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Feleke AA, Mekonnen DC, Zeneber MB, Zemariam MA, Workneh GA, Amare AG. Peritoneal hydatidosis secondary to ruptured hepatic hydatid cyst-a rare presentation: a case report. J Surg Case Rep 2025; 2025:rjaf005. [PMID: 39911764 PMCID: PMC11790404 DOI: 10.1093/jscr/rjaf005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2024] [Accepted: 01/03/2025] [Indexed: 02/07/2025] Open
Abstract
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.
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Affiliation(s)
- Ashenafi Amsalu Feleke
- Department of Surgery, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Maraki Street, Central Gondar Zone, P.O. Box 196, Gondar 6200, Ethiopia
| | - Desiybelew Chanie Mekonnen
- Department of Surgery, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Maraki Street, Central Gondar Zone, P.O. Box 196, Gondar 6200, Ethiopia
| | - Meron Berhanu Zeneber
- Department of Surgery, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Maraki Street, Central Gondar Zone, P.O. Box 196, Gondar 6200, Ethiopia
| | - Muluken Assefa Zemariam
- Department of Surgery, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Maraki Street, Central Gondar Zone, P.O. Box 196, Gondar 6200, Ethiopia
| | - Gebrehiwot Aderaw Workneh
- Department of Surgery, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Maraki Street, Central Gondar Zone, P.O. Box 196, Gondar 6200, Ethiopia
| | - Asratu Getnet Amare
- Department of Surgery, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Maraki Street, Central Gondar Zone, P.O. Box 196, Gondar 6200, Ethiopia
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Endara SA, Davalos GA, Serpa FI, Cueva ML, Narvaez C S, Delgado CM, Redroban LM, Brito M M, Caceres PM. Young females affected with hydatidosis, case report. SAGE Open Med Case Rep 2024; 12:2050313X241271887. [PMID: 39185066 PMCID: PMC11342428 DOI: 10.1177/2050313x241271887] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2024] [Accepted: 06/03/2024] [Indexed: 08/27/2024] Open
Abstract
Hydatidosis is a zoonosis, caused by a cestode (Echinococcus). Management will depend on the organs affected by the infection and the response to medical treatment. Therapy may be clinical in early stages, but in case of poor response to drug therapy, surgery is the preferred choice. We present two cases in young females, the first case is with Hydatid cysts in both lungs and liver, she received initial medical treatment with lack of response, and surgery was indicated to resect the pulmonary and hepatic lesions. The second case is of a female with Hydatid cysts in the right lung. She was misdiagnosed at the beginning thinking of pneumonia and pulmonary abscess but after further investigation, hydatid cysts were the diagnosis, due to symptoms consistent with thoracic pain and persistent cough and the size of the cyst, surgery was indicated.
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Affiliation(s)
- Santiago A Endara
- Department of Surgery, Division of Cardiothoracic Surgery, Hospital Metropolitano, Quito, Ecuador
| | - Gerardo A Davalos
- Department of Surgery, Division of Cardiothoracic Surgery, Hospital Metropolitano, Quito, Ecuador
| | - Frans I Serpa
- Department of Surgery, Division of General Surgery, Hospital Metropolitano, Quito, Ecuador
| | - Marta L Cueva
- Department of Surgery, Division of General Surgery, Hospital Metropolitano, Quito, Ecuador
| | - Sebastian Narvaez C
- PGY3 General Surgery Resident, Universidad Internacional del Ecuador (UIDE)-Hospital Metropolitano, Quito, Ecuador
| | - Cesar M Delgado
- Department of Internal Medicine, Division of Pneumology, Hospital Metropolitano, Quito, Ecuador
| | - Ligia M Redroban
- Department of Internal Medicine, Pathology Service, Hospital Metropolitano, Quito-Ecuador
| | - Maribel Brito M
- Department of Internal Medicine, Pathology Service, Hospital Metropolitano, Quito-Ecuador
| | - Pablo M Caceres
- Department of Internal Medicine, Hospital Metropolitano, Quito, Ecuador
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Kardoun N, Fendri S, Rejab H, Youssef M, Tlili A, Triki M, Toumi N, Trigui A, Boujelbene S. Primary cystic echinococcosis of the peritoneum: a case report. J Med Case Rep 2023; 17:541. [PMID: 38093379 PMCID: PMC10720152 DOI: 10.1186/s13256-023-04289-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2022] [Accepted: 11/28/2023] [Indexed: 12/17/2023] Open
Abstract
BACKGROUND Peritoneal cystic echinococcosis happens usually after traumatic rupture or after surgical treatment. Primary peritoneal cystic echinococcosis is a very rare case that constitutes a diagnostic and therapeutic challenge. CASE REPORT A 30-year-old Tunisian man was admitted for hypogastric pain since 4 months. He has a 10 cm hypogastric mass. Biological-tests were normal. A computed tomography Scan showed a cystic mass on the pelvis measuring 13 × 17 cm without echinococcosis cyst in the liver. The patient was operated and we found a cystic mass of 17 cm located on the Douglas cul-de-sac that suggest a pelvic hydatid cyst. We have performed an aspiration of the cyst confirms the diagnosis followed by injection of hypertonic solution, extarction of the germinal layer and a maximal reduction of the pericyst. The postoperative course was uneventful. CONCLUSION Trough our case, we try to focus on the diagnosis and therapeutic options of this rare entity that we should think of in front of a patient with isolated peritoneal cyst especially in endemic country.
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Affiliation(s)
- Nizar Kardoun
- General Surgery Department, Habib Bourguiba Hospital, University of Sfax, 0.5 Km El Ain Street, 3021, Sfax, Tunisia
| | - Sami Fendri
- General Surgery Department, Habib Bourguiba Hospital, University of Sfax, 0.5 Km El Ain Street, 3021, Sfax, Tunisia.
| | - Haitham Rejab
- General Surgery Department, Habib Bourguiba Hospital, University of Sfax, 0.5 Km El Ain Street, 3021, Sfax, Tunisia
| | - Mejdoub Youssef
- General Surgery Department, Habib Bourguiba Hospital, University of Sfax, 0.5 Km El Ain Street, 3021, Sfax, Tunisia
| | - Ahmed Tlili
- General Surgery Department, University Hospital of Gabes, University of Sfax, Sfax, Tunisia
| | - Meriam Triki
- Pathology Department, Habib Bourguiba Hospital, University of Sfax, 0.5 Km El Ain Street, 3029, Sfax, Tunisia
| | - Nozha Toumi
- Department of Radiology, Habib Bourguiba Hospital, University of Sfax, 0.5 Km El Ain Street, 3029, Sfax, Tunisia
| | - Ayman Trigui
- General Surgery Department, Habib Bourguiba Hospital, University of Sfax, 0.5 Km El Ain Street, 3021, Sfax, Tunisia
| | - Salah Boujelbene
- General Surgery Department, Habib Bourguiba Hospital, University of Sfax, 0.5 Km El Ain Street, 3021, Sfax, Tunisia
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Ruíz-Pérez PJ, Huayapa-Avendaño MJ, Gómez Leyva KB, Rivera-Jacinto MA. Disseminated peritoneal cystic Echinococcosis in a patient with HIV: case report. Rev Peru Med Exp Salud Publica 2023; 40:236-241. [PMID: 38232271 PMCID: PMC10953647 DOI: 10.17843/rpmesp.2023.402.12479] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2022] [Accepted: 04/26/2023] [Indexed: 01/19/2024] Open
Abstract
OBJECTIVES. Cystic echinococcosis is a zoonotic infection caused by the larva of Echinococcus granulosus, which is capable of invading several organs starting from the human intestine. There are several complications in cases of co-infection with the human immunodeficiency virus (HIV), which are conditioned by the immunosuppressive disease and have poor prognosis. This report aims to describe a case of multi-cystic peritoneal echinococcosis in a patient under antiviral treatment for HIV for almost ten years, who received albendazole, underwent surgery and progressed favorably. This would be the first Peruvian report of a person with HIV and cystic echinococcosis.
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Affiliation(s)
- Pedro J. Ruíz-Pérez
- Ate Vitarte Emergency Hospital, Lima, Peru.Ate Vitarte Emergency HospitalLimaPeru
| | | | | | - Marco A. Rivera-Jacinto
- Microbiology laboratory, Universidad Nacional de Cajamarca, Cajamarca, Peru.Universidad Nacional de CajamarcaMicrobiology laboratoryUniversidad Nacional de CajamarcaCajamarcaPeru
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