• View in gallery

    (A) Rounded cystic lesion located on the left lobe of the lung. (B) Multiple intra-abdominal cystic lesions. (C) Multiple intrahepatic, splenic, and intra-abdominal cystic lesions. (D) Macroscopic aspect of surgically removed intra-abdominal hydatid cysts.

  • 1.

    Majbar MA, Souadka A, Sabbah F, Raiss M, Hrora A, Ahallat M, 2012. Peritoneal echinococcosis: anatomoclinical features and surgical treatment. World J Surg 36: 10301035.

    • Search Google Scholar
    • Export Citation
  • 2.

    Cobo F, Yarnoz C, Sesma B, Fraile P, Aizcorbe M, Trujillo R, Diaz-de-Liaño A, Ciga MA, 1998. Albendazole plus praziquantel versus albendazole alone as a pre-operative treatment in intra-abdominal hydatidosis caused by Echinococcus granulosus. Trop Med Int Health 3: 462466.

    • Search Google Scholar
    • Export Citation
 
 
 
 

 

 
 

 

 

 

 

 

 

Disseminated Intra-Abdominal Hydatidosis

View More View Less
  • Departamento de Enfermedades Infecciosas, Tropicales y Dermatológicas, Hospital Nacional Cayetano Heredia, Lima, Peru; Instituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Peru

We present the case of a 26-year-old male Peruvian patient who presented with disseminated intra-abdominal hydatidosis. The patient was treated with surgical removal of the cysts and prolonged medical treatment with albendazole.

A 26-year-old male patient from the highlands of Peru was admitted with a 2-month history of early satiety, nausea, and progressive dyspnea. The physical examination showed decreased breath sounds on the left lung and abdominal distention with multiple painless palpable masses. The chest X-ray showed a well-defined rounded cystic pulmonary lesion located in the left lower lobe (Figure 1A). The abdominal computed tomography scan revealed multiple thin-walled abdominal cystic lesions in the liver and spleen and within the abdominal cavity (Figure 1B and C). A serum Western blot test was positive for hydatidosis. Multiple hydatid cysts were surgically removed (Figure 1D). The patient was treated with a prolonged course of albendazole with good clinical evolution.

Figure 1.
Figure 1.

(A) Rounded cystic lesion located on the left lobe of the lung. (B) Multiple intra-abdominal cystic lesions. (C) Multiple intrahepatic, splenic, and intra-abdominal cystic lesions. (D) Macroscopic aspect of surgically removed intra-abdominal hydatid cysts.

Citation: The American Society of Tropical Medicine and Hygiene 89, 3; 10.4269/ajtmh.13-0083

Hydatidosis caused by Echinococcus granulosus remains a major public health problem in developing countries. Disseminated intra-abdominal hydatidosis is an infrequent condition that usually results from the rupture of a liver cyst, with subsequent seeding of protoscolices in the abdominal cavity.1 There is no standard treatment for this disorder; careful surgical removal of the cysts and prolonged medical treatment with albendazole with or without praziquatel are recommended.2

  • 1.

    Majbar MA, Souadka A, Sabbah F, Raiss M, Hrora A, Ahallat M, 2012. Peritoneal echinococcosis: anatomoclinical features and surgical treatment. World J Surg 36: 10301035.

    • Search Google Scholar
    • Export Citation
  • 2.

    Cobo F, Yarnoz C, Sesma B, Fraile P, Aizcorbe M, Trujillo R, Diaz-de-Liaño A, Ciga MA, 1998. Albendazole plus praziquantel versus albendazole alone as a pre-operative treatment in intra-abdominal hydatidosis caused by Echinococcus granulosus. Trop Med Int Health 3: 462466.

    • Search Google Scholar
    • Export Citation

Author Notes

* Address correspondence to Carlos Seas, Instituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Av. Honorio Delgado 430, Lima 31, Peru. E-mail: carlos.seas@upch.pe

Authors' addresses: Fátima Concha and Ciro Maguiña, Hospital Nacional Cayetano Heredia, Enfermedades Infecciosas Tropicales y Dermatologicas, Lima, Peru, E-mails: faliricc@hotmail.com and ciromaguina@yahoo.com. Carlos Seas, Instituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Peru, E-mail: carlos.seas@upch.pe.

Save