Primary Hydatid Cyst of Umbilicus, Mimicking an Umbilical Hernia

Hydatid cyst caused by Echinococcus granulosus demonstrates an endemic infection in several countries such as Middle Eastern countries. Liver is the most frequently involved organ, followed by the lung. The case we present is solitary primary localization of cyst in abdominal wall which is extremely...

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Main Authors: Mohammadreza Tarahomi, Hamidreza Alizadeh Otaghvar, Nazila hasanzadeh Ghavifekr, Daryanaz Shojaei, Farhood Goravanchi, Amir Molaei
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2016/9682178
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author Mohammadreza Tarahomi
Hamidreza Alizadeh Otaghvar
Nazila hasanzadeh Ghavifekr
Daryanaz Shojaei
Farhood Goravanchi
Amir Molaei
author_facet Mohammadreza Tarahomi
Hamidreza Alizadeh Otaghvar
Nazila hasanzadeh Ghavifekr
Daryanaz Shojaei
Farhood Goravanchi
Amir Molaei
author_sort Mohammadreza Tarahomi
collection DOAJ
description Hydatid cyst caused by Echinococcus granulosus demonstrates an endemic infection in several countries such as Middle Eastern countries. Liver is the most frequently involved organ, followed by the lung. The case we present is solitary primary localization of cyst in abdominal wall which is extremely rare. A 57-year-old woman presented with an abdominal wall lesion in umbilical area that had been evolving for about 2 years with recent complaint of pain and discomfort. We detected a midline abdominal mass 12⁎13 centimeters in diameter which was bulged out in umbilicus. Preoperative clinical diagnosis of incarcerated umbilical hernia was made due to its physical examination while surgical exploration disproved the primary diagnosis and we found cystic mass adherent to superficial fascia without any communication to peritoneal space. The cyst was excised completely without any injury or perforation of containing capsule. The diagnosis of hydatid cyst was confirmed by histopathological examination of specimen. The retrograde evaluation showed no involvement of other organs. The patient was followed for two years and no recurrence of hydatid disease has been observed. Hydatid cyst should be considered as a differential diagnosis of abdominal wall and umbilical lesions especially in endemic regions.
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institution Kabale University
issn 2090-6900
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language English
publishDate 2016-01-01
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series Case Reports in Surgery
spelling doaj-art-56d7f3c4f13e4aaa8b951366674a38172025-02-03T05:48:03ZengWileyCase Reports in Surgery2090-69002090-69192016-01-01201610.1155/2016/96821789682178Primary Hydatid Cyst of Umbilicus, Mimicking an Umbilical HerniaMohammadreza Tarahomi0Hamidreza Alizadeh Otaghvar1Nazila hasanzadeh Ghavifekr2Daryanaz Shojaei3Farhood Goravanchi4Amir Molaei5Plastic Surgery Department, Shahid Beheshti University of Medical Sciences, Tehran, IranIran University of Medical Sciences and Shahid Beheshti University of Medical Sciences, Tehran, IranUrmia University of Medical Sciences, West Azerbaijan, IranIran University of Medical Sciences, Tehran, IranShahid Beheshti University of Medical Sciences, Tehran, IranShahid Beheshti University of Medical Sciences, Tehran, IranHydatid cyst caused by Echinococcus granulosus demonstrates an endemic infection in several countries such as Middle Eastern countries. Liver is the most frequently involved organ, followed by the lung. The case we present is solitary primary localization of cyst in abdominal wall which is extremely rare. A 57-year-old woman presented with an abdominal wall lesion in umbilical area that had been evolving for about 2 years with recent complaint of pain and discomfort. We detected a midline abdominal mass 12⁎13 centimeters in diameter which was bulged out in umbilicus. Preoperative clinical diagnosis of incarcerated umbilical hernia was made due to its physical examination while surgical exploration disproved the primary diagnosis and we found cystic mass adherent to superficial fascia without any communication to peritoneal space. The cyst was excised completely without any injury or perforation of containing capsule. The diagnosis of hydatid cyst was confirmed by histopathological examination of specimen. The retrograde evaluation showed no involvement of other organs. The patient was followed for two years and no recurrence of hydatid disease has been observed. Hydatid cyst should be considered as a differential diagnosis of abdominal wall and umbilical lesions especially in endemic regions.http://dx.doi.org/10.1155/2016/9682178
spellingShingle Mohammadreza Tarahomi
Hamidreza Alizadeh Otaghvar
Nazila hasanzadeh Ghavifekr
Daryanaz Shojaei
Farhood Goravanchi
Amir Molaei
Primary Hydatid Cyst of Umbilicus, Mimicking an Umbilical Hernia
Case Reports in Surgery
title Primary Hydatid Cyst of Umbilicus, Mimicking an Umbilical Hernia
title_full Primary Hydatid Cyst of Umbilicus, Mimicking an Umbilical Hernia
title_fullStr Primary Hydatid Cyst of Umbilicus, Mimicking an Umbilical Hernia
title_full_unstemmed Primary Hydatid Cyst of Umbilicus, Mimicking an Umbilical Hernia
title_short Primary Hydatid Cyst of Umbilicus, Mimicking an Umbilical Hernia
title_sort primary hydatid cyst of umbilicus mimicking an umbilical hernia
url http://dx.doi.org/10.1155/2016/9682178
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