Hostname: page-component-586b7cd67f-t7czq Total loading time: 0 Render date: 2024-11-25T09:33:57.383Z Has data issue: false hasContentIssue false
  • English
  • Français

Sublingual hydatid cyst: case report and literature review

Published online by Cambridge University Press:  13 October 2008

K T Jumani ,
A Ananthamurthy ,
B Joy  and
R C Nayar
K T Jumani*
Affiliation:
Department of Otorhinolaryngology, St John's Medical College and Hospital, St John's National Academy of Health Sciences, Bangalore, India
A Ananthamurthy
Affiliation:
Department of Pathology, St John's Medical College and Hospital, St John's National Academy of Health Sciences, Bangalore, India
B Joy
Affiliation:
Department of Radiology, St John's Medical College and Hospital, St John's National Academy of Health Sciences, Bangalore, India
R C Nayar
Affiliation:
Department of Otorhinolaryngology, St John's Medical College and Hospital, St John's National Academy of Health Sciences, Bangalore, India
*
Address for correspondence: Dr Kiran T Jumani, Clinical Research Fellow (SpR), Dept of Otorhinolaryngology, The James Cook University Hospital, Marton Road, Middlesbrough TS4 3TJ, UK. Fax: +44 1642854040 E-mail: kiranjumani@gmail.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Objectives:

To demonstrate the importance of detailed clinical analysis in the differential diagnosis of a cyst in the floor of the mouth, and to provide an update on current knowledge and treatment of sublingual hydatid cyst.

Case report:

A 23-year-old man presented complaining of a swelling in the midline of the sublingual region, present for four months and progressively increasing in size. Ultrasonography of the neck revealed a well defined, hypoechoic lesion in the sublingual region, containing a calcific focus. Fine needle aspiration cytology showed numerous round to oval structures resembling brood capsules, with scolices and occasional hooklets. T1- and T2-weighted, multiplanar magnetic resonance imaging scans showed a well defined, multiloculated lesion in the sublingual region.

Conclusion:

Hydatid disease may present as a slow-growing cyst in the sublingual region. Aspiration cytology should preferably be avoided until radiological imaging studies are complete. A high index of suspicion is necessary to diagnose hydatid disease in an unusual location.

Keywords

Hydatid DiseaseNeckSublingual Region
Type
Online Only Clinical Records
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 1 , January 2009 , e6
Copyright
Copyright © JLO (1984) Limited 2008

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1 White, AC Jr, Weller, PF. Cestodes. In: Kasper, DL, Braunwald, E, Fauci, AS, Hauser, SL, Longo, DL, Jameson, JL, eds. Harrison's Principles of Internal Medicine, 16th edn. New York: McGraw-Hill, 2005;1208:1272–6Google Scholar
2 Strohl, WA, Rouse, H, Fisher, BD. Protozoa. In: Strohl, WA, Rouse, H, Fisher, BD. Lippincott's Illustrated Reviews: Microbiology. Philadelphia: Lippincott Williams & Wilkins, 2001;279–88Google Scholar
3 McAdam, AJ, Sharpe, AH. Infectious diseases. In: Kumar, V, Abbas, AK, Fausto, N. Robbins & Cotran Pathologic Basis of Disease, 7th edn. Philadelphia: Saunders, 2004;343–414Google Scholar
4 Kammerer, WS, Schantz, PM. Echinococcal disease. Infect Dis Clin North Am 1993;7:605–18Google Scholar
5 Nath, K, Prabhakar, G, Nagar, RC. Primary hydatid cyst of neck muscles. Indian J Pediatr 2002;69:997–8Google Scholar
6 Morris, DL, Richards, KS. Hydatid disease. Current Medical and Surgical Management. Oxford: Butterworth-Heinemann Ltd, 1992;3:43–44Google Scholar
7 Prousalidis, J, Tzardinoglou, K, Sgouradis, L, Katsohis, C, Aletras, H. Uncommon sites of hydatid disease. World J Surg 1998;22:17–22CrossRefGoogle ScholarPubMed
8 Akal, M, Kara, M. Primary hydatid cyst of the posterior cervical triangle. J Laryngol Otol 2002;116:153–5CrossRefGoogle ScholarPubMed
9 Fradis, M, Podoshin, L, Goldstein, Y, Miselevich, I, Boss, JH. Cervical echinococcal hydatid cyst. J Laryngol Otol 1989;103:435–7Google Scholar
10 Soylu, L, Aydogan, LB, Kiroglu, M, Javadzadeh, A, Tuncer, I. Hydatid cyst in the head and neck area. Am J Otolaryngol 1995;16:123–5Google Scholar
11 Gupta, S, Rathi, V, Bhargava, S. Unilocular primary spinal extradural hydatid cyst. MR appearance. Indian J Radiol Imaging 2002;12:271–3Google Scholar
12 Singh, S, John, S. Bilateral adnexal hydatidosis in primary infertility. Am J Roentgenol 1999;173:1412–13Google Scholar
13 Ozarmagan, S, Erbil, Y, Barbaros, U, Salmaslioglu, A, Barboza, A. Primary hydatid in the adrenal gland: a case report. Braz J Infect Dis 2006;10:362–3Google Scholar
14 Singh, S, Korah, IP, Gibikote, SV, Shyam, NK, Nair, A, Korula, A. Sacral hydatidosis: values of MRI in diagnosis. Skeletal Radiol 1998;27:518–21Google Scholar
15 Das, DK, Choudhury, U. Hydatid disease: an unusual breast lump. J Indian Med Assoc 2002;100:327–8Google Scholar
16 Handa, U, Mohan, H, Ahal, S, Mukherjee, KK, Dabra, A, Lehl, SS et al. Cytodiagnosis of hydatid disease presenting with Horner's syndrome: a case report. Acta Cytol 2001;45:784–8Google Scholar
17 Das, DK, Bhambhani, S, Pant, CS. Ultrasound guided fine-needle aspiration cytology: diagnosis of hydatid disease of the abdomen and thorax. Diagn Cytopathol 1995;12:173–6Google Scholar
18 Giuffre, G, Mondello, P, Inferrera, A, Furchi, A, Gentile, HM, Speciale, G. Unexpected cytological diagnosis of two cases of echinococcosis. Pathologica 1993;85:747–53Google Scholar
19 Sennaroglu, L, Onerci, M, Turan, E, Sungur, A. Infratemporal hydatid cyst – unusual location of echinococcosis. J Laryngol Otol 1994;108:601–3Google Scholar
20 Taylor, DH, Morris, DL. The current management of hydatid disease. Br J Clin Pract 1988;42:401–6Google Scholar
21 Russell, RCG, Williams, NS, Bulstrode, CJK. Parasitic infections. In: Chiodini, . Bailey & Love's Short Practice of Surgery, 24th edn. London: Arnold, 2004; 146–74Google Scholar
22 Amice, J, Sparfel, A, Petillon, F, Amice, V, Jezequel, J, Riviere, MR. Hydatid cyst of the neck: diagnosis by fine needle aspiration. Acta Cytol 1992;36:454–6Google Scholar