A Rare Case of Sublingual Gland Hydatid Cyst
Abstract
Background: Hydatid cyst is a zoonotic disease due to the infection with the larvae of
Echinococcus granulosus. The liver and lungs (80%) are the main organs involved and rarely
head and neck.
Case Presentation: A 47-year-old Iranian man presented to our center complaining of
sublingual inflammation for 8 months. Sonography revealed a cystic lesion of 4×5×6 cm within
the tongue. CT-scan showed a well-defined and hypodense mass in the floor of the mouth.
Cyst resection was performed with the probability of ranula. Pathology was suggestive of
hydatid cyst. Further workups revealed liver involvement. Therefore, he was treated with
albendazole for 2 months.
Conclusion: The hydatid cyst in the head and neck is rare and the involvement of sublingual
gland is extremely rare. However, in endemic areas, hydatid cyst should be considered in the
differential diagnosis of head and neck masses.