Work

Primary intraperitoneal hydatid cyst presenting with abdominal distension: A case report

Year: 2024

Type: article

Abstract: INTRODUCTION: Peritoneal hydatid disease accounts for 2-13 % of abdominal hydatidosis cases. Due to its nonspecific clinical presentation and potential for multi-organ involvement, the condition is often misdiagnosed. Evidence on managing primary peritoneal hydatid cysts remains limited, presenting challenges in diagnosis and treatment. PRESENTATION OF CASE: We report a case of primary peritoneal hydatid in a patient, who presented with abdominal distension for a year. Surgical excision and postoperative treatment with albendazole were effective in controlling the disease and preventing a recurrence. DISCUSSION: The primary goals of treatment are to eliminate the disease, prevent complications, and reduce recurrence risks. Controlled open surgery is preferred for peritoneal echinococcosis to minimize spillage and dissemination. Adjuvant anthelmintic therapy, such as albendazole, prevents recurrence. CONCLUSION: In patients presenting with abdominal cystic masses, especially in endemic regions, hydatid disease should be considered in the differential diagnosis. Complete excision of the hydatid cyst combined with antiparasitic therapy is crucial to prevent recurrence.

Source: International Journal of Surgery Case Reports

DOI: 10.1016/j.ijscr.2024.110789

Authors: Bishnu Prasad Kandel, Prajjwol Luitel

Institutions: Tribhuvan University, Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj Medical Campus

Language: English

Topic: Parasitic infections in humans and animals

Subfield: Pathology and Forensic Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,800