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Hydatid cyst is a zoonotic disease and is an important health problem, especially in developing countries. Hydatic cysts are typically observed in the liver and lungs. Cardiac and brain involvement are rare manifestations. Cardiac hydatic cysts are usually located in the left ventricle. Brain involvement is frequently seen as a primary cerebral cyst and is almost always solitary. However, secondary intracerebral cysts are also seen as a result of cardiac cysts rupturing into the left ventricle spontaneously or iatrogenically, and these are usually multiple. Herein, we report a case that has two rare clinical manifestations of hydatid cysts.

Retroperitoneal hydatid cysts are extremely rare and difficult to distinguish from other intra-abdominal pathologies, such as synovial sarcoma. In this study, we present a rare case of a complicated retroperitoneal hydatid cyst originating from the psoas muscle without any other focus. A 59-year-old male patient presented to the outpatient clinic with complaints of constipation and a feeling of gradually increasing swelling in the left lower quadrant of the abdomen and left groin area, progressing toward the left leg. In the examinations performed, a multiloculated giant hydatid cyst that filled the left pelvis in the retroperitoneal region, deviated the intra-abdominal organs to the right side, and extended to the left femoral and inguinal canals was detected. The patient underwent surgical excision and was followed up during the postoperative period. No evidence of recurrence was found at the patient’s 3rd and 6th month follow-ups. Primary muscle hydatid cysts necessitate a distinct approach to treatment and management when compared with hydatid cysts in other bodily organs. While recurrences remain a potential concern after resection, it is noteworthy that the window for the formation of fertile cysts typically spans up to 10 months. Thus, it is advisable to conduct regular postoperative follow-up examinations during the first year following surgery to ensure comprehensive monitoring and care.

Objective: Cystic echinococcosis (CE) is one of the leading global zoonotic parasitic diseases in the world. The disease is common in rural areas and regions where husbandry is available. For this reason, the study was carried out to determine the rate of CE seropositivity by people in the northeast of Turkey. Material and Method: Blood serums of 3218 patients who applied to the Internal Medicine Polyclinic of Kafkas University Health Research and Practice Hospital for routine screening and with a possible diagnosis of hydatid cyst was were investigated serologically (ELISA and IHA) in the parasitology laboratory for a four years period from January, 2017 to December, 2020. Results: In 49 (1.52%) out of 3218 blood serum examined, seropositivity was found in terms of anti-E. granulosus antibodies. The seropositivity of cystic echinococcosis was determined to be higher in women (1.78%) than in men (1.22%) (p >0.05). It has been determined that disease seropositivity increases with age (p >0.05). Conclusion: These results indicate that the northeastern part of Turkey is an important endemic region in terms of CE and this should be taken into account in terms of public health. [ABSTRACT FROM AUTHOR]

Hydatid cyst is a parasitic disease caused by Echinococcus granulosus and transmitted to humans mostly through canine feces. Although it can settle in every organ in the body, the most frequently involved organ in children is the lung. As well as being asymptomatic, pulmonary hydatid cyst may cause complaints such as chest pain, cough, shortness of breath, and hemoptysis. Hydatid cyst treatment is primarily surgical. With the rupture of the cyst during the operation, anaphylactic shock and even death can be seen. In case of sudden onset of tachycardia and decrease in mean arterial pressure during hydatid cyst operation, the possibility of anaphylaxis should be kept in mind after excluding other possibilities. We think that keeping in mind that anaphylaxis may develop in patients who will undergo surgery for hydatid cyst and being prepared for this will have a significant positive effect on mortality and morbidity. In this case report, we aimed to present our anesthesia experience of anaphylactic reaction following cyst rupture during surgical excision of lung hydatid cyst. [ABSTRACT FROM AUTHOR]

Hydatid cyst is a zoonotic disease that can affect multiple organs and is difficult to diagnose and treat. Spinal hydatid cyst (SHC) is a rare hydatid cyst involvement observed in 1% of all cases. It can induce various neurological symptoms depending on the region of the involvement. Paraplegia is one of the most prevalent neurological symptoms. In this case report, a 63-year-old male patient with bilateral lower extremity paraplegia was operated on by neurosurgery and diagnosed with SHC at the level of Th 11 vertebra in the pathological examination of surgically removed materials. Thus, we aimed to emphasize the significance of pathological and microbiological examination in the differential diagnosis of spinal disorders.

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Objective: Hydatid cyst (HC) is a common health problem in Turkey. The aim of our study is to retrospectively evaluate patients who have undergone percutaneous liver hydatid cyst treatment and whose diagnosis is confirmed, together with blood tests, and to evaluate the utility of these tests in the diagnosis of HC. Material and Method: Eighty-four patients (mean age 44 years) who underwent percutaneous hydatid cyst treatment were included in the study. The cyst contents of the patients treated with PAIR and catheterization method, indirect hemagglutination test (IHT) and eosinophil count results were evaluated retrospectively. Results: IHT was positive in 50 of 69 patients with a definite diagnosis of HC, and negative in 19. IHT was positive in 3 of 15 patients without HC, and negative in 12. There was a statistically significant relationship between the presence of HC and the IHT result (p <0.001). The sensitivity of the IHT was 72% and its specificity was 80%. While eosinophilia was found in 22 of the patients with a definite diagnosis of HC, the eosinophil count was normal in remaining 47 patients. While eosinophilia was observed in 5 of 15 patients without HC, the eosinophil count was normal in the remaining 10 patients. There was no statistically significant relationship between the HC and the eosinophil test results (p =0.913). [ABSTRACT FROM AUTHOR]

Copyright of Journal of Pediatric Infection / Çocuk Enfeksiyon Dergisi is the property of Journal of Pediatric Infection / Cocuk Enfeksiyon Dergisi and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Turkiye Klinikleri Journal of Nursing Sciences is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Turkiye Klinikleri Archives of Lung is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Echinococcosis is a zoonotic disease caused by Echinococcus species. The life cycle involves a definitive host (dogs, wolves, jackals, and foxes) and an intermediate host. It is not transmitted from human to human. The most frequent agents are Echinococcus granulosus (E. granulosus) and Echinococcus multiloculoris (E. multiloculoris). Echinococcus vogeli (E. vogeli), and Echinococcus oligarthus (E. oligarthus) are more rarely seen. The disease is more widespread in rural areas in which animal husbandry and uncontrolled slaughter are common. The infection can remain asymptomatic for extended periods. E. multiloculoris infection has a greater probability of being symptomatic, and of mortality. It most frequently settles in the liver and lungs. Single organ involvement and cyst are detected in the majority of patients. Diagnosis is based on clinical, serological, imaging, and pathological findings. It is a preventable and treatable public health problem. Education and animal control are very important.

Aim: Diagnosis of echinococcosis is based on clinical symptoms, imaging techniques and particularly on the detection of specific antibodies in serum specimens of patients. The aim of this study is retrospective evaluation of seropositivity from patients who is diagnosed as Cystic echinococcosis. Materials and Methods: In this study, the blood serum samples of patients, which were sent to the Medical Microbiology Laboratory from several clinics of the Selcuk University Medical Faculty Hospital between 01 January 2015- 01 July 2020, were evaluated in terms of Cystic echinococcosis by using indirect hemaglutination test. The results were evaluated with a cut off titer ≥160 of as recommended by the manufacturer. Results were evaluated by gender and ages. Results: Cystic echinococcosis (CE) was determined to be seropositive 332 (21.6%) of 1543 patient samples. Seropositivity was found in 226 (14,7%) of 933 female patients and in 106 (6,9%) of 610 male patients. Seropositivity was mostly seen in 21-40 age group. Conclusion: While there have been a number of animal studies, little information is available about the prevalence of Cystic echinococcosis in humans in Turkey. Cystic echinococcosis continues to be a majör public health problem in the Konya province. Large scale prevention and control programs should be implemented against this disease.

Copyright of Agri: Journal of the Turkish Society of Algology / Türk Algoloji (Ağrı) Derneği'nin Yayın Organıdır is the property of KARE Publishing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Aim: Although hydatid cyst is an infective disease, its primary treatment is still surgery. At this point, the surgical technique and the scolicidal substance used are important to increase the success rate of the treatment. There is not enough information in the literature to determine the most effective scolicidal substance. Therefore, each clinic can use different agents. In this study, we aimed to find out which of the agents that can be used in the surgical treatment of hydatid cy sts is more ef fective. Materials and Methods: In this study, cyst fluid obtained from patients who were operated on for liver hydatid cyst or treated percutaneously with USG in Gaziantep Un iversity Medical Faculty was used. We investigated the effectiveness of the cyst fluid obtained from patients in a sterile manner and scolicidal agents in an in vitro environment in relation to time. In the effectiveness evaluation, a comparison was made based on the viability of scoleks. Results: We found that all of the agents used in our study were successful at the 20th minute, but the earliest and most ef fective response was obtained with praziquantel. Conclusion: Besides that the obtained findings show the success of praziquantel in killing E. granulosus, they support the studies that suggest its place in medical treatment. Further studies with efficacy-side effect analysis should be conducted to determine the ideal scolicidal substance to be used during both medical and surgical treatment of E. granulosus. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Pediatric Emergency & Intensive Care Medicine / Çocuk Acil ve Voğun Bakım Dergisi is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: Spinal hydatid cyst (SHC) is a difficult to treat parasitic infectious disease with high risk of recurrence. Similar with HC the visceral organs, there are no standard treatment protocols for SHC. The aim of this study was to analyze clinical and laboratory findings, treatment, and prognosis in published SHC case reports from Turkey in the last 20 years. Materials and Methods: One national (Ulakbim, Turkish medical literature database, http://uvt.ulakbim.gov.tr/uvt/) and two international databases (www.scopus.com and www.pubmed.com) were searched for SHC case reports from Turkey published in Turkish and international journals between January 1998 and November 2018. Relevant articles were identified using the keywords “spinal kist hidatik” and “vertebral kist hidatik” in the national database and “spinal hydatid cyst and Turkey” and “vertebral hydatid cyst and Turkey” in the international databases. Of 114 articles identified in the initial search, 55 articles that met the study criteria were included in our analysis. The cases were evaluated in terms of presenting symptoms, history, physical examination findings, concurrent extraspinal involvement, diagnostic methods, spinal lesion category, treatment, and prognosis. Results: A total of 86 cases of SHC were identified in the three databases using the specified keywords. Forty-eight (56%) of the patients were male and the mean age was 36.4±16.8 (8-73) years. The most common presenting symptoms were back pain (83%), difficulty in walking (47%), urinary and/or stool incontinence (27%), and leg numbness (22%). Concurrent extraspinal involvement was identified in 35% of the patients while thoracic involvement was the most common (36%). Extradural intraspinal was the most common lesion type. The most preferred treatment protocol was albendazole for a duration of six months. When the history and follow-up period of the patients were evaluated together, 51% of the patients had at least one recurrence. Conclusion: SHC affects the young to middle-aged population, leading to neurological morbidities that decrease patients’ quality of life. Studies are needed to determine more effective medical treatment protocols for SHC.

Hydatid disease is a parasitic disease. Although the disease causes many organ involvement, intracranial involvement is rarely seen. Clinical findings vary according to the number, size, localization of the cyst and the immune status of the patient. We aimed to present a rare case with intracranial hydatid cyst. A 8-year-old male patient presented with headache and vomiting. Physical examination revealed papillary edema. Brain computerized tomography imaging revealed a 13x13 cm cystic formation in the brain. The patient’s echinococcal indirect hemagglutination test result was positive. The patient was started on oral albendazole therapy for intracranial hydatid cyst and was operated by brain surgery. Pathologic examination of the cyst was compatible with hydatid cyst. Although cysts are detected in the liver and lungs, cysts may be seen in atypically located areas. It should be kept in mind in clinically suspected patients that the disease can develop in rare organs, especially in patients with endemic areas. In patients with hydatid disease, advanced radiological examinations such as lung X-ray, abdominal ultrasonography and brain magnetic resonance imaging and echocardiographic examination should be performed for other organ involvement.

Objective: To analyze the results of total pericystectomy in hepatic hydatid disease. Material and Method: The data of patients who underwent total pericystectomy between 1999-2019 was evaluated. Results: Of 308 patients treated as in-patients, 32 (17 females-15 males) were found to have had total pericystectomy. Median age was 44 (range:17-73) years. Indications were: easily accessible anatomic location (20), albendazole toxicity (4), unresponsiveness to albendazol treatment (4), tumor suspicion (2), pregnancy (1) and nonadherence to albendazole use (1). Median cyst diameter was 75 mm (42-100), median cyst number was 1 (1-8). Fourteen patients had more than one cyst. Total pericystectomy alone was performed in 23 patients, while additional cysts were treated in a further 9. Of the 23 pericystectomy only patients, 18 received closed and 5 open pericystectomy. Median 36 minutes (12-78) Pringle clamping was performed in 10 patients. Median hospital stay was 6 days (1-60). Low output (<150 cc/day) bile fistula was seen in 3 patients, intraabdominal infection in 2 patients and superficial infection in 2 patients. No recurrence was observed during a median follow-up of 62 months (14-236) in 20 pericystectomy only patients. Conclusion: Pericystectomy can be performed with low morbidity and mortality in an experienced center. Recurrence risk is reduced in comparison with conservative surgery. [ABSTRACT FROM AUTHOR]

Objective: Hydatid cyst is an important health problem for our country. In this study, we aimed to determine the radiological findings of the hydatid cyst cases detected in Antalya region and to present their epidemiological data. Methods: Between March 2017 and March 2019, the reports containing the term "hydatid" were filtered from the radiology information system of our hospital and discharge summaries, laboratory and radiological findings of the patients were reviewed retrospectively. Results: A total of 119 hydatid cysts were detected in 103 patients (74 female and 29 male). The mean age of the patients was 53.5±9.4 years. One or more imaging methods including ultrasonography, computed tomography and magnetic resonance imaging were used in the evaluation of patients. 21 of the patients (2 of which had percutaneous surgery) underwent surgical treatment. 52 of the 103 patients with hydatid disease were evaluated with indirect hemagglutination test and 27 of them were positive. 11 (44%) of the 25 seronegative patients, had type 5 lesions. Conclusions: Hydatid disease remains important for our region, and the physicians should be informed about radiological and serological methods used for diagnosis of the disease. Planned studies are needed to raise public awareness. [ABSTRACT FROM AUTHOR]

Disease, which is called Cyst Hydatid or Cystic Echinococcosis (CE), means "fluid-filled sac" and is one of the most important parasitic diseases in terms of health and economics. It is quite common in the world as well as in our country, where the majority of population is engaged in animal husbandry. Turkey Zoonotic Diseases Action Plan (2019-2023) is prepared by Zoonotic Diseases Sub-Commissions of Turkey Zoonotic Diseases National Committee with participation of Ministry of Agriculture and Foresty and other instituitons in coordination of Ministry of Health. This report is prepared by Cystic Echinococcosis Commission of Turkey Zoonotic Diseases National Committee to determine the current status of the disease in order to increase the efficiency of health services related to the disease for control of CE. [ABSTRACT FROM AUTHOR]

Objective: Hydatid cyst is a major public health problem which brings health and economic burden and it is seen commonly in Turkey as in the world. The aim of this study is to determine knowledge levels, attitudes and practices about hydatid cyst in nursing students. Methods: This cross-sectional research was conducted between 1 February-31 May 2016 in Çorum. Sample of study was included 364 volunteer nursery students. The data were collected via a three-phase questionnaire form. The first phase included sociodemographic characteristics for all students. The second phase was prepared to evaluate level of knowledge on hydatid disease. The question "have you a dog?" was decisive in the analysis of cystic echinococcosisrelated attitudes and practices of students. Data were assessed using SPSS 17.0 package program. In the analysis of categorical variables the Chi-square test was used. Binary logistic regression analysis was used to determine the relationship between the dependent and independent variables. P<0.05 was considered statistically significant. Results: Of the students, 75.5% were between the age range of 18-21 and the mean age was 20.33±1.84 years. In the study, 63.7% were female and 36.3% were male, 37.9% were in first grade and 19.8%. were in the fourth grade. The "yes" response rate was 28.3% to the question "do you know hydatid cyst?". Among the students who stated that they knew the disease 72.8% showed as liver disease, 97.1% said disease had gastrointestinal symptoms and 82.5% said that people would be infected with water and food. Dogs was shown as the main host for echinococ by 72.9% of students. Among the students, 13.2% had a dog and of the students 27.1% had a dog in their living areas (house). The rate of knowledge was significantly different between class and in working mother than housewives. According to the results of logistic regression model the risk of unknown of disease was 4.2 times higher in first grade and 3.1 times higher in third grade students than second grade studes, 4.9 times higher in housewives than working mothers. Conclusion: In our study, it was determined that approximately one third of the students knew cyctic hydatid. Also students had low knowledge, positive attitudes for the early diagnosis of the disease and inadequate practices for the prevention and control of the disease. Outside of the curriculum, continuous and reinforced health education would be useful for candidate nursing students to modificate their behaviors. [ABSTRACT FROM AUTHOR]

Aim: Hydatid cystic disease is an endemic parasitic disease that is common in the world. We aimed to review the demographic, clinical and laboratory findings, and treatments and outcomes of children with hydatid cyst disease, and to determine the factors affecting treatment response in two pediatric pulmonology centers in the central region of Turkey. Material and Methods: The clinical records of patients aged below 18 years who were followed up between January 2006 and December 2016 because of hydatid cyst disease were reviewed retrospectively. The patients' ages at the time of diagnosis, sexes, living areas (rural / urban), dog contact history, presence of hydatid cyst in other family members, symptoms, organs involved, dimensions of cysts, laboratory results, treatments and post treatment responses, follow-up, and outcomes were noted. Results: In a period of 10 years, 50 pediatric patients were followed up with a diagnosis of hydatid cyst. The mean age was 9.3±0.5 years and 33 (66%) of the patients were male. Fifteen patients were living in a rural area and 35 were living in an urban area. Fifteen patients had a history of contact with a dog and 10% had a positive family history. Thirty-six patients had lung involvement, 25 had liver involvement, 14 (28%) had both lung and liver involvement, and six patients had organ involvement other than lung and liver. The indirect hemagglutination test for hydatid cyst was positive in 24 of 40 patients and Echinococcus granulosus-specific IgE positivity was detected in 8 of 17 patients. Surgery was performed in 31 patients with lung involvement and PAIR was performed in 13 patients who had liver involvement. Cyst excision was performed in two patients who had isolated spinal involvement. All patients were treated with albendazole, and additional praziquantel treatment was given to seven patients. Relapse occurred in seven patients in this period. The relapse frequency was higher in patients who had organ involvement other than in the lung and liver (p<0.05), and these patients' treatment durations were longer compared with the others (p<0.05). Conclusion: Hydatid cysts can involve different organs in children. Patients with organ involvement other than the lung and liver should be followed up carefully in terms of recurrence. [ABSTRACT FROM AUTHOR]

Background: Hydatid cyst disease is a serious health problem in our country, especially in Eastern and Southeastern Anatolia Region and in our province. Hydatid disease is a protozoal disease caused by Echinococcus granulosus and Echinococcus multilocularis. It can produce cysts in the internal organs of humans such as liver, lungs, spleen and brain, leading to undesirable consequences. In this study, we aimed to evaluate our anesthesia experience in patients who underwent surgery for hydatid cyst disease. Methods: In this study; Between August 2015 and August 2018, demographic data, anesthesia method, anaphylaxis and organ involvement were investigated retrospectively in patients operated with pre-diagnosis of hydatid cyst in Harran University Research and Application Hospital operating room. Results: 321 patients who underwent surgical treatment in our hospital with the diagnosis of hydatid cyst were included in the study. 33.33% (n = 107) of the patients were male and 66.66% (n = 214) were female. Of these patients, 25.85% (n = 83) were pediatric patients under the age of 18 and 74.17% (n = 238) were adult patients. Patient's had hydatid cyst organ involvement in liver 55.76% (n = 179), in lungs 36.44% (n = 117), in both lungs and liver 3.11% (n = 10), in kidney 2.18% (n = 7), in heart 1.24% (n = 4), in brain 0.93% (n = 3), and 0.31% (n = 1) of patients had pelvic involvement. Intraoperative allergy and anaphylactic reaction findings were not noted. Conclusion: Anaphylactic reaction is a serious complication in hydatid cyst disease and rarely seen. We think that intraoperative antihistaminic and steroid use in cyst hydatid surgery decreases allergy and anaphylaxis. [ABSTRACT FROM AUTHOR]

Copyright of Firat Universitesi Saglik Bilimleri Veteriner Dergisi is the property of Firat Universitesiu, Saglik Bilimleri Enstitusu and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Ülkemiz kist hidatik için endemik bir bölgedir. Echinococcus granulosus en sık karaciğer ve akciğer olmak üzere tüm organları tutabilmektedir. Olguların yaklaşık üçte birinde multipl organ tutulumu görülmektedir. Multipl kist hidatiğin cerrahi tedavisinde zorluklarla karşılaşılabilmekte ve birkaç seans cerrahi i lem gerekebilmektedir. Bu çalışmada tek basamakta transtorasik yaklaşım ile cerrahi uyguladığımız sağ akciğer, perikardial ve karaciğer kist hidatikli bir olguyu sunduk.

Introduction: Hydatid disease is a zoonotic infection caused by the cestode Echinococcus spp. It is transmitted by ingestion of infectious cestode eggs, especially through dog feces. The two organs most commonly affected are the liver and the lung. In this paper, a series of 15 cases with symptomatic hydatid cysts hospitalized in our clinic and evaluated via consultations are presented. Materials and Methods: Patients, who were treated with hydatid disease between April 2006 and June 2015, were included in the study. Demographic characteristics, symptoms (fever, abdominal pain, pruritus, weakness, icterus, cough, sputum, nausea-vomiting), signs (hepatomegaly, splenomegaly), radiological-laboratory findings, complications, involvements of other body parts and treatment modalities were evaluated retrospectively. Results: Ten (66.7%) of the patients were female. The mean age of the patients was 52.3±18.3 year. Twelve (80%) patients had at least one cystic lesion in the liver. Four cases were complicated with a lung cyst, three with spondylodiscitis, three with splenic cyst, two with renal cyst, two with amoebic liver abscess, one with intraabdominal dissemination and one case was complicated with anaphylactic shock. Seven patients (46.7%) had leukocytosis and three (20%) had eosinophilia. All patients received treatment with albendazole p.o 2x400 mg tablets. The mean duration of treatment was 27.4±18.5 weeks. Conclusion: Hydatid cyst is an infectious disease that may cause severe organ involvement. Patients with hydatid cyst in any part of the body should be checked carefully for other system involvement, including the liver, abdominal and/or retroperitoneal organs.

Copyright of Journal of Physical Medicine & Rehabilitation Sciences is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: Retrospective evaluation of 28 cases, diagnosed as hydatid cyst pathologically in our centre pathology laboratory, from surgical departments was the objective of the study. Methods: 28 cases diagnosed as hydatid cyst in our hospital have been reviewed retrospectively and patients' age, gender and localizations of disease have been determined. Results: Based on histopathologic evaluation hydatid cyst cases were localized mostly on liver 19 (68%), followed by lung 7 (24%), glutea 1 (3.5%) and axilla 1 (3.5%). 15 (54%) of the patients were male and 13 (46%) were female. The age range of the cases were 7-73, while the median age of males were 30.2±19.5 years, the median age of females were 35.9±19.2. Necrosis has been determined in 2 (7.1%) of cases in pathologic evaluation of hydatid cyst. Conclusion: The pathologic evaluation of all cystic surgical specimens should include the careful examination of the elements of this parasite especially where hydatid cyst is endemic. [ABSTRACT FROM AUTHOR]

Six hydatid cysts cases without a primary source anywhere were presented. Hydatid cyst is a parasitic disease well known for years are commonly located in liver and lungs. Those intradiaphragmatic and intramyocardiac were diagnosed preoperatively but those lying subcutaneously on sternum and the right first rib were recognized after operation. They were also confirmed with pathologic study. Patients were also detected for hydatid cysts elsewhere. As an endemic disease in our country, atypical locations should be kept in mind. This disease is to be remembered in considering soft tissue tumors. [ABSTRACT FROM AUTHOR]

Objective: Hydatid cyst is presently a prevalent health problem in our area and country. Primary involvement of other intra-abdominal organs is rarely seen. We analyzed the cases of patients who had been surgically treated because of extra-hepatic primary intra-abdominal hydatid cysts alongside with literature. Methods: The medical records of a total of 22 patients who were treated for primary intra-abdominal hydatid cysts with no liver involvement were retrospectively studied. Results: While 16 (72.7%) of the patients were female, 6 (27. 3%) were male, and their mean age was 44. 5 (26-75) years. The cyst was most frequently seen in the spleen (n=8). All the patients had elective surgical procedures. Twelve (54%) patients needed to have organ resection. Total cyst excision could be achieved in 16 (72.7%) patients. The other 6 (27.3%) cases had partial cystectomy. All the patients were administered post-op 10 mg/kg albendazole. The mean follow-up period of the patients was 40 (6-68) months and no recurrences were seen in any of the patients. Conclusions: The fact that echinococcus granulosus can involve every organ should always be remembered. Although no hydatid cysts were seen in the liver or the lungs, all the other systems should be examined carefully according to the complaints of the patient. Hydatid cysts should be considered, especially in endemic areas, in the differential diagnosis of cystic masses with intra-abdominal localization. Total pericystectomy where possible, is the treatment of choice. [ABSTRACT FROM AUTHOR]

Hydatid cysts of the lung can mimic malignant diseases such as lung cancer, infectious diseases such as tubecrculosis, or benign pathologies. It should be kept in mind that hydatid cysts of the lung can radiologically mimic many lung pathologies, primarily malignancies. Necessary investigations should be performed for the differential diagnosis in the preoperative period. We, therefore, believed that it is worthwhile to share a 31year-old patient with a hydatid cyst of the lung who was thought to have metastatic lung cancer. [ABSTRACT FROM AUTHOR]

Background: We aimed to evaluate patients who underwent surgery because of hydatid cysts and to have providence for future patients. Methods: Patients (n=78) who had surgery with a hydatid cyst between 2006-2011 were considered retrospectively. Pre- to post-operative parameters were compared and related cases were investigated. In this study it was aimed to have providence postoperatively about time and amount of drainage and hospitalization time of patients according to age, effected side, symptoms, and preoperative radiological findings of patients, especially size of hydatid cyst or number of cysts. Results: In our study, the mean age of patients who had surgery because of hydatid cysts was 33.74±17.1 years. Sizes of cysts were compared with age, time and amount of drainage, and hospitalization time of patients. Only age and size of cysts was inveresely correlated statistically. Size and number of cysts, postoperative morbidity, time and amount of drainage and hospitalization time of patients were analyzed with Spearman's rho test. Only the relation between the number of cysts and duration of drainage was significant (p=0.04). Conclusion: As predicted in pulmonary hydatid disease, early age led to bigger cyst dimension. However, no correlation was determined between cyst count/dimension. [ABSTRACT FROM AUTHOR]

Pericardial localization of echinococcosis, which is an endemic disease in our country, is rarely seen. Medical treatment alone cannot prevent fatal complications. Surgical removal of the cysts is the treatment of choice. In a patientGeneral anaesthesia with one-lung ventilation provided an optimal surgical exposure and relatively inactive surgical. We aimed to present the perioperative measures taken to prevent fatal complications and anaphylaxis and the strategy that followed in postoperative analgesia. [ABSTRACT FROM AUTHOR]

Background: Hydatid cyst disease caused by Echinococcus granulosus still poses a major problem in endemic areas. Endemic regions are mainly, including Turkey, Central and Eastern Europe, South America, Australia, New Zealand, Canada, Middle East, South Africa. It is a characteristic of Animal Husbandry and Animal Care Workers and of those who do not pay attention to sanitation. Methods: Six hundred and eight patients being treated for hydatid cyst in health care facilities in the Şanlıurfa province were included in the study. Patient data were retrospectively analyzed from archive records. Results: Of all the patients, 384 were female and 224 were male. It was detected that the disease was more common in women according to the literature. Female/male ratio was 1,714. The average age was 35,6; minimum age was 3 and maximum age was 83. When the patients were evaluated according to organ involvement, 425 patients with liver involvement and 236 patients with lung involvement were found. Sixty-two patients had both liver and lung involvement. Without involvement of the liver and lung, other organ involvement was detected in 9 patients. Conclusions: In order to avoid eradication of hydatid cyst disease and the disease itself, a Hydatidosis Eradication Programme Board composed of people from various professions and of representatives of nongovernmental organizations should be established by Governor's Office, Municipality, Harran University Medical and Veterinary Sciences, Provincial Directorate of Agriculture, Directorate of Health, Provincial Directorate of National Education. The public should be informed and local visual and print media must do its part in this regard. In this program, the support of international organizations should be taken if necessary. [ABSTRACT FROM AUTHOR]

The liver is the most common site for metastatic spread in patients with colorectal carcinoma. In addition to conventional radiological investigations, F-18 FDG PET/CT is being used in staging of the colon cancer with a widely increasing manner. FDG, used in imaging, is not a tumor specific radiopharmaceutic, and it may be uptaken in many benign pathologies. This situation may sometimes cause difficulty in differential diagnosis. In this article findings of the liver cyst hydatid mimicking metastasis on FDG PET/ CT scan in a case with colon cancer are presented. Hydatid cyst should be considered in differential diagnosis of liver lesions on PET scan, especially in countries where zoonotic infections are relatively common as in ours. In this case report findings that may contribute to the differential diagnosis of hydatid cyst and metastasis on FDG PET/BT scan are discussed. [ABSTRACT FROM AUTHOR]

Hydatid disease is characterized with the cystic lesions in the different organs of the body caused by a taenia, echinococcus granulosis. Liver is the most affected organ followed by the lungs. Diagnosis is not so difficult because of the situation that Turkey is one of the endemic counries in the world. Living in an endemic country, clinical probability, radiological imagining, and serological tests are sufficient enough to reach in diagnosis. The presence of cytic lesions in the family members and multiorgan involvement support the diagnosis. In recent years, the majority of the patients were referred to our institution for their incidentally found asymptomatic cysts because of deliberately used ultrasongraphic investigations for other reasons. Abdominal ultrasonography, abdominal and chest computerized tomographies, and serological tests are the main diagnostic modalities. Possible treatment options are; open surgery, laparoscopic approach, ultrasonography guided drainage procedure, surgery under the coverage of drug treatment, and drug treatment alone using albendazol. With the fear of having complications such as, spillage of the cyst content, incomplete clearance of the septated cysts, abscess formation in the remaining cavity, and the possibility of the recurrence, the laparoscopic intervention and ultrasonography guided drainage procedures are not preferred treatment modalities. Our treatment protocol has changed in the years, from operating every cyst to nonoperative treatment protocol with the use of albendazol alone in selected cases with hydatid disease. As a conclusion: in the operation, there is no point using any type of scolocidal agents. They can even be fatal. After cleaning the cystic cavity, open bile ducts could be found and repaired under direct vision by the maneouver described by the author. No attempt should be made to close or fill the cavity using stiches or an omental patch in liver cysts, they should be leave open to the peritoneal cavity after inserting tube drains into the cavity and at the bottom of the liver. Splenectomy under the coverage of the vaccination for the splenic cysts, partial cystectomy for the renal lesions, and suture ligation of the bronchial openings individualy and capittonage of the cavity for the lung cysts, are recommended. Since 1995, albendazol treatment have been used succesfully in patients without having any side effects or complications that need to stop the treatment protocol. We can remove the lebel of an endemic country from the name of Turkey with education, working together with veterinary society and probably, prophylactic usage of albendazol in the group of people who deal with cattle breeding. [ABSTRACT FROM AUTHOR]

Objective: Hydatid cyst is a parasitic infestation caused by the larval stage of Echinococcus spp. and a health problem in many parts of the world. Hydatic cyst is generally formed in the liver and lungs, while renal involvement is rare, comprising only 2% to 4% of cases. The aim of this study was to assess the efficacy of open cyst excision and omentoplasty surgery in the treatment of isolated renal hydatid csyt. Materials and methods: Seven patients with isolated renal hydatid cyst treated in our clinic with open cyst excision and omentoplasty surgery between April 1999 and June 2009 were reviewed, retrospectively. The patients were evaluated for demographics, symptoms, clinical, laboratory and radiological findings. Results: Of 7 patients, 5 (%71.4) were women and 2 (%28.6) were men. The mean age of the patients was 42.71±16.60 (range 17-65) years and follow-up period was 54.14±40.66 (range 6-126) months. The main clinical symptom was lumbar pain in 3 patients (42.9%), while 4 patients (57.1%) were asymptomatic. The only physical examination finding is abdominal mass in 1 patient. Eosinophilia was detected in 3 (42.9%) patients. A positive indirect hemagglutination test for Echinococcus granulosus was seen in 5 (%71.4) patients. The mean operation time was 109.29±39.63 (range 70-180) min and hospitalization time was 3.14±1.07 (range 2-5) days. There was no postoperative complication and recurrence was seen in follow-up period and all of the patients were alive. Conclusion: Cyst excision and omentoplasty is an effective surgical technique for the treatment of isolated renal hydatid disease. [ABSTRACT FROM AUTHOR]

Sometimes the clinical findings and radiological appearance of pulmonary hydatid cyst are atypical and they can be confused with other pulmonary, thoracic and abdominal diseases. Massive aspiration of the increased cyst content due to spontaneous rupture may be required and in association sudden respiratory failure might develop. We hereby reported a primary pulmonary hydatid cyst which was spontaneously ruptured during diagnostic work-up and drained into pulmonary bronchi leading to diffuse aspiration pneumonia which necessitated prolonged mechanical ventilation. [ABSTRACT FROM AUTHOR]

Hydatid cyst is a common and important health problem that is frequently caused by a parasite named echinococcus granulosus. The incidence of the disease is 4,9/100.000 per year in our country. Surgery is the main choice of therapy. Classical approach via transabdominal route is difficult in cases where the disease is localized at the diaphragmatic surface. The alternative approach is the transthoracic way. Here we present the results of 3 cases operated by minithoracotomy for their diseases localized at the diaphragmatic surface. [ABSTRACT FROM AUTHOR]

Objectives: Hydatid cyst is presently a prevalent health problem in our area and country. This study retrospectively reviewed medical records of four patients who underwent urgent surgery due to intraperitoneal rupture and the records of all patients treated for hepatic hydatidosis in the same period. Patients and Methods: Medical records of the 44 patients (24 females, 20 males; mean age 47.5 years; range 16 to 83 years) who were treated in our clinic for hepatic hydatidosis between January 2004 and June 2007 were reviewed retrospectively. The patients were evaluated with respect to age, sex, location of the cyst, surgical method applied, hospital stay duration, pre- and postoperative complications, and treatment methods applied for the complications. Results: Four patients (9%) underwent emergency surgery due to intraperitoneal rupture. Postoperative biliary leakage into the cyst cavity was observed in 15 patients (34%). It was closed spontaneously in 6 patients (40%) without further intervention. In 8 patients (53%) the biliary leakage continued for about 10 days and the daily median drainage was over 100cc. Endoscopic sphincterotomy was performed in these cases. Mortality rate was 4% (n=2). Conclusion: Rupture of hydatid cyst should be suspected in trauma patients who had hepatic cyst and intraperitoneal free fluid concomitantly. In these patients therapeutic intervention should be quick because of the risk of any anaflactic reaction. Endoscopic sphincterotomy is an effective treatment method for biliary fistula after hydatid cyst surgery. [ABSTRACT FROM AUTHOR]

Objective: Hydatid disease is an important health problem due to being endemic and progressive, and having rare spontaneous regression. In this study, we aimed to evaluate the cases in which a single-stage transthoracic surgery was applied for simultaneous right lung and liver hydatid disease, and outcomes and value of this approach. Materials and Methods: In our hospital, a single-stage transthoracic surgery was applied for simultaneous right lung and liver hydatid disease in 200 patients between 1994 and 2006. Age, sex, symptoms and presentations, operative approaches, postoperative morbidity and mortality, and follow-up of the patients results were evaluated. Results: A right thoracotomy was performed in all patients. First the lung cysts and later -after opening the diaphragma- liver cysts were resected. Of the 200 operated patiens, 97 were male and 103 were female and mean age was 28.2. While cough and chest pain were the most common symptoms, 16 patients were asymptomatic. Excessive bile drainage in 5 patients and bronchobiliary fistula in 3 patients were observed in postoperative period. These patients were managed with nasoduodenobiliary drainage. No mortality was encountered. Conclusion: A transdiaphragmatic liver cyst management with lung surgery, is a reliable and effective method in patients with simultaneous right lung and subdiaphragmatic liver hydatid disease patients. [ABSTRACT FROM AUTHOR]

Objectives: Hydatidosis is frequently seen in Turkey due to social and geographical conditions. The aim of this study was to evaluate the results of treatment in patients with hydatidosis. Patients and Methods: The study included 120 patients (35 males, 85 females; mean age 40.7 years; range 7 to 75 years) who underwent treatment for hydatidosis. Data on diagnostic evaluation, medical and surgical treatments, and follow-up results were reviewed. Results: The most frequent complaints were abdominal pain, nausea, and vomiting. Fifty-four patients were found normal on physical examination. The most frequent findings were hepatomegaly and abdominal mass. The cysts developed in other abdominal organs other than the liver in 21 patients. Treatment was medical in 16 patients, and six patients underwent PAIR (Percutaneous aspiration, injection, and reaspiration) The preferred surgical procedure was partial cystectomy. Medical treatment was added to surgery in 55 patients. The most frequent surgical complication was wound infection (12.8%). Recurrences were encountered in 16.3%. Conclusion: Conservative surgery which is the preferred option for main line of treatment is adequate and reliable for hydatidosis. Addition of medical agents may increase treatment success rate. [ABSTRACT FROM AUTHOR]