Peritoneal hydatidosis: An exceptional case report

Peritoneal hydatidosis secondary to ruptured hepatic hydatid cyst-a rare presentation: a case report

Peritoneal hydatidosis (PH) secondary to rupture of hepatic cyst is an exceedingly rare clinical entity. We present a case of a 25-year-old male patient with PH with a hepatic hydatid cyst. The patient underwent laparotomy, total pericystectomy, segmentectomy, and cholecystectomy with a favorable postoperative course. This case highlights the challenges in diagnosing and managing these rare conditions. This is the first reported case in Ethiopia.

Disseminated hydatidosis an unusual presentation: a case report

Hydatidosis, also known as cystic echinococcosis, is a widespread zoonosis, caused by a tapeworm of the genus Echinococcus. It presents a significant public health concern, particularly in endemic areas. The occurrence of disseminated hydatid disease is uncommon, even in regions where it is endemic, with an incidence ranging from 1-8%. The definitive diagnosis relies on a parasitological method. In this work, we present an unusual case of disseminated hydatid disease that was diagnosed in the central parasitology-mycology laboratory of 'The Ibn Sina University Hospital'. This is a 21-year-old patient residing in a rural area, who presented with heaviness-type pain in the right hypochondrium, accompanied with nausea and vomiting. During the examination, the patient mentioned the contact with dogs. Abdominal radiography (ultrasound and CT) revealed findings suggestive of multiple hydatid cysts located in the liver and peritoneum. This suspicion was confirmed by positive hydatid serology. After 9 months of treatment with albendazole, the patient underwent surgery for excision of the cysts shown on the x-ray, as well as other cysts incidentally discovered intraoperatively at the pelvic and rectal levels. All of the extracted specimens were sent to the parasitology laboratory. The direct examination, along with the viability test, revealed the presence of hooks and scolex of non-viable Echinococcus granulosus. Disseminated hydatidosis is a rare but serious presentation, and the positive diagnosis relies on several epidemiological, clinical, radiological and parasitological arguments. Medical and surgical treatments play a crucial role in determining the patient's prognosis.

Clinical Pattern of Pediatric Hydatid Disease

Context

Literature regarding hydatid disease in children is sparse.

Aims

To highlight the peculiarities in the clinical pattern of pediatric hydatid disease (PHD).

Settings and Design/Materials and Methods

Data were collected retrospectively from all children aged <18 years who presented to our tertiary care institute from July 2021 to June 2023 with hydatid disease involving any organ.

Statistical Analysis Used

Simple statistical analysis involving sums, means, averages, and percentages.

Results

Four of the 10 cases (40%) involved the lung, while only 2 (20%) involved the liver. There were five females and four males with an age range of 2-17 years. Four of the cases had primary extrahepatic extrapulmonary hydatid disease (40%), two involving the pancreas, one in the rectouterine pouch, and one intracranial.

Conclusions

The clinical pattern of PHD is different from that of adults. Pulmonary echinococcosis is more common than hepatic involvement. Primary extrahepatic extrapulmonary hydatid disease is also more common in children than previously thought. A cystic lesion anywhere in a child warrants a differential of hydatid disease.