Primary disseminated intraabdominal hydatidosis: a case report

Journal of Medical Case Reports

Maryam Fasihi Karami¹  Molouk Beiromvand¹  Abdollah Rafiei¹  Amin Bahreini²  Ali Asghar Dastyar² 

[1] Department of Parasitology, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran;Department of Surgery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran;

关键词: Hydatidosis;    Intraabdominal hydatidosis;    Echinococcus granulosus;    Cystic echinococcosis;    Iran;   

DOI  :  10.1186/s13256-022-03262-5

来源: Springer

【 摘 要 】

BackgroundHydatidosis, a zoonotic disease caused by the larvae of Echinococcus granulosus sensu lato (E. granulosus s.l.), can be primary or secondary. However, primary disseminated intraabdominal hydatidosis is a rare form of the disease, accounting for about 2% of all intraabdominal cysts.Case presentationWe report herein a case of primary disseminated intraabdominal hydatidosis with multiple organ involvement in a 51-year-old Iranian man presenting to a healthcare facility with abdominal pain. During the physical examination, two abdominal masses were palpated. Ultrasound and computed tomography revealed six cystic lesions in the patient’s liver, subhepatic region, pelvic, and omentum. Afterward, he underwent surgery, during which the cystic lesions were completely removed. The patient received albendazole (400 mg/kg/day) postoperatively and was recommended to continue the treatment for 4 months.ConclusionsAlthough primary disseminated intraabdominal hydatidosis is rare, this problem is of great importance due to the fertility of cysts and the high risk of recurrence. Therefore, it is recommended to follow such patients with imaging modalities and enzyme-linked immunosorbent assay for native antigen B (AgB). In addition, patients should undergo albendazole therapy postoperatively for 4 months.

【 授权许可】

CC BY