Imaging Features of Disseminated Peritoneal Hydatidosis Before and After Medical Treatment

“…Other less common locations include spleen, bone, and kidney (2). Peritoneal hydatidosis is rare, reported in about 13% of patients diagnosed with abdominal parasitic infection, being rather secondary than primary hydatid disease (3). Secondary peritoneal involvement is usually developed after a spontaneous intraabdominal rupture of a hydatid cyst or after iatrogenic spread during surgery for primary hepatic hydatidosis (1).…”

Section: Abstract Peritoneal Carcinomatosis From Ovarian Cancermentioning

confidence: 99%

Association Between Secondary Peritoneal Hydatidosis and Peritoneal Carcinomatosis from Ovarian Cancer – A Case Report

Bacalbaşa

Bălescu

Brezean

et al. 2018

In Vivo

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Peritoneal carcinomatosis from ovarian cancer is unfortunately a very common finding, especially in patients diagnosed in very late stages of the disease. Nonetheless, it is not the only pathological condition inducing a diffuse involvement of the peritoneum; other entities can have an infectious or miscellaneous origin. However, the association of peritoneal carcinomatosis and parasitic infection has never been reported so far. We present the case of a 50-year-old patient who had been submitted to surgery for a hepatic hydatid cyst. Four years later, the patient was diagnosed with disseminated peritoneal lesions, which proved to have both parasite and neoplastic origin. The patient was re-submitted to surgery, and debulking resection of all pathological lesions was achieved. Although it is very rare, the association of peritoneal carcinomatosis and peritoneal hydatidosis should be taken into consideration whenever the patient reports a suggestive medical history for those two pathological findings.

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“…If the cysts are very large or located in or near vital organs the treatment should be combined surgery and ABZ, despite its palliative nature. However, medical treatment alone with ABZ, maintained for an indefinite length of time, is the only option available in most cases, with an acceptable response (reduction in the number and/or size of lesions) (Chawla et al, 2003). Discontinuation is often associated with recurrence.…”

Section: Disseminated Diseasementioning

confidence: 99%

Echinococcosis

Akarsu¹,

Ugur²,

Glc³

2012

Zoonosis

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Please use Adobe Acrobat Reader to read this book chapter for free. Just open this same document with Adobe Reader. If you do not have it, you can download it here. You can freely access the chapter at the Web Viewer here. Zoonosis 324 Epidemiological studies in endemic villages of Peru have shown human infection prevalences ranging from 5.5% to 9.1%, with the prevalence of CE in sheep and cattle as high as 77% and 68%, respectively(Moro et al. 2011). A recent surveyin Spain showed human CE annual incidence rates in the range of 1.1 to 3.4 cases per 10 5 person-years, in combination with ovine or bovine CE prevalence proportions of up to 23%.(Benner et al.2010) In Chına where CE is highly endemic, farmers (76%) were the main group of echinococcosis patients, followed by students (12.4%), workers including those self employed (5.2%), cadres (4.8%) and others (2%). Females outnumbered male patients with a ratio of 1.38. For 2000, the population ratio showed a significantly higher morbidity in females for echinococcosis (Yang et al,2010). Cystic echinococcosis(CE) is an endemic zoonosis in Iran particularly in rural regions. Harandi et al prepared a study to determine the prevalence of CE among rural communities in Kerman using ultrasonography (US) and serology in southeastern Iran. Two hydatid cases (0.2%) were detected by ultrasound. Serological results showed 7.3% seropositivity, and females (8.3%) were significantly more positive than males (2.1%). There were significant difference between CE seropositivity and sex, age and occupation. Dog ownership does not appear to be a significant risk factor for CE in the region. The serological study showed that many people, especially women, had been exposed to Echinococcus eggs and had seroconverted but were not infected (Harandi et al, 2011). Greece is another cauntry where national surveillance programmes are running for Cystic echinococcosis. The prevelance of human hydatidosis, declined from an annual incidence of 14.8 per 100,000 inhabitants during 1967-1971 to 0.3 in 2008. Late surveys revealed that in Greece the prevalence of echinococcosis was 23-39.2% for sheep, 7.6-14.7% for goats, 0% in cattle and 0.6% in pigs (Sotirakis&Chaligiannis,2010). The prevelance of CE in sheep reported to European Food Safety Authority (EFSA) in 2008 is 4.3% in Bulgaria, 11.3% in Italy , 6.7% in Poland and 5% in Romania. High levels of sheep CE were also reported in Portugal and Greece in 2007 (9.4% and 3.9%, respectively)

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Imaging Features of Disseminated Peritoneal Hydatidosis Before and After Medical Treatment

Cited by 10 publications

References 11 publications

35 Years with an Uninvited Guest

35 Years with an Uninvited Guest

Association Between Secondary Peritoneal Hydatidosis and Peritoneal Carcinomatosis from Ovarian Cancer – A Case Report

Echinococcosis

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