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Hydatid Cyst in Left Sub-Mandibular Space, an Unusual Location
Reza Pourmohammadi1, Leila Asadpour1
1Darab Hospital, Shiraz University of Medical Scenes, Darab city, Fars Iran.
Summary
Hydatid cysts are rare in the neck, but a case highlights their potential in unusual locations. Physicians in endemic regions should consider this possibility, especially in the Middle East.
Area of Science:
- Parasitology
- Surgical Pathology
- Public Health
Background:
- Hydatid cysts, caused by Echinococcus granulosus, typically affect the liver and lungs.
- Cervical hydatid disease is exceptionally rare, with limited documented cases globally.
- Endemic regions, particularly the Middle East, report a higher prevalence of echinococcosis.
Purpose of the Study:
- To report a rare case of a hydatid cyst in the neck (submandibular area).
- To emphasize the importance of considering unusual presentations of hydatid disease in endemic zones.
- To highlight the diagnostic and management pathway for cervical hydatidosis.
Main Methods:
- Case report of a 38-year-old female presenting with a submandibular cyst.
- Surgical excision of the cyst followed by histopathological and laboratory confirmation of Echinococcus granulosus.
- Subsequent diagnosis and management of a concurrent hepatic hydatid cyst.
Main Results:
- A submandibular cyst was surgically removed and confirmed as a hydatid cyst.
- The patient was subsequently diagnosed with a hepatic hydatid cyst.
- Successful systemic treatment was administered for the hepatic hydatid cyst.
Conclusions:
- Hydatid cysts can manifest in unusual anatomical locations, such as the neck.
- Increased clinical awareness is crucial for early diagnosis of ectopic hydatid disease in endemic areas.
- Prompt diagnosis and appropriate management, including systemic treatment, are vital for patient outcomes.

