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Updated: Oct 15, 2026

Microscopic Cyst Resection for the Treatment of Patients Diagnosed with Epididymal Cyst
Published on: March 31, 2023
[Peritoneal hydatid cysts. Apropos of 12 cases]
O el Mansari1, A Zentar, K Sair
1Service de chirurgie viscérale et vasculaire, hôpital militaire d'instruction Mohammed V, Rabat, Maroc.
Insights
Peritoneal hydatidosis is often secondary to liver disease, diagnosed via ultrasound, and successfully treated with surgery. Most patients recover well, with a low recurrence rate observed after 38 months.
Area of Science:
- Medical Parasitology
- Abdominal Surgery
- Diagnostic Imaging
Background:
- Peritoneal hydatidosis is a rare condition, often secondary to other hydatid disease.
- Understanding its presentation and management is crucial for patient outcomes.
Purpose of the Study:
- To report on 12 cases of peritoneal hydatidosis.
- To analyze diagnostic methods and treatment outcomes.
Main Methods:
- Retrospective study of 12 patients (4 male, 8 female) with peritoneal hydatidosis.
- Diagnosis primarily by ultrasonography (7/10 cases).
- Surgical treatment with cyst sterilization and resection; adjuvant albendazole used in some cases.
Main Results:
- 11 out of 12 cases were secondary peritoneal hydatidosis.
- Most patients presented with pain and/or fever (9/12).
- All patients underwent surgery; 5 experienced postoperative complications, all with favorable outcomes. One recurrence in a liver cyst was noted during a 38-month follow-up.
Conclusions:
- Peritoneal hydatidosis is frequently secondary, often linked to liver hydatidosis.
- Ultrasonography is a key diagnostic tool.
- Surgical intervention is effective, with a low recurrence rate and manageable complications.
Study Aim:
The aim of this retrospective study was to report on 12 cases of peritoneal hydatidosis observed in the same hospital from 1989 to 1998.
Patients And Methods:
Four men and 8 women (mean age: 37 years) were included in the study. Four of them had been operated on for liver hydatidosis, 3 to 9 years before. The peritoneal hydatidosis was asymptomatic (n = 2), revealed by pain and/or fever (n = 9) and by hydatid peritonitis (n = 1). Diagnosis was performed by ultrasonography in seven cases out of 10. Preoperative treatment with albendazole was given to one patient only during 1 month. All patients were operated on. Peritoneal cysts, with different locations, were secondary in 11 patients. Nine patients had concomitant liver hydatidosis and two concomitant retroperitoneal hydatidosis. Hydatid cysts were usually sterilized with oxygen water and treated by resection of the protruding dome. Postoperative treatment with albendazole was given to five patients.
Results:
Postoperative complications occurred in five patients: intestinal occlusion, abscess in a residual cavity, purulent fistulas, biliary fistulas with a favorable issue. With a mean 38-month follow-up, all patients were alive, with only one recurrence in a liver hydatid cyst.
Conclusion:
Peritoneal hydatidosis was secondary in 11 out of 12 patients. Diagnosis was performed with ultrasonography in seven out of 10 patients. All patients were operated on. With a mean follow-up of 38 months, only one recurrence has been observed.
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