DESCRIPTIVE EPIDEMIOLOGY OF EXTRAPULMONARY HYDATID CYSTS : A REPORT OF 265 TUNISIAN CASES

##plugins.themes.academic_pro.article.sidebar##

Download
pdf
Vol. 87 No. 2 (2009): Issue Feb 2009

##plugins.themes.academic_pro.article.main##

Salma Bellil
Service d'anatomie pathologique Hôpital La Rabta Tunis.
Faten Limaiem
Service d'anatomie pathologique Hôpital La Rabta Tunis.
Khadija Bellil
Service d'anatomie pathologique Hôpital La Rabta Tunis.
Ines Chelly
Service d'anatomie pathologique Hôpital La Rabta Tunis.
Amina Mekni
Department of Pathology
Slim Haouet
Department of Pathology
Nidhameddine Kchir
Service d'anatomie pathologique Hôpital La Rabta Tunis.
Moncef Zitouna
Service d'anatomie pathologique Hôpital La Rabta Tunis.

Abstract

Background : Hydatidosis is a parasitic endemic disease in Tunisia. The liver and lung are the most common sites of involvement; however, it can develop anywhere in the body.
Aim: The aim of the present study was to analyse the epidemiological features of extrapulmonary hydatid cysts and compare our results with those reported in literature.
Methods: Aretrospective study of 265 extrapulmonary hydatid cysts collected over the 18-year period from 1990 to 2007 was undertaken.
Results: There were 101 male and 164 female patients (sex ratio M/F= 0,61) ranging in age from 2 to 84 years (mean age = 38,7). In our series, hydatid cysts involved mainly the kidney (24,1%), the central nervous system (22,6%), the liver (19,6%) and the spleen (11,3%). The other less frequent sites included the peritoneum (n = 9), heart (n = 9), bone (n = 6), adrenal gland (n = 4), epiploon (n = 4), orbit (n = 4), ovary (n = 3), prostate (n = 2), bladder (n = 2), breast (n = 2), Douglas’ cul-de-sac (n = 2), diaphragm (n = 1), testis (n = 1), broad ligament (n =1), mediastinum (n = 1), nasal cavity (n = 1), soft tissue (n = 1), abdominal wall
(n = 1), parotid gland (n = 1), psoas muscle (n =1), synovia (n = 1), thymus (n =1) et le pancreas (n = 1).
Conclusion: In contrast to literature, our results show that hydatid cysts of the kidney and of the central nervous system are more frequent than hepatic location which occupies the 3rd rank.

Keywords:

Hydatid cyst, extrapulmonary, epidemiology, parasitic disease

##plugins.themes.academic_pro.article.details##

References

  1. Haouas N, Sahraoui W, Youssef A et al. Kyste hydatique du cordon spermatique. Progrès en Urologie 2006 ; 16 : 499-501.
  2. Ben Abdallah R, Hajri M, Aoun K, Ayed M. Kyste hydatique rétrovésical et rétro péritonéal extra rénal : étude descriptive sur 9 cas. Prog Urol 2000 ; 10 : 424-431.
  3. Eckert J, Deplazes P. Biological, epidemiological, and clinical aspects of echinococcosis, a zoonosis of increasing concern. Clin Microbiol Rev 2004; 17(suppl 1):107-35.
  4. Bel Hadj Youssefa D, Loussaiefa C, Ben Rhomdhanea F et al. Kyste hydatique primitif intraosseux : à propos de deux cas. La Revue de médecine interne 2007 ; 28 : 255-258.
  5. Ameur A, Lezrek M, Boumdin H, Touiti D, Abbar M, Beddouch A. Le kyste hydatique du rein. Traitement à propos de 34 cas. Prog Urol 2002 ; 12 : 409-414.
  6. Tizniti S, Allali N, El Quessar A, Chakir N, El Hassani MR, Jiddane M. Un kyste hydatique cérébral particulier. J Neuroradiol 2000 ; 27: 200-2.
  7. Rayet P, Christiann F, Ngueodjibaye DB, Lacheheb A, Bruere D, Hernaez E. Association d'un kyste splénique et d'un kyste cardiaque au cours d'une hydatidose. Méd Mal Infect 1997 ; 27 : 319-21.
  8. Fekak H, Bennani S, Rabii R et al. Kyste hydatique du rein : Ã propos de 90 cas. Annales d'urologie 2003 ; 37 : 85-89.
  9. Khouaja MK, Ben Sorba N, Haddad N, Mosbah AT. Le kyste hydatique rétrovésical : aspects diagnostiques et thérapeutiques à propos de 8 cas. Progrès en Urologie 2004 ; 14 : 489-492.
  10. Brahem M, Hlel K, Ayadi A et al. Kyste hydatique cérébral de l'enfant : à propos de quatre observations. Médecine et maladies infectieuses 2006 ; 36 : 434-437.
  11. Laghzaoui Boukaidi M, Bouhya S, Soummani A et al. Kystes hydatiques pelviens : à propos de huit cas. Gynécol Obstét Fertil 2001 ; 29 : 354-7.