, 25 (4), 193-200.
[13]	Torun, F., Tuna, H., Bozkurt, M., & Deda, H. (2004). Orbital Hydatic Cyst: Case Report. Türk Nöroşirürji Dergisi, 14, 184-7.
[14]	Gökçek, C., Gökçek, A., Bayar, M. A., Tanrikulu, S., & Buharali, Z. (1997). Orbital hydatid cyst: CT and MRI. Neuroradiology, 39 (7), 512-515.
[15]	Berradi, S., Hafidi, Z., Lezrek, O., Lezrek, M., &Daoudi, R. (2014). Orbital hydatid cyst. QJM, 108 (4), 343–344
[16]	Turgut AT, Turgut M, Kosar U. Hydatidosis of the orbit in Turkey: results from review of the literature 1963-2001. IntOphthalmol. 2004; 25 (4): 193e200.
[17]	Betharia SM, Pushker N, Sharma V, Avinash M, Kashyap S. Disseminated hydatid disease involving orbit, spleen, lung and liver. Int J Ophthalmol. 2002; 216 (4): 300e304.

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APA Style

Nabil Albab, Ibrahim Madiq, Sarah Belghmaidi, Ibtissam Hajji, Abdeljalil Moutaouakil, et al. (2020). A Rare Case of Orbital Hydatid Cyst. Advances in Surgical Sciences, 8(1), 11-13. https://doi.org/10.11648/j.ass.20200801.13

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ACS Style

Nabil Albab; Ibrahim Madiq; Sarah Belghmaidi; Ibtissam Hajji; Abdeljalil Moutaouakil, et al. A Rare Case of Orbital Hydatid Cyst. Adv. Surg. Sci. 2020, 8(1), 11-13. doi: 10.11648/j.ass.20200801.13

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AMA Style

Nabil Albab, Ibrahim Madiq, Sarah Belghmaidi, Ibtissam Hajji, Abdeljalil Moutaouakil, et al. A Rare Case of Orbital Hydatid Cyst. Adv Surg Sci. 2020;8(1):11-13. doi: 10.11648/j.ass.20200801.13

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@article{10.11648/j.ass.20200801.13,
  author = {Nabil Albab and Ibrahim Madiq and Sarah Belghmaidi and Ibtissam Hajji and Abdeljalil Moutaouakil and El Ghali Boufrioua and Brahim Admou and Houda Kabbaj and Zakaria Aziz and Nadia Mansouri},
  title = {A Rare Case of Orbital Hydatid Cyst},
  journal = {Advances in Surgical Sciences},
  volume = {8},
  number = {1},
  pages = {11-13},
  doi = {10.11648/j.ass.20200801.13},
  url = {https://doi.org/10.11648/j.ass.20200801.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ass.20200801.13},
  abstract = {Background: Cystic echinococcosis, also known as hydatid disease, which is mostly caused by larval stage of Echinococcusgranulosus. The orbital localization in rare and uncommon. Preoperative diagnosis is important to prevent from complications. Case information:  Here we report the case of a child admitted for chronic proptosis whose investigations concluded with an orbital hydatid cyst. Result:  We describe the case of an 8-year-old child, who consulted in our ophthalmic emergency department for a painful proptosis of the right eye with a progressive decrease in visual acuity and chronic fatigue that had been evolving for 6 months. Due to this highly evocative lesion of an orbital hydatid cyst, we carried out with an ELISA and Western Blot hydatid serology which ended negative. Faced with this orbital involvement, we performed an orbital MRI which objectified two right T2-hypersignal eye cystic lesions, well-limited, exerting a mass effect on the optic nerve and responsible of a grade 2 exophthalmos. We also performed a biological assessment including hemogram, renal and hepatic function that had been normal. The patient remained under medical treatment with albendazole before and after surgery. Conclusion:  Orbital involvement, although rare, should not be ignored especially when it comes to chronic proptosis with or without a visual impact in children living around dogs or breeders or in deplorable hygienic conditions.},
 year = {2020}
}

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TY  - JOUR
T1  - A Rare Case of Orbital Hydatid Cyst
AU  - Nabil Albab
AU  - Ibrahim Madiq
AU  - Sarah Belghmaidi
AU  - Ibtissam Hajji
AU  - Abdeljalil Moutaouakil
AU  - El Ghali Boufrioua
AU  - Brahim Admou
AU  - Houda Kabbaj
AU  - Zakaria Aziz
AU  - Nadia Mansouri
Y1  - 2020/04/30
PY  - 2020
N1  - https://doi.org/10.11648/j.ass.20200801.13
DO  - 10.11648/j.ass.20200801.13
T2  - Advances in Surgical Sciences
JF  - Advances in Surgical Sciences
JO  - Advances in Surgical Sciences
SP  - 11
EP  - 13
PB  - Science Publishing Group
SN  - 2376-6182
UR  - https://doi.org/10.11648/j.ass.20200801.13
AB  - Background: Cystic echinococcosis, also known as hydatid disease, which is mostly caused by larval stage of Echinococcusgranulosus. The orbital localization in rare and uncommon. Preoperative diagnosis is important to prevent from complications. Case information:  Here we report the case of a child admitted for chronic proptosis whose investigations concluded with an orbital hydatid cyst. Result:  We describe the case of an 8-year-old child, who consulted in our ophthalmic emergency department for a painful proptosis of the right eye with a progressive decrease in visual acuity and chronic fatigue that had been evolving for 6 months. Due to this highly evocative lesion of an orbital hydatid cyst, we carried out with an ELISA and Western Blot hydatid serology which ended negative. Faced with this orbital involvement, we performed an orbital MRI which objectified two right T2-hypersignal eye cystic lesions, well-limited, exerting a mass effect on the optic nerve and responsible of a grade 2 exophthalmos. We also performed a biological assessment including hemogram, renal and hepatic function that had been normal. The patient remained under medical treatment with albendazole before and after surgery. Conclusion:  Orbital involvement, although rare, should not be ignored especially when it comes to chronic proptosis with or without a visual impact in children living around dogs or breeders or in deplorable hygienic conditions.
VL  - 8
IS  - 1
ER  -

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Author Information

Nabil Albab

Ophtalmology Department, Mohamed VI University Hospital, Marrakech, Morocco
Ibrahim Madiq

Ophtalmology Department, Mohamed VI University Hospital, Marrakech, Morocco
Sarah Belghmaidi

Ophtalmology Department, Mohamed VI University Hospital, Marrakech, Morocco
Ibtissam Hajji

Ophtalmology Department, Mohamed VI University Hospital, Marrakech, Morocco
Abdeljalil Moutaouakil

Ophtalmology Department, Mohamed VI University Hospital, Marrakech, Morocco
El Ghali Boufrioua

Laboratory of Medical Analysis, Immunology Unit, Mohamed VI University Hospital, Marrakech, Morocco
Brahim Admou

Laboratory of Medical Analysis, Immunology Unit, Mohamed VI University Hospital, Marrakech, Morocco
Houda Kabbaj

Department of Maxillofacial Surgery, Mohamed VI University Hospital, Marrakech, Morocco
Zakaria Aziz

Department of Maxillofacial Surgery, Mohamed VI University Hospital, Marrakech, Morocco
Nadia Mansouri

Department of Maxillofacial Surgery, Mohamed VI University Hospital, Marrakech, Morocco

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APA Style

Nabil Albab, Ibrahim Madiq, Sarah Belghmaidi, Ibtissam Hajji, Abdeljalil Moutaouakil, et al. (2020). A Rare Case of Orbital Hydatid Cyst. Advances in Surgical Sciences, 8(1), 11-13. https://doi.org/10.11648/j.ass.20200801.13

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ACS Style

Nabil Albab; Ibrahim Madiq; Sarah Belghmaidi; Ibtissam Hajji; Abdeljalil Moutaouakil, et al. A Rare Case of Orbital Hydatid Cyst. Adv. Surg. Sci. 2020, 8(1), 11-13. doi: 10.11648/j.ass.20200801.13

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AMA Style

Nabil Albab, Ibrahim Madiq, Sarah Belghmaidi, Ibtissam Hajji, Abdeljalil Moutaouakil, et al. A Rare Case of Orbital Hydatid Cyst. Adv Surg Sci. 2020;8(1):11-13. doi: 10.11648/j.ass.20200801.13

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@article{10.11648/j.ass.20200801.13,
  author = {Nabil Albab and Ibrahim Madiq and Sarah Belghmaidi and Ibtissam Hajji and Abdeljalil Moutaouakil and El Ghali Boufrioua and Brahim Admou and Houda Kabbaj and Zakaria Aziz and Nadia Mansouri},
  title = {A Rare Case of Orbital Hydatid Cyst},
  journal = {Advances in Surgical Sciences},
  volume = {8},
  number = {1},
  pages = {11-13},
  doi = {10.11648/j.ass.20200801.13},
  url = {https://doi.org/10.11648/j.ass.20200801.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ass.20200801.13},
  abstract = {Background: Cystic echinococcosis, also known as hydatid disease, which is mostly caused by larval stage of Echinococcusgranulosus. The orbital localization in rare and uncommon. Preoperative diagnosis is important to prevent from complications. Case information:  Here we report the case of a child admitted for chronic proptosis whose investigations concluded with an orbital hydatid cyst. Result:  We describe the case of an 8-year-old child, who consulted in our ophthalmic emergency department for a painful proptosis of the right eye with a progressive decrease in visual acuity and chronic fatigue that had been evolving for 6 months. Due to this highly evocative lesion of an orbital hydatid cyst, we carried out with an ELISA and Western Blot hydatid serology which ended negative. Faced with this orbital involvement, we performed an orbital MRI which objectified two right T2-hypersignal eye cystic lesions, well-limited, exerting a mass effect on the optic nerve and responsible of a grade 2 exophthalmos. We also performed a biological assessment including hemogram, renal and hepatic function that had been normal. The patient remained under medical treatment with albendazole before and after surgery. Conclusion:  Orbital involvement, although rare, should not be ignored especially when it comes to chronic proptosis with or without a visual impact in children living around dogs or breeders or in deplorable hygienic conditions.},
 year = {2020}
}

Copy | Download

TY  - JOUR
T1  - A Rare Case of Orbital Hydatid Cyst
AU  - Nabil Albab
AU  - Ibrahim Madiq
AU  - Sarah Belghmaidi
AU  - Ibtissam Hajji
AU  - Abdeljalil Moutaouakil
AU  - El Ghali Boufrioua
AU  - Brahim Admou
AU  - Houda Kabbaj
AU  - Zakaria Aziz
AU  - Nadia Mansouri
Y1  - 2020/04/30
PY  - 2020
N1  - https://doi.org/10.11648/j.ass.20200801.13
DO  - 10.11648/j.ass.20200801.13
T2  - Advances in Surgical Sciences
JF  - Advances in Surgical Sciences
JO  - Advances in Surgical Sciences
SP  - 11
EP  - 13
PB  - Science Publishing Group
SN  - 2376-6182
UR  - https://doi.org/10.11648/j.ass.20200801.13
AB  - Background: Cystic echinococcosis, also known as hydatid disease, which is mostly caused by larval stage of Echinococcusgranulosus. The orbital localization in rare and uncommon. Preoperative diagnosis is important to prevent from complications. Case information:  Here we report the case of a child admitted for chronic proptosis whose investigations concluded with an orbital hydatid cyst. Result:  We describe the case of an 8-year-old child, who consulted in our ophthalmic emergency department for a painful proptosis of the right eye with a progressive decrease in visual acuity and chronic fatigue that had been evolving for 6 months. Due to this highly evocative lesion of an orbital hydatid cyst, we carried out with an ELISA and Western Blot hydatid serology which ended negative. Faced with this orbital involvement, we performed an orbital MRI which objectified two right T2-hypersignal eye cystic lesions, well-limited, exerting a mass effect on the optic nerve and responsible of a grade 2 exophthalmos. We also performed a biological assessment including hemogram, renal and hepatic function that had been normal. The patient remained under medical treatment with albendazole before and after surgery. Conclusion:  Orbital involvement, although rare, should not be ignored especially when it comes to chronic proptosis with or without a visual impact in children living around dogs or breeders or in deplorable hygienic conditions.
VL  - 8
IS  - 1
ER  -

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