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Updated: Mar 12, 2026
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Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
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[Disseminated peritoneal hydatidosis manifested as intestinal ischaemia]
Enrique Rosales-Castañeda1, José Luis Martínez-Ordaz1, Alicia Estrada-Castellanos1
1Servicio de Gastrocirugía, Hospital de Especialidades Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, México.
Cirugia Y Cirujanos
|November 10, 2016
Summary
Disseminated peritoneal echinococcosis, a rare hydatid disease complication, can cause intestinal ischemia. This case highlights the importance of considering this parasitic infection in patients with severe abdominal pain and sepsis.
Area of Science:
- Parasitology
- Infectious Diseases
- Surgical Pathology
Background:
- Hydatid disease (echinococcosis) is endemic globally, particularly in Mediterranean regions.
- Intraperitoneal rupture is a rare but serious complication of echinococcosis.
- Standard treatment involves surgery and adjuvant medical therapy.
Observation:
- A 50-year-old male presented with acute worsening of chronic abdominal pain and sepsis.
- Surgical exploration revealed intestinal ischemia secondary to disseminated peritoneal echinococcosis.
- Mesenteric retraction caused by the parasitic cysts led to the ischemia.
Findings:
- Biopsy confirmed disseminated peritoneal echinococcosis.
- The patient underwent intestinal resection and end-ileostomy.
- Post-operative treatment included albendazole and praziquantel.
Implications:
- This case illustrates an unusual presentation of echinococcosis.
- Disseminated peritoneal echinococcosis can lead to life-threatening intestinal ischemia.
- Early diagnosis and comprehensive treatment are crucial for managing this rare condition.
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