Autopsy and Case Reports
Autopsy and Case Reports
Clinical Case Report and Review

Hydatid cyst involving the mandible ramus

Nivedhitha Maraimalai; Manisha Ahire Sardar; Kavita Wadde; Om Kharat; Shaheen Kanpurwala; Asha Chowdhar

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Parasitic infections rarely involve the oral and maxillofacial regions and pose a diagnostic challenge when they do. Hydatid cysts are parasitic cysts caused by Echinococcus granulosus. Intraosseous involvement is observed in 3% of cases, of which only 2-6% are in the maxillofacial region. A scientific literature search revealed only seven cases involving the mandible. We report a rare case in a 16-year-old female patient who presented with facial asymmetry and well-defined radiolucency of the ramus. Our findings will help in understanding the diagnostic issues caused by non-specific presentation and difficulties in suspecting such a rare diagnosis as echinococcosis of the oral or maxillofacial region. A thorough systemic investigation is essential as 20-30% of these cases show multiorgan involvement.


Echinococcosis, Hydatidosis, Hydatid Cysts, Jaw Cysts


1 Banerjee A, Elangovan E, Mitra KS, Saha A. Labial hydatid cyst–a rare entity. J Oral Maxillofac Pathol. 2019;23(3):418-21. PMid:31942124.

2 Dehghan A, Jamalpour MR, Amini E, Rouhani G. Primary intraosseous mandibular hydatid cyst: a case report and review of 97 cases of osseous cystic echinococcosis. Oral Surg Oral Med Oral Pathol Oral Radiol. 2022;133(5):556-63. PMid:35165056.

3 Bouckaert MM, Raubenheimer EJ, Jacobs FJ. Maxillofacial hydatid cysts. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000;89(3):338-42. PMid:10710460.

4 Paruchuri RK, Kapoor A. Osseous hydatid disease – a series of cases. Indian J Musculoskeletal Radiol. 2020;2(2):120-4.

5 Song XH, Ding LW, Wen H. Bone hydatid disease. Postgrad Med J. 2007;83(982):536-42. PMid:17675547.

6 Polat P, Kantarci M, Alper F, Suma S, Koruyucu MB, Okur A. Hydatid disease from head to toe. Radiographics. 2003;23(2):475-94. PMid:12640161.

7 Shear M, Speight PM. Cysts of the oral and maxillofacial regions. New York: John Wiley & Sons; 2008.

8 Lavanya RM, Kamath VV, Komali Y, Krishnamurthy S. Hydatid cyst of the buccal mucosa: an unusual presentation. Indian J Dent. 2015;6(3):157-60. PMid:26392735.

9 Sharafi SM, Sefiddashti RR, Sanei B, Yousefi M, Darani HY. Scolicidal agents for protoscolices of Echinococcus granulosus hydatid cyst: review of literature. J Res Med Sci. 2017;22(1):92. PMid:28900448.

10 Bensghir M, Fjouji S, Bouhabba N, et al. Anaphylactic shock during hydatid cyst surgery. Saudi J Anaesth. 2012;6(2):161-4. PMid:22754444.

11 Shuker S. Hydatid cyst in the maxillofacial region. J Oral Maxillofac Surg. 1982;40(3):171-4. PMid:6950063.

12 Nandakumar H, Shankaramba KB. Hydatid cyst of the mandible: a case report. J Oral Maxillofac Surg. 1989;47(7):759-61. PMid:2732837.

13 Scherer P, Mischkowski RA, Seifert H, et al. Solitary hydatid cyst in the mandible: case report and review of the literature. J Oral Maxillofac Surg. 2008;66(8):1731-6. PMid:18634965.

14 Shahoon H, Esmaeili M, Mobedi I, Nematollahi M. Multi vesicular osseous hydatid disease of the mandible-a case report. Iran J Parasitol. 2010;5(1):55-60. PMid:22347236.

15 Bhola N, Jadhav A, Borle R, Shukla S. Echinoccocal cyst affecting the mandible. Ann Maxillofac Surg. 2015;5(1):115-8. PMid:26389049.

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