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Giant multiple intra-abdominal hydatid cysts.

Naila Nadeem1, Hassan Khan, Saulat Fatimi

  • 1The Aga Khan University Hospital, Karachi, Pakistan.

Journal of Ayub Medical College, Abbottabad : JAMC
|June 27, 2007
PubMed
Summary
This summary is machine-generated.

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Hydatid disease, a parasitic infection, can be managed with Albendazole. This drug is effective for small, asymptomatic cysts and secondary peritoneal cysts, offering an alternative to surgery in some cases.

Area of Science:

  • Parasitology
  • Infectious Diseases
  • Medical Case Reports

Background:

  • Hydatid disease is a parasitic infection caused by Echinococcus Granulosus, endemic in cattle grazing areas.
  • Humans contract the infection through contact with infected dogs (definitive host) or consuming contaminated food or water.
  • The case highlights the challenges in managing recurrent or complex hydatid disease.

Observation:

  • A 42-year-old female with a history of hydatid disease and multiple surgeries presented with dyspnea and abdominal distention.
  • Physical examination revealed a distended, non-tender abdomen. Echinococcus antibody titers were elevated (1:64).
  • CT scan showed multiple abdominal cysts, prompting surgical intervention planning.

Findings:

  • The patient refused further surgery and was prescribed Albendazole 400 mg twice daily indefinitely.

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  • The study suggests Albendazole can effectively treat small, asymptomatic cysts, daughter cysts, and secondary peritoneal and splenic cysts.
  • Surgical treatment remains indicated for symptomatic or large hydatid cysts.

    • Implications:

    • Albendazole offers a non-surgical management option for specific types of hydatid cysts.
    • Antihelminthic therapy is crucial in cases of suspected peritoneal spillage to prevent further dissemination.
    • This case underscores the importance of considering medical management with Albendazole in recurrent or complex hydatid disease presentations.