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Updated: Jun 2, 2026
Microscopic Cyst Resection for the Treatment of Patients Diagnosed with Epididymal Cyst
Published on: March 31, 2023
[Diagnosis and treatment of abdominal hydatid cysts in children. A multicentric study]
C Tarnovetchi1, G S Aprodu, M Oancea
1Universităţii de Medicina si Farmacie Gr.T. Popa Iaşi.
Insights
Echinococcosis, a common parasitic infection in Romania, frequently affects children, primarily the liver. Treatment involves surgery and albendazole, with a 0% mortality rate but a notable rate of postoperative complications.
Area of Science:
- Pediatric Surgery
- Parasitology
- Epidemiology
Context:
- Echinococcosis is a significant parasitic zoonosis endemic in Romania.
- Pediatric abdominal hydatidosis requires specialized surgical and medical management.
- This study reviews cases from three Romanian pediatric surgical centers.
Purpose:
- To analyze the clinical characteristics, treatment, and outcomes of pediatric abdominal echinococcosis in Romania.
- To evaluate surgical procedures and medical treatments, including Albendazole.
- To identify common complications and assess the overall mortality rate.
Summary:
- A review of 111 children with abdominal echinococcosis revealed liver as the most common site.
- Lagrot partial pericystectomy was the preferred surgical method, supplemented by Albendazole.
- The study reported a 0% mortality rate but a 31% incidence of postoperative complications.
Impact:
- Highlights the prevalence of echinococcosis in Romanian children, particularly in rural areas.
- Provides insights into effective surgical and medical treatment strategies.
- Underscores the importance of managing postoperative complications in pediatric hydatidosis.
Unlabelled:
Echinococcosis is one of the most frequent parasitosis and is endemic in Romania.
Material And Method:
The data on 111 children with abdominal localization of hydatidosis who underwent exploration and treatment in 3 pediatric surgical clinics were reviewed. The study evaluated 59 patients who were treated at "Sf. Maria" pediatric hospital Iasi during 2004 and 2009, 47 at "Marie Curie" pediatric hospital from Bucharest during 2000 - 2009 and 5 children at Bacău General Hospital 2004-2009. The medical records were reviewed for: demographics, age, gender, location of the cyst, operative procedure, medical treatment, outcome, length of hospital stay and postoperative follow up.
Results:
Age ranged between 2 and 17 years and male/female ratio was 1,1/1.67% of patients lived in rural areas. The liver was the most common organ involved: in 69 cases it was the only organ involved and there were 2 kidney cyst cases, 8 spleens involved, 2 cases in broad ligament, 13 peritoneal cases and 26 cases of cyst located in great omentum. The preferred surgical procedure was Lagrot partial pericystectomy. For medical antihelminthic treatment it was used Albendazole. As complications there were: biliary fistulas, postoperative cholangitis, infection of the residual cavity, anaphylactic reactions. The mortality rate was 0%.
Conclusions:
Most of the patients were from rural area. The liver was the major organ involved. The treatment includes both surgical and medical means. There is a relatively high rate of postoperative complications (although some of them being minor) in 31 patients.
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