Diagnosis and treatment of unusual multiorgan Echinococcus hydatid cysts

Abstract. Background. Echinococcosis is a zoonotic disease caused by Echinococcus granulosus. Usually, the liver is the most affected organ, accounting for approximately 70% to 85% of cases. The lungs represent 20% of the cases. Fewer than 10% are found in other sites, including the bone, brain, spl...

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Main Authors: Giovanni Drocchi, Cinzia Santucciu, Scilla Mastrandrea, Francesco Sanguedolce, Massimo Madonia
Format: Article
Language:English
Published: Wolters Kluwer Health 2024-03-01
Series:Current Urology
Online Access:http://journals.lww.com/10.1097/CU9.0000000000000130
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author Giovanni Drocchi
Cinzia Santucciu
Scilla Mastrandrea
Francesco Sanguedolce
Massimo Madonia
author_facet Giovanni Drocchi
Cinzia Santucciu
Scilla Mastrandrea
Francesco Sanguedolce
Massimo Madonia
author_sort Giovanni Drocchi
collection DOAJ
description Abstract. Background. Echinococcosis is a zoonotic disease caused by Echinococcus granulosus. Usually, the liver is the most affected organ, accounting for approximately 70% to 85% of cases. The lungs represent 20% of the cases. Fewer than 10% are found in other sites, including the bone, brain, spleen, and kidneys. Case presentation. A young man was referred to a local hospital for dull pain in the right flank, fever, and mild cough. Computed tomography showed 2 large cysts: the first involved the left lung and measured 130 × 90.5 × 120 mm, whereas the second cyst was located in the right kidney and measured 130 × 100 × 120 mm. Surgery was performed to remove both lesions in 2 separate surgical sessions. Conclusions. Echinococcosis is a compulsorily notifiable disease. Collaboration between medical doctors from different specializations is necessary. A multidisciplinary approach is important for the correct therapeutic management of the disease. Furthermore, the high possibility of recurrence makes the long-term follow-up mandatory.
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spelling doaj.art-22e64ac5832746d898aa0f33cad5ef932024-03-27T03:41:33ZengWolters Kluwer HealthCurrent Urology1661-76492024-03-01181757710.1097/CU9.0000000000000130202403000-00015Diagnosis and treatment of unusual multiorgan Echinococcus hydatid cystsGiovanni Drocchi0Cinzia Santucciu1Scilla Mastrandrea2Francesco Sanguedolce3Massimo Madonia4a Department of Medical, Surgical and Experimental Sciences, Università degli Studi di Sassari, Sassari, Italyb OIE and National Reference Laboratory for Echinococcosis (CeNRE), Istituto Zooprofilattico Sperimentale della Sardegna, Sassari, Italyc Department of Infectious disease, Sassari University Hospital, Sassari, Italya Department of Medical, Surgical and Experimental Sciences, Università degli Studi di Sassari, Sassari, Italya Department of Medical, Surgical and Experimental Sciences, Università degli Studi di Sassari, Sassari, ItalyAbstract. Background. Echinococcosis is a zoonotic disease caused by Echinococcus granulosus. Usually, the liver is the most affected organ, accounting for approximately 70% to 85% of cases. The lungs represent 20% of the cases. Fewer than 10% are found in other sites, including the bone, brain, spleen, and kidneys. Case presentation. A young man was referred to a local hospital for dull pain in the right flank, fever, and mild cough. Computed tomography showed 2 large cysts: the first involved the left lung and measured 130 × 90.5 × 120 mm, whereas the second cyst was located in the right kidney and measured 130 × 100 × 120 mm. Surgery was performed to remove both lesions in 2 separate surgical sessions. Conclusions. Echinococcosis is a compulsorily notifiable disease. Collaboration between medical doctors from different specializations is necessary. A multidisciplinary approach is important for the correct therapeutic management of the disease. Furthermore, the high possibility of recurrence makes the long-term follow-up mandatory.http://journals.lww.com/10.1097/CU9.0000000000000130
spellingShingle Giovanni Drocchi
Cinzia Santucciu
Scilla Mastrandrea
Francesco Sanguedolce
Massimo Madonia
Diagnosis and treatment of unusual multiorgan Echinococcus hydatid cysts
Current Urology
title Diagnosis and treatment of unusual multiorgan Echinococcus hydatid cysts
title_full Diagnosis and treatment of unusual multiorgan Echinococcus hydatid cysts
title_fullStr Diagnosis and treatment of unusual multiorgan Echinococcus hydatid cysts
title_full_unstemmed Diagnosis and treatment of unusual multiorgan Echinococcus hydatid cysts
title_short Diagnosis and treatment of unusual multiorgan Echinococcus hydatid cysts
title_sort diagnosis and treatment of unusual multiorgan echinococcus hydatid cysts
url http://journals.lww.com/10.1097/CU9.0000000000000130
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