Asian Journal of Case Reports in Surgery

Primary Mesenteric Hydatid Cyst- A Rare Case Report

S. N. Jatal *

Jatal Hospital and Research Centre, Latur, India.

Sudhir Jatal

Jatal Hospital and Research Centre, Latur, Tata Hospital, Mumbai, India.

Sachin Ingle

Department of Pathology, MIMSR Medical College, Latur, India.

*Author to whom correspondence should be addressed.

---

Abstract

A fairly uncommon condition is primary mesenteric hydatid cyst. Echinococcus granulosus, the most frequent cause of hydatid illness in which humans are unintentionally an intermediate host. The condition affects the liver 75% of the time, the lung 15% of the time, and extrahepatic hydatid cysts 10% of the time in the brain, breast, ovary, mesentery, bones, and soft tissues of the body. These are rare lesions with incidence of 1:100000 in adults, and 1:20000 in children. Mesenteric hydatid cyst are usually remains asymptomatic for many years. Peritoneal, mesenteric hydatid disease is a clinical challenge, presenting with cystic mass, especially in endemic areas. High resolution ultrasonography is the first line screening for mesenteric hydatid cyst. Imaging studies CT scan and ultrasonography showed a well-defined, double wall, anechoic or hypoechoic single or multiple small cyst with a honeycomb pattern with or without calcification. The best treatment modalities have been surgical excision of cyst with adjuvant Albendazole therapy is the gold standard treatment procedure.     

We are reporting a 30 years old male patient complains of pain in abdomen and lump in right iliac fossa of size 10x8 cm. On ultrasonography diagnosed as a simple mesenteric cyst. On exploration, cyst was in the mesentery of small bowel and cyst completely excised. Histopathological examination showed a hydatid cyst with multiple daughter cyst inside the mother cyst. 

Keywords: Hydatid cyst, mesenteric cyst, primary

---

---

---

References

Kushwaha JK, Gupta R, Mohanti S, Kumar S. Primary mesenteric hydatid cyst. BMJ Case Rep. 2012;2012:bcr0320125996. DOI: 10.1136/bcr.03.2012.5996. PMID: 22778458; PMCID: PMC3417005.

Mohammad Asef Adelyar, Samea Hesham, Khalida Walizada, Ershad Ahmad Mushkani, Ramin Saadaat,Primary mesenteric hydatid cyst; a rare manifestation of hydatid disease through a case report and literature review. International Journal of Surgery Case Reports; 2022.

Available:https://doi.org/10.1016/j.ijscr.2022.107592.

Sheikh T, Hoogar MB, Sahu S, et al. Hydatid cyst in mesentery: rare and unusual site of occurrence. Int J Health Sci Res. 2019;9(12):195-198.

Geramizadeh B. Isolated peritoneal, mesenteric, and omental hydatid cyst: A clinicopathologic narrative review. Iran J Med Sci. 2017;42(6):517-523.

PMID: 29184259; PMCID: PMC5684372.

Urval M, Pai BS, Mulla SA. Primary hydatid cyst of the mesentery presenting as a small bowel volvulus. Int Surg J. 2020;7:3490-2

Duzkoylu Y, Kucuk AI. A benign rare intraabdominal lesion: Primary giant mesenteric hydatid cyst. J Clin Images Med Case Rep. 2021;2(2):1040.

Singh BK. Mesenteric hydatid Cyst. Nepalese Journal of Radiology. 2018;8(12):43-46.

Available:https://doi.org/10.3126/njr.v8i2.22988

Mehra BR, Thawait AP, Gupta DO, Narang RR. Giant abdominal hydatid cyst masquerading as ovarian malignancy. Singapore Med Journal. 2007;48:e284–e286. [PubMed] [Google Scholar]

Kenana Tawashi, Yamama Tawashi, Salloum Naqoula. A hydatid cyst in mesentery complicated with appendicitis in nine-year-old child. Journal of Pediatric Surgery Case Reports.

Available:https://doi.org/10.1016/j.epsc.2022.102520.

Reddy, Ravikanth. Concurrent occurrence of primary mesenteric hydatid cyst with multiple calcified splenic granulomas: A rare presentation. Apollo Medicine. 2021;18(4):298-300. DOI: 10.4103/am.am_50_21