Unusual locations of hydatid disease: a 33  year's experience analysis on 233 XXXX .

@entity1 @entity66 @entity3928 @entity8434 @entity12047 @entity45 @entity4801
@entity66 is caused by the tapeworm @entity12047 and it is an endemic @entity4801 disease of the Mediterranean countries. Although the liver is the most involved organ by this disease, @entity8434 can be found anywhere in the @entity1 body. Rare forms of location may pose diagnostic and therapeutic dilemmas. Herein we report our experience with unusual located hydatid disease diagnosed and treated at our center the last 33 years. A total of 233 @entity1 were treated for @entity8434 (91 males: 39% and 142 females: 61%) between 1980 and 2013 at our center. 18 of them (7, 8%) with uncommon located hydatid disease, were analyzed retrospectively. 18 @entity1 (8 males and 10 females) were presented with unusual location of hydatid disease in our series. Two of them had only extrahepatic cysts (0, 9%). A total of 64 hydatid cysts with unusual location were analyzed. The most prevalent extrahepatic sites were peritoneal cavity and spleen. Total cystectomy with or without tube drainage or omentopexy was performed for hydatid cysts of the peritoneal cavity in our series. Splenectomy was performed in all cases of @entity8434 . The mean time of post operative stay was 16, 3 days (range 7-35 days), morbidity 11% and mortality 5, 4%. Although @entity8434 is found most often in the liver and lungs, it seems that any organ can be involved by this zoonotic disease. The operating surgeon must always consider the possibility of unusual location of @entity45 when dealing with @entity1 with @entity3928 in endemic areas, because any misinterpretation may result in unfavorable outcomes.
