Primary intraperitoneal hydatid cyst presenting with abdominal distension: A case report

Peritoneal hydatid disease accounts for 2-13 % of abdominal hydatidosis cases. Due to its nonspecific clinical presentation and potential for multi-organ involvement, the condition is often misdiagnosed. Evidence on managing primary peritoneal hydatid cysts remains limited, presenting challenges in diagnosis and treatment.

We report a case of primary peritoneal hydatid in a patient, who presented with abdominal distension for a year. Surgical excision and postoperative treatment with albendazole were effective in controlling the disease and preventing a recurrence.

The primary goals of treatment are to eliminate the disease, prevent complications, and reduce recurrence risks. Controlled open surgery is preferred for peritoneal echinococcosis to minimize spillage and dissemination. Adjuvant anthelmintic therapy, such as albendazole, prevents recurrence.

In patients presenting with abdominal cystic masses, especially in endemic regions, hydatid disease should be considered in the differential diagnosis. Complete excision of the hydatid cyst combined with antiparasitic therapy is crucial to prevent recurrence.