Isolated hydatid cyst in the medial rectus muscle: unveiling a rare orbital occurrence.

Alireza Attar, Behzad Khademi, Mohammad Hassan Jalalpour
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Abstract

Background: Orbital hydatid disease, while rare, should be included in the differential diagnosis of unilateral proptosis, particularly in endemic areas. Accurate diagnosis and comprehensive management are essential for effective treatment and favorable long-term outcomes.

Case presentation: A 12-year-old boy presented with a one-month history of diplopia and left-sided proptosis. A CT scan revealed a cystic mass within the left medial rectus muscle. Surgical intervention confirmed the presence of a hydatid cyst following cyst rupture and irrigation with hypertonic saline. The patient underwent a two-month course of albendazole therapy. Initially, the patient experienced persistent exotropia and diplopia, but at the three-year follow-up, he exhibited no diplopia or proptosis and only mild residual exotropia.

Conclusion: This case underscores the importance of considering orbital hydatid cysts in the differential diagnosis of unilateral proptosis in endemic regions. Heightened awareness, accurate diagnosis, and a tailored therapeutic approach, including surgical removal and antiparasitic treatment, are crucial for successful management and improved long-term outcomes.

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内侧直肌孤立性水瘤囊肿:揭开罕见眼眶病的面纱。
背景:眼眶包虫病虽然罕见,但应列入单侧突眼的鉴别诊断中,特别是在流行地区。准确诊断和综合治疗对有效治疗和长期预后至关重要:一名 12 岁男孩因复视和左侧眼球突出就诊一个月。CT 扫描显示左侧内侧直肌内有一个囊性肿块。在囊肿破裂并用高渗盐水冲洗后,手术治疗证实了水瘤囊肿的存在。患者接受了为期两个月的阿苯达唑治疗。最初,患者出现持续性外斜和复视,但在三年的随访中,他没有出现复视或突眼,仅有轻度残余外斜:本病例强调了在地方病流行地区鉴别诊断单侧突眼时考虑眼眶水瘤囊肿的重要性。提高意识、准确诊断和有针对性的治疗方法(包括手术切除和抗寄生虫治疗)是成功治疗和改善长期预后的关键。
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来源期刊
CiteScore
3.80
自引率
3.40%
发文量
39
审稿时长
13 weeks
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