SS  Vol.5 No.9 , September 2014
Presacralhydatid Cyst: An Exceptional Presentation
Abstract: Introduction: Hydatidosis is caused by the larvae of the cestode Echinococcus granulosus. Liver and lung are the most frequent locations. We report a rare case of a primary hydatid disease location in pre-sacral space. Clinic case: A 64-year-old male patient who consulted due to right gluteal area pain radiating to outer side of the right leg. Physical examination showed a positive Lasègue with hypoesthesia in right L4 L5 S1 territories, with loss of strength in S1. The x-ray showed L3 vertebral wedging and a lumbar lordosis rectification. Laboratory tests and tumor markers were negative. Endorectal ultrasonography described a multilobulatedpresacral cystic tumor. Magnetic resonance imaging (MRI) showed a 16 × 10 × 11 cm retro rectal mass. Due to uncertain diagnosis, surgery was performed, with previous albendazol administration and surgical field protection with 20% hypertonic saline solution. Combined approach (laparotomy + Kraske incision) was realized. Postoperative course was uneventful. The patient remained asymptomatic 36 months after surgery. Summary: Presacralhydatid cysts are rare entities, but must be considered in differential diagnosis of space-occupying lesions in presacral region. Surgery is treatment of choice, and medical treatment may be useful to prevent recurrences.
Cite this paper: Barber-Millet, S. , Pous-Serrano, S. , Maupoey-Ibáñez, J. , Trallero-Anoro, M. , Montilla-Navarro, E. and Palasí-Jiménez, R. (2014) Presacralhydatid Cyst: An Exceptional Presentation. Surgical Science, 5, 384-388. doi: 10.4236/ss.2014.59062.

[1]   Oudidi, A. and El Alami, M.N. (2006) Hydatic Cyst of Thyroid Gland. Annales de Chirurgie, 131, 375-378.

[2]   Subercaseaux, V.S., Besa, C.C., Burdiles, O.A., Huete, G.A. and Contreras, O.O. (2010) Retroperitoneal Hydatid Cyst: A Common Disease in a Rare Location. Revista Chilena de Infectología, 27, 556-560.

[3]   Semlali, S., Nassar, I., Cissé, A., El-Gueddari, F.Z. and Imani, F. (2004) Cervical Hydatid Disease with Retropharyngeal Involvement: A Case Report. Journal de Radiologie, 85, 51-53.

[4]   Tapia, E.O., Vidal, T.A., Bellolio, J.E. and Roa, S.J.C. (2010) Bone Hydatidosis: Report of Five Patients. Revista Médica de Chile, 138, 1414-1421.

[5]   Tepetes, K., Christodoulidis, G., Spryridakis, M. and Hatzitheofilou, K. (2007) Large Solitary Retroperitoneal Echinococcal Cyst: A Rare Case Report. World Journal of Gastroenterology, 13, 6101-6103.

[6]   Findikcioglu, A., Kilic, D., Canpolat, T. and Hatipoglu, A. (2007) Primary Hydatid Disease of the Chest Wall. Annals of Thoracic and Cardiovascular Surgery, 13, 203-205.

[7]   Maturana, V., Ferrer, M., Rico, M., Rubio, F. and Belda, R. (2009) Presacral Cystic Tumour. Cirugía Espa?ola, 85, 60-62.

[8]   Hamamci, E.O., Besim, H. and Korkmaz, A. (2004) Unusual Locations of Hydatid Disease and Surgical Approach. ANZ Journal of Surgery, 74, 356-360.

[9]   Boscà, A., Pous, S., Artés, M.J., Gómez, F., Granero Castro P. and García-Granero, E. (2012) Tumours of the Retrorectal Space: Management and Outcome of a Heterogeneous Group of Diseases. Colorectal Disease, 14, 1418-1423.

[10]   Ozyurtkan, M.O., Ko?yi?it, S., Cakmak, M., Ozsoy, I.E. and Balci, A.E. (2009) Case Report: Mediastinal Hydatid Cysts. Türkiye Parazitolojii Dergisi, 33, 179-181.

[11]   Senoglu, M., Bulbuloglu, E., Demirpolat, G., Altun, I. and Celik, M. (2009) Combined Anterior and Posterior Approach for Sacral/Retroperitoneal Hydatid Cyst Disease: Case Report. Turkish Neurosurgery, 19, 428-432.