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Secondary disseminated intraperitoneal hydatid cyst: A case report
Siegfredo R Paloyo1, Derick V Cabahug2, Earl Nathaniel P Cruz2
1Institute of Surgery, St. Luke's Medical Center, Manila, Philippines; Department of Surgery, University of the Philippines-Philippine General Hospital, Philippines; College of Medicine, University of the Philippines-, Manila, Philippines.
International Journal of Surgery Case Reports
|April 23, 2022
Summary
This case report details a rare instance of recurrent hydatidosis in the Philippines. Early diagnosis and surgical intervention for Echinococcus granulosus infection are crucial for patient recovery.
Area of Science:
- Parasitology
- Infectious Diseases
- Tropical Medicine
Background:
- Hydatidosis, a zoonotic infection caused by Echinococcus granulosus, is rare in the Philippines.
- It often presents as asymptomatic liver cysts, mimicking benign conditions.
Purpose of the Study:
- To report a case of recurrent intraabdominal hydatidosis in a patient with a history of treated liver cysts.
- To emphasize the importance of considering rare parasitic infections in endemic and non-endemic regions.
Main Methods:
- Surgical excision of multiple hydatid cysts.
- Prolonged albendazole treatment.
- Diagnostic imaging (Ultrasound/CT) and cyst wall biopsy.
Main Results:
- A 49-year-old male with prior surgeries for presumed benign liver cysts presented with recurrent abdominal cysts.
- Surgical removal and albendazole treatment led to a disease-free outcome at follow-up.
Conclusions:
- Recurrent hydatidosis requires a high index of suspicion, especially with relevant travel history.
- Thorough patient history and diagnostic imaging are vital for identifying Echinococcus granulosus infection.
- Integrated management involving surgery and antiparasitic drugs is effective.
