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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: [email protected]
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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

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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