Echinococcus in the orbit: an unusual hideout
Isolated involvement of the orbit by hydatidosis is extremely rare. It is a parasitic infestation due to a tapeworm called <em>Echinococcus Granulosus</em>. It is an uncommon disease in head and neck region as it commonly manifests in the lungs and liver. When seen in head and neck, it h...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2016-12-01
|
| Series: | Surgical Techniques Development |
| Subjects: | |
| Online Access: | http://www.pagepress.org/journals/index.php/std/article/view/6539 |
| _version_ | 1797330157094043648 |
|---|---|
| author | Hetal Marfatia Nilam U. Sathe Subodh Hosagadde Keya Shah |
| author_facet | Hetal Marfatia Nilam U. Sathe Subodh Hosagadde Keya Shah |
| author_sort | Hetal Marfatia |
| collection | DOAJ |
| description | Isolated involvement of the orbit by hydatidosis is extremely rare. It is a parasitic infestation due to a tapeworm called <em>Echinococcus Granulosus</em>. It is an uncommon disease in head and neck region as it commonly manifests in the lungs and liver. When seen in head and neck, it has been found in the orbit, paranasal sinuses and salivary glands. Orbital hydatidosis per se forms only 1% of all types of hydatid disease. It is endemic in Africa, Middle East and Southeast Asian countries including India. In orbital hydatid disease, patients usually present with unilateral proptosis and diminution of vision. Proptosis is classically painless. Total surgical removal remains the mainstay of treatment. A 30-year-old female belonging to lower socio-economic status, presented with left eye proptosis since 2 years. There was a gradual increase in proptosis associated with diminution of vision over the last 4 months. This finally led to complete loss of vision in a period of two months. Computed tomography scan showed two soft homogenous non-enhancing cystic structures present in the orbit abutting the optic nerve without any intracranial extension; most likely differentials are a developmental cyst, hydatid cyst, epidermoid cyst, rhabdomyosarcoma or a nerve sheath tumor. Magnetic resonance imaging showed two T1 hypointense non-enhancing, T2 hyperintense soft cystic capsulated space-occupying lesions present in the extraconal compartment of orbit abutting the optic nerve, likely to be lymphangioma or a hydatid cyst. Surgery was planned and endoscopic orbital decompression was done. Sago grain-like granules were seen pouring out of the cysts. Cyst walls were completely removed in piecemeal and the specimen was sent for histopathology. Immediate intra-operative reduction of proptosis was seen. The final histopathological report was suggestive of hydatid cyst. |
| first_indexed | 2024-03-08T07:15:02Z |
| format | Article |
| id | doaj.art-f78f3f3067e4485190c168b14108e987 |
| institution | Directory Open Access Journal |
| issn | 2038-9574 2038-9582 |
| language | English |
| last_indexed | 2024-03-08T07:15:02Z |
| publishDate | 2016-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Surgical Techniques Development |
| spelling | doaj.art-f78f3f3067e4485190c168b14108e9872024-02-03T01:20:54ZengMDPI AGSurgical Techniques Development2038-95742038-95822016-12-016110.4081/std.2016.65393598Echinococcus in the orbit: an unusual hideoutHetal Marfatia0Nilam U. Sathe1Subodh Hosagadde2Keya Shah3Department of Ear, Nose and Throat, King Edward Memorial Hospital and Seth G.S. Medical College, MumbaiDepartment of Ear, Nose and Throat, King Edward Memorial Hospital and Seth G.S. Medical College, MumbaiDepartment of Ear, Nose and Throat, King Edward Memorial Hospital and Seth G.S. Medical College, MumbaiDepartment of Ear, Nose and Throat, King Edward Memorial Hospital and Seth G.S. Medical College, MumbaiIsolated involvement of the orbit by hydatidosis is extremely rare. It is a parasitic infestation due to a tapeworm called <em>Echinococcus Granulosus</em>. It is an uncommon disease in head and neck region as it commonly manifests in the lungs and liver. When seen in head and neck, it has been found in the orbit, paranasal sinuses and salivary glands. Orbital hydatidosis per se forms only 1% of all types of hydatid disease. It is endemic in Africa, Middle East and Southeast Asian countries including India. In orbital hydatid disease, patients usually present with unilateral proptosis and diminution of vision. Proptosis is classically painless. Total surgical removal remains the mainstay of treatment. A 30-year-old female belonging to lower socio-economic status, presented with left eye proptosis since 2 years. There was a gradual increase in proptosis associated with diminution of vision over the last 4 months. This finally led to complete loss of vision in a period of two months. Computed tomography scan showed two soft homogenous non-enhancing cystic structures present in the orbit abutting the optic nerve without any intracranial extension; most likely differentials are a developmental cyst, hydatid cyst, epidermoid cyst, rhabdomyosarcoma or a nerve sheath tumor. Magnetic resonance imaging showed two T1 hypointense non-enhancing, T2 hyperintense soft cystic capsulated space-occupying lesions present in the extraconal compartment of orbit abutting the optic nerve, likely to be lymphangioma or a hydatid cyst. Surgery was planned and endoscopic orbital decompression was done. Sago grain-like granules were seen pouring out of the cysts. Cyst walls were completely removed in piecemeal and the specimen was sent for histopathology. Immediate intra-operative reduction of proptosis was seen. The final histopathological report was suggestive of hydatid cyst.http://www.pagepress.org/journals/index.php/std/article/view/6539EchinococcusOrbitIndiaHydatidosis |
| spellingShingle | Hetal Marfatia Nilam U. Sathe Subodh Hosagadde Keya Shah Echinococcus in the orbit: an unusual hideout Surgical Techniques Development Echinococcus Orbit India Hydatidosis |
| title | Echinococcus in the orbit: an unusual hideout |
| title_full | Echinococcus in the orbit: an unusual hideout |
| title_fullStr | Echinococcus in the orbit: an unusual hideout |
| title_full_unstemmed | Echinococcus in the orbit: an unusual hideout |
| title_short | Echinococcus in the orbit: an unusual hideout |
| title_sort | echinococcus in the orbit an unusual hideout |
| topic | Echinococcus Orbit India Hydatidosis |
| url | http://www.pagepress.org/journals/index.php/std/article/view/6539 |
| work_keys_str_mv | AT hetalmarfatia echinococcusintheorbitanunusualhideout AT nilamusathe echinococcusintheorbitanunusualhideout AT subodhhosagadde echinococcusintheorbitanunusualhideout AT keyashah echinococcusintheorbitanunusualhideout |