Case Report
Copyright ©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Otorhinolaryngol. May 28, 2015; 5(2): 78-81
Published online May 28, 2015. doi: 10.5319/wjo.v5.i2.78
Infrathyroidian hydatid cyst: Diagnostic difficulties and therapeutic management, a case report
Ali Mardassi, Nabil Mathlouthi, Hajer Mbarek, Chiraz Halouani, Sameh Mezri, Cyrine Zgolli, Ghassen Chebbi, Rania Ben Mhamed, Khemaies Akkari, Sonia Benzarti
Ali Mardassi, Nabil Mathlouthi, Hajer Mbarek, Chiraz Halouani, Sameh Mezri, Cyrine Zgolli, Ghassen Chebbi, Rania Ben Mhamed, Khemaies Akkari, Sonia Benzarti, Ear Nose and Throat Department of the Military Hospital, Tunis 1008, Tunisia
Author contributions: All authors contributed to the collection and the analysis of the data and to the redaction of the manuscript.
Ethics approval: The case report was approved by the medical committee of ethics of the military hospital Tunis, Tunisia.
Informed consent: The patient provided informed written consent prior to study enrollment.
Conflict-of-interest: Nothing to declare.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Dr. Ali Mardassi, MD, Ear Nose and Throat Department of the Military Hospital, 1008 Tunis, Tunisia. alimardassi@gmail.com
Telephone: +216-22-552252
Received: September 27, 2014
Peer-review started: September 28, 2014
First decision: December 17, 2014
Revised: December 28, 2014
Accepted: February 9, 2015
Article in press: February 11, 2015
Published online: May 28, 2015
Processing time: 236 Days and 10 Hours
Abstract

Hydatidosis is a cosmopolitan anthropozoonose common to humans and many mammals. The cervical localization is rare even in endemic countries. We report a case of cervical hydatidosis located in the infra-thyroidian region. The diagnosis was suspected on clinical and radiological examinations (Ultrasonography, computed tomography-scan). The surgical removal of the cyst was difficult because of the inflammatory tissue around the mass. The confirmation of the diagnosis was obtained by the histopathological examination. During the follow-up, a local recurrence of the disease was diagnosed after 9 mo treated successfully by surgery.

Keywords: Hydatidosis; Anthropozoonose; Cervical localization; Ultrasonography; Surgery; Histopathology

Core tip: Cervical hydatidosis is a rare clinical form of the anthropozoonose. The clinical presentation is nonspecific and may be diagnosed only after locoregional complications which can be life-threatening. This paper describes and discusses the clinical and therapeutic features of this disease. Imaging allows an adequate characterization of the mass and helps to planify the surgical approach. The prognosis is generally good provided regular and careful follow-up.