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Case Reports
. 2020 Oct 24;2020(10):rjaa357.
doi: 10.1093/jscr/rjaa357. eCollection 2020 Oct.

Successful eradication of a large orbital hydatid cyst without rupture using fronto-orbitozygomatic approach, the first case reported from Syria

Majd Abouassi  1 , Mohammad Aloulou  2 , Nouran Hawa  2 , Tayf Toutounji  3 , Safwan Alyousef  4
Affiliations
Case Reports

Successful eradication of a large orbital hydatid cyst without rupture using fronto-orbitozygomatic approach, the first case reported from Syria

Majd Abouassi et al. J Surg Case Rep. .

Abstract

Hydatid disease is a parasitic infection resulted by Echinococcus granulosus in the larval stage and is most prevalent in the Middle East, India, Africa, South America, New Zealand, Australia, Turkey and Southern Europe. However, orbital hydatid cysts are rare and represent a challenge to the surgeon to eradicate the cyst without rupture. Here, we report a case of a relatively large primary intraconal orbital cyst in a 21-year-old woman. We managed to eradicate the cyst without any complication using fronto-orbitozygomatic approach, and the patient remained disease free after the 3 months of follow-up.

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Figures

Figure 1
Figure 1
Severe chemosis and proptosis.
Figure 2
Figure 2
The transverse and coronal planes from MRI show hypointense hydatid cyst on T1-weighted images (a and b), whereas it appears hyperintense in the transverse and sagittal planes from MRI on T2-weighted images (c and d).
Figure 3
Figure 3
The large hydatid cyst was removed without rupture.
Figure 4
Figure 4
After the 3 months of follow-up, the proptosis and chemosis disappeared, and the eye movements returned to normal.
See this image and copyright information in PMC

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