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Peritoneal hydatidosis
Daniela Costamagna1, Roberto Maiocchi, Annunziatino Zampogna
1Second Division of General Surgery, Azienda Ospedaliero-Universitaria Maggiore della Carità, Corso Mazzini 18, 28100 Novara, Italy.
Case Reports in Medicine
|September 3, 2010
Summary
Secondary peritoneal hydatidosis, a complication of liver echinococcal cysts, can cause bowel obstruction. Surgical removal of a retrovesical cyst and sigmoid colon was successfully performed in a patient with this rare condition.
Area of Science:
- Medicine
- Parasitology
- Surgery
Background:
- Secondary peritoneal hydatidosis arises from the rupture of echinococcal cysts, commonly originating in the liver.
- Hepatic echinococcosis can lead to complications such as peritoneal dissemination.
Observation:
- A 65-year-old male with a history of liver hydatidosis presented with symptoms of bowel obstruction.
- Imaging identified a retrovesical hydatid cyst adhered to the sigmoid colon.
Findings:
- The patient underwent surgical excision of both the hydatid cyst and the affected segment of the sigmoid colon.
- Histopathological examination confirmed the diagnosis of peritoneal hydatidosis.
Implications:
- This case highlights the importance of considering secondary peritoneal hydatidosis in patients with a history of echinococcosis presenting with abdominal symptoms.
- Radical surgical management, including resection of involved organs, may be necessary for complete cure.
- Long-term follow-up is crucial to monitor for recurrence or complications.
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