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An unsolved problem in developing countries: hydatid cysts in children
Can İhsan Öztorun1, S Demir2, D Güney3
1Department of Pediatric Surgery, Faculty of Medicine, Ankara Yıldırım Beyazıt University, Bilkent, 06110, Ankara, Turkey. drcan-oz@hotmail.com.
Insights
Hydatid cyst (HC) is a significant health issue. This study reviews clinical data, surgical, and PAIR treatments for hydatid cysts in a developing nation, highlighting common complications and recurrence.
Area of Science:
- Parasitology
- Infectious Diseases
- Surgical Pathology
Background:
- Hydatid cyst (HC) poses a considerable public health challenge, particularly in developing regions.
- Echinococcosis, the disease caused by hydatid cysts, requires comprehensive understanding for effective management.
Purpose of the Study:
- To analyze clinical characteristics, treatment modalities (surgical and PAIR), and outcomes of hydatid cyst patients.
- To provide insights into managing hydatid cyst disease in a resource-limited setting.
Main Methods:
- Retrospective analysis of 106 girls and 99 boys with hydatid cysts.
- Evaluation of cyst location (liver, lungs), size, WHO-IWGE classification, and treatment interventions.
- Assessment of complications, hospitalization duration, follow-up, and recurrence rates.
Main Results:
- The liver was the most frequent site (n=170), followed by the lungs (n=67).
- Mean liver HC diameter was 86.27 mm; mean pulmonary HC diameter was 73.90 mm.
- PAIR was used in 61 liver HC cases; 109 patients had surgery. Common complications included cystobiliary fistula and atelectasis.
Conclusions:
- Hydatid cyst should be a primary consideration in differential diagnoses for suspicious findings in endemic areas.
- Effective management strategies combining clinical evaluation and appropriate interventions are crucial for improving patient outcomes.
Purpose:
Hydatid cyst (HC) is a serious health problem in developing countries. The aim is to discuss the clinical information, surgical and puncture-aspiration-injection-re-aspiration (PAIR) treatments, and results of patients with HC in a developing country.
Methods:
Patients were analyzed in terms of gender, age, presenting complaint, misdiagnosed HC, cyst location, cyst number, cyst size, liver HC type according to the World Health Organization Informal Working Group Echinococcosis (WHO-IWGE) classification, pulmonary HC, hemithorax locations, treatments and interventions, duration of hospitalization, follow-up period, postoperative complications, and recurrence.
Results:
There were 106 girls and 99 boys with a mean age of 10.7 years. The most common location was the liver (n = 170), and the second most common was the lungs (n = 67). The mean diameter for liver HC was 86.27 mm, and it was 73.90 mm for pulmonary HC. PAIR was performed on 61 patients with liver HC using interventional radiology. 109 patients underwent surgery. The most common complications were cystobiliary fistula in liver HC and atelectasis in pulmonary HC.
Conclusion:
HC should be one of the first considerations in the differential diagnosis in all anatomical areas in the presence of suspicious radiological and clinical findings in endemic regions.
