Cystic Echinococcosis Cases: A Retrospective Evaluation in a General Surgery Department

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dc.authoridGökçe, Oruç Numan / 0000-0002-9678-7818
dc.authoridAlkan, Sevil / 0000-0003-1944-2477
dc.authoridKaradağ, Volkan / 0000-0001-8427-9974
dc.contributor.authorGökçe, Oruç Numan
dc.contributor.authorAlkan, Sevil
dc.contributor.authorKaradağ, Volkan
dc.date.accessioned2025-01-27T21:19:51Z
dc.date.available2025-01-27T21:19:51Z
dc.date.issued2024
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractObjective: Cystic echinococcosis (CE) caused by the larval stage of the Echinococcus granulosus parasite is a global health problem. This study aimed to assess cases of CE admitted to our General Surgery Department retrospectively, as there is no known similar publication concerning surgical treatment of abdominal cystic echinococcosis in & Ccedil;anakkale province. Materials and Methods: We analyzed laboratory and radiological findings alongside clinical and demographic features, treatments, and outcomes of cases undergoing surgical treatment for abdominal cystic echinococcosis in our department between 2012 and 2022. Results: Among the 37 cases reviewed, the mean age was 45.59 +/- 7.1 years, and 19 (51.35%) were female. While the majority (54.05%) were from urban districts, only 37.84% were involved in animal husbandry and agriculture. Most common complaint was abdominal pain (67.57%), with an average symptom duration of 4.3 +/- 1.02 months. The diagnosis was confirmed by visualization of the cuticular membrane through pathological examination. E. granulosus IHA testing yielded positive in 29 cases. Spleen involvement was seen in 3 (8.11%) cases and isolated liver involvement in 34 (91.89%) cases. Gharbi type III cysts (n=15) were the most frequent. The average cyst size was 106.32 mm (range 50-200); 29 cases had solitary cysts, six had double cysts, and one had triple and quadruple cysts. Cystotomy with capitonage and laparoscopic pericystectomy were performed in 30 cases and seven cases, respectively. Our recurrence rate was low (2.7%). Early and late complications developed in 12 (32.43%) cases. Conclusion: Abdominal pain was the primary presenting symptom; radiology is valuable in diagnosis. Occupation in agriculture or animal husbandry is not the main risk factor in our region. Surgical interventions have favorable outcomes with low recurrence rates, particularly laparoscopic pericystectomy.
dc.identifier.doi10.36519/idcm.2024.425
dc.identifier.endpage297
dc.identifier.issn2667-646X
dc.identifier.issue4
dc.identifier.pmid39744669
dc.identifier.scopus2-s2.0-85213352640
dc.identifier.scopusqualityN/A
dc.identifier.startpage291
dc.identifier.urihttps://doi.org/10.36519/idcm.2024.425
dc.identifier.urihttps://hdl.handle.net/20.500.12428/28754
dc.identifier.volume6
dc.identifier.wosWOS:001382580200006
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherKLİMİK (Türk Klinik Mikrobiyoloji ve İnfeksiyon Hastalıkları Derneği)
dc.relation.ispartofInfectious Diseases and Clinical Microbiology
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WoS_20250125
dc.subjectcystic echinococcosis
dc.subjectEchinococcus granulosus
dc.subjectcystotomy
dc.subjectcapitonage
dc.subjectGharbi
dc.subjectalbendazole
dc.titleCystic Echinococcosis Cases: A Retrospective Evaluation in a General Surgery Department
dc.typeArticle

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