Work

Successful management of a rare extensive hepatopulmonary hydatidosis with over 35 cysts: A case report and literature review

Year: 2025

Type: article

Abstract: INTRODUCTION AND IMPORTANCE: Extensive hepatopulmonary hydatidosis is a rare and challenging manifestation of Echinococcus granulosus infection in pediatric patients. It can lead to significant morbidity if not promptly recognized and appropriately managed. Early diagnosis and a staged multidisciplinary approach are essential to achieve favorable outcomes. CASE PRESENTATION: An 8-year-old boy presented with weight loss, cough, and hepatomegaly. Imaging revealed over 35 hydatid cysts in the liver and both lungs. He underwent staged bilateral lung cyst excision using hybrid minimally invasive surgery, followed by PAIR procedures for liver cysts and albendazole therapy. Postoperative recovery was uneventful, with full resolution of lung cysts and significant reduction in hepatic cyst burden. CLINICAL DISCUSSION: Extensive multi-organ hydatidosis in children is rare. Management depends on cyst location, number, and complications. Minimally invasive surgery combined with medical therapy is effective. CONCLUSION: This case highlights the importance of timely diagnosis and staged multidisciplinary management in pediatric multiorgan hydatidosis.

Source: International Journal of Surgery Case Reports

DOI: 10.1016/j.ijscr.2025.111807

Authors: Salahaldeen Deeb, Dana Sayyedahmad, Zaid Sharif, Sireen Manasrah, Hussein Abusharkh, Yousef Abuasbeh

Institutions: Al-Quds University, Alexandria University, Ahli Hospital

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: $2,090