Document Type : case report

Authors

1 Eye Research Center, Mashhad University of Medical Sciences

2 Eye research center, Mashhad University of Medical Sciences

3 Assistant professor of ophthalmology, Eye Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

4 Eye Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

Abstract

Background: This study aimed to report on the case of a child with the manifestation of orbital cellulitis which was finally diagnosed as an orbital hydatid cyst.
Case report: The case is a 5-year-old girl with an isolated orbital hydatid cyst presented with slowly progressive proptosis, deterioration of vision, chemosis, periorbital swelling, and palpebral edema. Evaluations for other organ involvements including liver and lung were negative. A cystic orbital mass lesion with enhancing walls was found in orbital Computed Tomography (CT) scanning. The cyst was removed completely through the upper lid crease incision and treatment continued with systemic albendazole. The patient was followed for three months with a favorable outcome.
Conclusion: We should consider the diagnosis of a hydatid cyst in a child with the signs and symptoms of orbital cellulitis, specifically in endemic areas.

Keywords

  1. Mandal S, Mandal MD. Human cystic echinococcosis: epidemiologic, zoonotic, clinical, diagnostic, and therapeutic aspects. Asian Pacific journal of tropical medicine. 2012 Apr 1; 5(4):253-60.
  2. Altintas N. Past to present: echinococcosis in Turkey. Acta tropica. 2003 Feb 1; 85(2):105-12.
  3. Dalimi A, Motamedi GH, Hosseini M, Mohammadian B, Malaki H, Ghamari Z, Far FG. Echinococcosis/hydatidosis in western Iran. Veterinary Parasitology. 2002 Apr 30; 105(2):161-71.
  4. Rokni MB. The present status of human helminthic diseases in Iran. Ann Trop Med Parasitol. 2008; 102(4):283–295.
  5. Geramizadeh B. Unusual locations of the hydatid cyst: A review from Iran. Iranian journal of medical sciences. 2013 Mar; 38(1):2.
  6. Assimakopoulos SF, Marangos M. Orbital hydatid cyst. New England Journal of Medicine. 2020 Apr 2; 382(14):1352-1352.
  7. Berradi S, Hafidi Z, Lezrek O, Lezrek M, Daoudi R. Orbital hydatid cyst. QJM: An International Journal of Medicine. 2014 Sep 19; 108(4):343-4.
  8. Al-Muala HD, Sami SM, Shukri MA, Hasson HK, Alaboudy AT. Orbital hydatid cyst. Annals of maxillofacial surgery. 2012 Jul; 2(2):197.
  9. Limaiem F, Bellil S, Bellil K, Chelly I, Mekni A, Khaldi M, Haouet S, Kchir N, Zitouna M. Primary orbital hydatid cyst in an elderly patient. Surgical infections. 2010 Aug 1; 11(4):393-5.
  10. Morales AG, Croxatto JO, Crovetto L, Ebner R. Hydatid cysts of the orbit: a review of 35 cases. Ophthalmology. 1988 Aug 1; 95(8):1027-32.
  11. Moro P, Schantz PM. Echinococcosis: a review. International Journal of Infectious Diseases. 2009 Mar 1; 13(2):125-33.
  12. Ciurea AV, Giuseppe G, Machinis TG, Coman TC, Fountas KN. Orbital hydatid cyst in childhood: a report of two cases. Southern medical journal. 2006 Jun 1; 99(6):620-5.
  13. Abouassi M, Aloulou M, Hawa N, Toutounji T, Alyousef S. Successful eradication of a large orbital hydatid cyst without rupture using fronto-orbitozygomatic approach, the first case reported from Syria. Journal of Surgical Case Reports. 2020 Oct; 2020(10):raja 357.
  14. Chitra K, Benantar L, Ait Lhaj H, Abdul Rafiq H, El Allouchi Y, Aniba K. The surgery of intra-orbital hydatid cyst: a case report and literature review. The Pan African Medical Journal. 2019; 33.
  15. Rajabi MT, Mohammadi S, Hassanpour N, Hosseini SS, Shahbazi N, Tabatabaie SZ, Rajabi MB. Orbital alveolar echinococcosis: A case report. Journal of Current Ophthalmology. 2018 June 1; 30(2):182-5.
  16. Fasina O, Ogun OG. Hydatid cyst of the orbit in a young Nigerian female: a case report. Ghana medical journal. 2017; 51(4):204-6.
  17. Lentzsch AM, Göbel H, Heindl LM. Primary orbital hydatid cyst. Ophthalmology. 2016 Jul 1; 123(7):1410.
  18. Sendul SY, Ucgul C, Dirim B, Demir M, Acar Z, Guven D. A difficult surgical approach for primary orbital hydatid cyst: transconjunctival medial orbitotomy. Journal of Surgical Case Reports. 2015 Dec 1; 2015(12).
  19. Rajabi MT, Bazvand F, Makateb A, Hosseini S, Tabatabaie SZ, Rajabi MB. Orbital hydatid cyst with diverse locality in the orbit and review of literature.
  20. Mathad VU, Singh H, Singh D, Butte MV, Kaushik M. Large primary intraorbital hydatid cyst in elderly. Asian Journal of Neurosurgery. 2013 Jul; 8(3):163.
  21. Somay H, Emon ST, Orakdogen M, Berkman MZ. A primary orbital hydatid cyst. Journal of Clinical Neuroscience. 2012 Jun 1; 19(6):898-900.
  22. Limaiem F, Bellil S, Bellil K, Chelly I, Mekni A, Khaldi M, Haouet S, Kchir N, Zitouna M. Primary orbital hydatid cyst in an elderly patient. Surgical Infections. 2010 Aug 1; 11(4):393-5.
  23. Benazzou S, Arkha Y, Derraz S, El Ouahabi A, El Khamlichi A. Orbital hydatid cyst: review of 10 cases. Journal of Cranio-Maxillofacial Surgery. 2010 Jun 1; 38(4):274-8.
  24. Ghosh A, Saha S, Jha A, Chandra S. Orbital hydatid cyst—A rare case report. Indian Journal of Otolaryngology and Head & Neck Surgery. 2008 Jun; 60(2):191-3.
  25. Turgut AT, Turgut M, Koşar U. Hydatidosis of the orbit in Turkey: results from review of the literature 1963–2001. International ophthalmology. 2004 Jul; 25(4):193-200.
  26. Kıratlı H, Bilgiç S, Öztürkmen C, Aydın Ö. Intramuscular hydatid cyst of the medial rectus muscle. American journal of ophthalmology. 2003 Jan 1; 135(1):98-9.
  27. Xiao A, Xueyi C. Hydatid cysts of the orbit in Xinjiang: a review of 18 cases. Orbit. 1999 Jan 1; 18(3):151-5.
  28. Sami A, Achouri M, Harouch M, Choukri M, Oubou Khalifa, Elkamar A, Elazhari A, Amraoui A, Boucetta M. Intra-orbital hydatid cysts. 10 cases. Neuro-chirurgie. 1995 Jan 1; 41(6):398-402.
  29. Öztekin PS, Yilmaz BK, Gokharman FD, Koşar PN. Primary orbital hydatid cyst: computed tomography and magnetic resonance imaging findings. Singapore medical journal. 2014 Nov; 55(11):e184.
  30. Aksoy FG, Tanrikulu S, Kosar U. Inferiorly located retrobulbar hydatid cyst: CT and MRI features. Computerized medical imaging and graphics. 2001 Nov 1; 25(6):535-40.
  31. Pahwa S, Sharma S, Das CJ, Dhamija E, Agrawal S. Intraorbital cystic lesions: an imaging spectrum. Current problems in diagnostic radiology. 2015 Sep 1; 44(5):437-48.
  32. Sihota R, Sharma T. Albendazole therapy for a recurrent orbital hydatid cyst. Indian Journal of Ophthalmology. 2000 Jun 1; 48(2):142.
  33. Todorov T, Mechkov G, Vutova K, Georgiev P, Lazarova I, Tonchev Z, Nedelkov G. Factors influencing the response to chemotherapy in human cystic echinococcosis. Bulletin of the World Health Organization. 1992; 70(3):347.