Volume 100, Issue 5
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645



Cystic echinococcosis (CE) is a common, chronic, and endemic zoonotic disease usually localized in a single organ; multivisceral cases are rare, especially outside the liver or lung. Here, we describe an unusual case of a 43-year-old Tibetan man with echinococcosis of the infratemporal fossa, heart, liver, pancreas, abdomen, and pelvic cavity. He only presented with diminished vision of the left eye, especially when chewing. Computed tomography and magnetic resonance imaging revealed multivisceral CE. The patient underwent surgery for the excision of a cyst in the infratemporal fossa, as well as chemotherapy, and the diagnosis was confirmed by histopathological examination. The diagnosis, clinical features, treatment, and follow-up in this case are discussed. In areas with high echinococcosis prevalence, examination by full imaging is necessary for an accurate diagnosis, especially in cases of atypical localization. Chemotherapy for treatment, as well as prophylaxis against recurrence, can be effective when surgery is not possible.

[open-access] This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Article metrics loading...

The graphs shown below represent data from March 2017
Loading full text...

Full text loading...



  1. Ito A, Budke CM, , 2017. The echinococcoses in Asia: the present situation. Acta Trop 176: 1121. [Google Scholar]
  2. Wang ZH, Wang XM, Liu XQ, , 2008. Echinococcosis in China, a review of the epidemiology of Echinococcus spp. Ecohealth 5: 115126. [Google Scholar]
  3. Pawlowski Z, Eckert J, Vuitton DA, Ammann RW, Kern P, Craig PS, Eckert J, Gemmell MA, Meslin FX, Pawlowski Z, , 2001. Echinococcosis in humans: clinical aspects, diagnosis and treatment. , eds. WHO/OIE Manual on Echinococcosis in Humans and Animals. Paris, France: Office International des Epizooties, 100145. [Google Scholar]
  4. Zheng X, Zou Y, Yin C, , 2015. Rare presentation of multi-organ abdominal echinococcosis: report of a case and review of literature. Int J Clin Exp Pathol 8: 1181411818. [Google Scholar]
  5. Grozavu C, Ilias M, Pantile D, , 2014. Multivisceral echinococcosis: concept, diagnosis, management. Chirurgia (Bucur) 109: 758768. [Google Scholar]
  6. Wang Q, 2014. Review of risk factors for human echinococcosis prevalence on the Qinghai-Tibet Plateau, China: a prospective for control options. Infect Dis Poverty 3: 3. [Google Scholar]
  7. Sachar S, Goyal S, Goyal S, Sangwan S, . 2014. Uncommon locations and presentations of hydatid cyst. Ann Med Health Sci Res 4: 447452. [Google Scholar]
  8. Liu XW, Zhao P, Gao LQ, Hu J, Wang LY, , 2015. Exploration of common bile duct for treating hepatic cystic echinococcosis. Int J Clin Exp Med 8: 12761280. [Google Scholar]
  9. Department of Disease Control, Ministry of Health, Chinese Center for Disease Control and Prevention and National Institute of Parasitic Diseases, China CDC, 2008. A National Survey on Current Status of the Important Parasitic Diseases in Human Population. Beijing, China: People’s Medical Publishing House. [Google Scholar]
  10. Chen SL, 2016. An epidemiological survey on echinococcosis in Yushu Prefecture of Qinghai Province [in Chinese]. Chin J Parasitol Parasit Dis 34: 15. [Google Scholar]
  11. Han XM, Wang H, Qiu JM, Ma X, Cai HX, Liu PY, Ding QJ, Dai N, Ito A, Craig PS, , 2006. An epidemiological survey on echinococcosis in Banma County of Qinghai Province [in Chinese]. Chin J Zoonoses 22: 189190. [Google Scholar]
  12. Zhang JX, He DL, Wu XH, , 2006. A retrospective study on the hospitalization cases in Qinghai Province from 1991 to 2001 [in Chinese]. J Pathog Biol 1: 13. [Google Scholar]
  13. Feng YL, Wu XL, Ma R, Duan MX, Yang J, , 2012. A retrospective study on the hospitalization cases from 1991 to 2010 in Ningxia [in Chinese]. Ningxia Med J 34: 644645. [Google Scholar]
  14. Dasbaksi K, Haldar S, Mukherjee K, Mukherjee P, , 2015. A rare combination of hepatic and pericardial hydatid cyst and review of literature. Int J Surg Case Rep 10: 5255. [Google Scholar]
  15. Brunetti E, Kern P, Vuitton DA, , 2010. Writing panel for the WHO-IWGE. Expert consensus for the diagnosis and treatment of cystic and alveolar echinococcosis in humans. Acta Trop 114: 116. [Google Scholar]
  16. Constantin V, Popa F, Socea B, Carâp A, Balalau C, Motofei I, Banu P, Costea D, , 2014. Spontaneous rupture of a splenic hydatid cyst with anaphylaxis in a patient with multi-organ hydatid disease. Chirurgia 109: 393395. [Google Scholar]
  17. Creţu CM, Codreanu RR, Mastalier B, Popa LG, Cordoş I, Beuran M, Ianulle DA, Simion S, , 2012. Albendazole associated to surgery or minimally invasive procedures for hydatid disease–how much and how long. Chirurgia (Bucur) 107: 1521. [Google Scholar]
  18. Tsaroucha AK, Polychronidis AC, Lyrantzopoulos N, Pitiakoudis MS, J Karayiannakis A, Manolas KJ, Simopoulos CE, , 2005. Hydatid disease of the abdomen and other locations. World J Surg 29: 11611165. [Google Scholar]

Data & Media loading...

  • Received : 16 Aug 2018
  • Accepted : 21 Jan 2019
  • Published online : 11 Mar 2019

Most Cited This Month

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error