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Rare isolated primary peritoneal hydatid cysts: A case report from Syria
Bashar Almasri1, Lina Albitar2
1Department of Internal Medicine, University of Kalamoon, Medical City, Deratiah, Syria.
Qatar Medical Journal
|June 2, 2017
Summary
Hydatid disease, caused by Echinococcus granulosus, can present as a rare primary peritoneal cyst. This case shows a large peritoneal lesion successfully treated with albendazole when surgery was not an option.
Area of Science:
- Medical Parasitology
- Gastroenterology
- Surgical Pathology
Background:
- Hydatid disease, caused by Echinococcus granulosus, is endemic globally, typically affecting the liver and lungs.
- Primary peritoneal hydatid cysts are rare, especially without involvement of other organs.
Observation:
- A case of a large, primary peritoneal hydatid multicystic lesion in a 25-year-old female is presented.
- Surgical intervention was declined due to the patient's social circumstances.
- The patient was managed with albendazole over a ten-month period.
Findings:
- The patient demonstrated a significant positive response to medical management with albendazole.
- This case highlights the potential for medical treatment in managing hydatid disease.
Implications:
- Hydatid disease should be considered in the differential diagnosis of abdominal cysts, even without liver or lung involvement, in endemic areas.
- Medical management with albendazole offers a viable treatment alternative when surgery is contraindicated or not feasible.
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