Orbital hydatid cyst in childhood: a report of two cases

South Med J. 2006 Jun;99(6):620-4. doi: 10.1097/01.smj.0000217492.03019.16.

Abstract

Intraorbital hydatid disease (IHD) is quite rare and represents < 1% of the Echinococcus cases. In our current communication, we report two children with solitary, primary intraorbital hydatid cysts. Both children presented with nontender, nonpulsatile proptosis. Imaging workup, including CT and MRI scans of the head and the orbits, revealed a retro-bulbar cyst in both patients. Surgical resection was performed by employing a fronto-temporo-orbito-zygomatic (FTOZ) approach. Accidental intraoperative rupture occurred in one case with no further consequences. Albendazole was postoperatively employed for 12 weeks. Outcome was excellent in both cases with complete resolution of their symptoms and complete visual recovery. Pertinent literature was reviewed with this opportunity.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Albendazole / therapeutic use
  • Antiprotozoal Agents / therapeutic use
  • Echinococcosis / diagnosis*
  • Echinococcosis / drug therapy
  • Echinococcosis / surgery
  • Exophthalmos / parasitology
  • Female
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Orbital Diseases / diagnosis
  • Orbital Diseases / drug therapy
  • Orbital Diseases / parasitology*
  • Orbital Diseases / surgery
  • Tomography, X-Ray Computed

Substances

  • Antiprotozoal Agents
  • Albendazole