[Multiple abdominal hydatid disease. Case report]

Hydatid disease, a parasitic infection caused by Echinococcus granulosus is relatively frequent in our country. Imaging techniques like ultrasound and CT made possible an early and accurate diagnosis prior to serious complications. Hydatid cysts can be ruptured spontaneously or following trauma. The authors report a case of multiple abdominal hydatid disease (hepatic, splenic and peritoneal) in a 11-year-old boy admitted into the Bacau County Hospital with severe abdominal pain and history of abdominal trauma 7 months ago in the right hypochondriac region. The case was managed surgically being performed pericystectomy, splenectomy and omentectomy. Albendazole was administered before and after surgery. The recovery course was uneventful and the evolution favorable. Although ruptured hydatid cyst of liver and multiple abdominal hydatid disease are rare clinic entities, in an endemic region as Romania, they should be taken into account when making the differential diagnosis of abdominal pain.