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Simultaneous Hepatic and Mesenteric Hydatid Disease-A Case Report.
Daniel Paramythiotis1, Anestis Karakatsanis1, Petros Bangeas1
11st Propedeutic Surgical Department, A.H.E.P.A. University Hospital, Aristotle University Hospital of Thessaloniki, Thessaloniki, Greece.
Frontiers in Surgery
|December 7, 2017
Summary
This case report highlights a rare instance of simultaneous hydatid cysts in the liver and mesentery. Early diagnosis and surgical excision are crucial for managing this parasitic infection.
Area of Science:
- Medical Parasitology
- Surgical Case Reports
- Abdominal Imaging
Background:
- Hydatid cysts, caused by Echinococcus granulosus, typically affect the liver and lungs.
- Mesenteric involvement is exceptionally rare, with unclear pathogenesis.
- This report details a unique case of simultaneous hepatic and mesenteric hydatidosis.
Observation:
- A 39-year-old male presented with right upper quadrant abdominal pain and distension.
- CT revealed three calcified lesions: one in the liver, one adjacent to the ileum, and one near the bladder.
- Serological tests confirmed echinococcal infection.
Findings:
- Surgical excision of all three lesions was successfully performed.
- The patient recovered well, with no recurrence at 6-month follow-up.
- Histopathological examination confirmed hydatid cysts.
Implications:
- Simultaneous organ involvement in hydatid disease occurs in 5-13% of cases.
- Mesenteric hydatid cysts, though rare, must be considered in the differential diagnosis of abdominal masses, especially in endemic regions.
- This case underscores the importance of comprehensive imaging and diagnostic workup for suspected echinococcosis.
