PDF(Pubmed)
Abstract：
BACKGROUND: Echinococcosis, commonly known as hydatid disease, is a zoonotic infection resulting from the tapeworm Echinococcus granulosus. The occurrence of hydatid cysts in the orbital region is uncommon, representing less than 1% of all reported hydatid cases. This report details a unique case of an intramuscular hydatid cyst in the orbital region that led to compressive optic neuropathy.
METHODS: A 22-year-old male from Kabul, Afghanistan presented with a five-month history of progressive proptosis in his left eye, associated with a gradual decrease in vision over the past three weeks. The left eye exhibited upward globe dystopia, ocular motility limitation, mild conjunctival injection, and chemosis. Diagnosis was achieved through imaging and histopathological examination. Treatment involves surgical removal of the cyst and prolonged albendazole therapy. The postoperative course showed significant improvement in the patient\'s condition and restoration of his vision.
CONCLUSIONS: Despite its rarity, this case underscores the importance of awareness and knowledge of hydatid disease among physicians, especially those working in endemic areas. It emphasizes the importance of including hydatid disease in the differential diagnosis of orbital masses, particularly in endemic regions.
METHODS: A 22-year-old male from Kabul, Afghanistan presented with a five-month history of progressive proptosis in his left eye, associated with a gradual decrease in vision over the past three weeks. The left eye exhibited upward globe dystopia, ocular motility limitation, mild conjunctival injection, and chemosis. Diagnosis was achieved through imaging and histopathological examination. Treatment involves surgical removal of the cyst and prolonged albendazole therapy. The postoperative course showed significant improvement in the patient\'s condition and restoration of his vision.
CONCLUSIONS: Despite its rarity, this case underscores the importance of awareness and knowledge of hydatid disease among physicians, especially those working in endemic areas. It emphasizes the importance of including hydatid disease in the differential diagnosis of orbital masses, particularly in endemic regions.
摘要：
背景：棘球蚴病，通常被称为包虫病，是由细粒棘球蚴引起的人畜共患感染。眼眶区包虫囊肿的发生并不常见，占所有报告的包虫病例的不到1%。本报告详细介绍了眼眶区域肌肉内包虫囊肿导致压迫性视神经病变的独特病例。
方法：一名来自喀布尔的22岁男性，阿富汗的左眼有五个月的进行性眼球突出史，与过去三周视力逐渐下降有关。左眼表现出向上的反乌托邦，眼运动受限，轻度结膜注射，和化学.通过影像学和组织病理学检查获得诊断。治疗包括手术切除囊肿和延长阿苯达唑治疗。术后病程显示患者病情明显改善，视力恢复。
结论：尽管它很少，这个案例强调了医生对包虫病的认识和知识的重要性，尤其是那些在流行地区工作的人。它强调了在眼眶肿块的鉴别诊断中包括包虫病的重要性，特别是在流行地区。
方法：一名来自喀布尔的22岁男性，阿富汗的左眼有五个月的进行性眼球突出史，与过去三周视力逐渐下降有关。左眼表现出向上的反乌托邦，眼运动受限，轻度结膜注射，和化学.通过影像学和组织病理学检查获得诊断。治疗包括手术切除囊肿和延长阿苯达唑治疗。术后病程显示患者病情明显改善，视力恢复。
结论：尽管它很少，这个案例强调了医生对包虫病的认识和知识的重要性，尤其是那些在流行地区工作的人。它强调了在眼眶肿块的鉴别诊断中包括包虫病的重要性，特别是在流行地区。
