Isolated pelvic hydatidosis: A rare presentation of a common disease

Jain, Ujjawal; Rajdev, Vivek; Sharma, Mukul; Chauhan, Anubhav

doi:10.33545/surgery.2021.v5.i3a.736

Cited by 2 publications

(1 citation statement)

References 9 publications

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“…The pelvic hydatid cyst is rare and may be due either to hematogenous or lymphatic diffusion or to an intraperitoneal rupture of another cyst in the abdominal region. clinical signs are secondary to compression of adjacent structures [8]. CT and MRI are the most effective imaging techniques for diagnosing echinococcosis.…”

Section: Discussionmentioning

confidence: 99%

Multiple Disseminated Hydatidosis with Rare Locations: Mediastinal, Pancreatic and Pelvic (Case Report)

Bennane,

Moussahim,

Chakir

et al. 2024

EJMED

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Hydatid disease is an anthropozoonosis due to the development of the larval form of Echinococcus granulosus in the human body, which constitutes a ‘dead-end’ host. It’s a common parasitosis in North African countries and constitutes a public health problem in Morocco. The liver and lung are the most affected while the mediastinum, pancreas and pelvis are rarely affected. We report the case of a 40-year-old patient operated 15 yearsago for cerebral and cervical hydatid cysts and who was hospitalized for generalized mucocutaneous jaundice. On exploration, we discover the presence of disseminated abdominal hydatidosis with association of 3 rare locations: mediastinal, pancreatic and pelvic. Indirect diagnostic tests were positive: indirect hemagglutination (IHA) and Elisa. The Western blot test also showed the presence of specific bands, thus making it possible to retain the diagnosis of hydatidosis. The hydatid cyst with mediastinal, pancreatic and pelvic location is rare and their association is very exceptional. It is essential to evoke the hydatid origin of any cystic lesion in a patient staying in an endemic area.

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Section: Discussionmentioning

confidence: 99%

Multiple Disseminated Hydatidosis with Rare Locations: Mediastinal, Pancreatic and Pelvic (Case Report)

Bennane,

Moussahim,

Chakir

et al. 2024

EJMED

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Disseminated hydatidosis an unusual presentation: a case report

Ziad,

Zouaoui,

El Mamoune

et al. 2024

Access Microbiology

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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.

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Isolated pelvic hydatidosis: A rare presentation of a common disease

Cited by 2 publications

References 9 publications

Multiple Disseminated Hydatidosis with Rare Locations: Mediastinal, Pancreatic and Pelvic (Case Report)

Multiple Disseminated Hydatidosis with Rare Locations: Mediastinal, Pancreatic and Pelvic (Case Report)

Disseminated hydatidosis an unusual presentation: a case report

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