Laparoscopic Removal of Pelvic Hydatid Cysts in Young Female: A Case Report

Gorad, Kedar; Rayate, Neeraj; Oswal, Kunal; Krishna, Ashish; Deshmukh, Avanish; Rajmanickam, Sarvana; Puntambekar, Shailesh

doi:10.1155/2011/346828

Cited by 8 publications

(8 citation statements)

References 2 publications

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“…Some cases of laparoscopic management of peritoneal hydatidosis have been reported. 9 However, additional studies must be conducted to evaluate its safety and applicability in ruptured PHCs. Albendazole (10e15 mg/kg/d) in 2 equally divided doses is commonly prescribed for several weeks postoperatively to prevent recurrence.…”

Section: Discussionmentioning

confidence: 99%

Acute rupture of a peritoneal hydatid cyst

Berri¹

2015

Formosan Journal of Surgery

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Echinococcus granulosus, the pathogen responsible for hydatid disease, mostly settles in the liver and lungs but affects the peritoneum less frequently. Rupture of a cyst into the peritoneal cavity is a potentially life-threatening incident. Although numerous studies on ruptured hepatic hydatid cysts have been published, few cases of peritoneal cyst rupture have been reported. We describe the case of a 19-year-old woman who presented with an acute abdomen and allergic reactions after a fall. Ultrasonography and computed tomography revealed a hydatid cyst of the liver and ruptured pelvic hydatid cyst. First, the patient received appropriate measures to prevent anaphylactic shock and later underwent emergency surgery. Partial cystectomy of the ruptured pelvic hydatid cyst, peritoneal washing, and unroofing of the large unruptured hepatic hydatid cyst were conducted. Albendazole was administered postoperatively for 3 months. No recurrence was noticed during 3 years of follow-up. Although rarely documented, acute rupture of a peritoneal hydatid cyst is the most severe complication of peritoneal echinococcosis. Typically after trauma, it must be considered in the presence of an acute abdomen with allergic reactions. Ultrasonography and computed tomography have high sensitivity in demonstrating rupture of a hydatid cyst. Emergency surgery is the only effective treatment and should aim at the complete removal of a cyst, if possible, and peritoneal washing with scolicidal agents. Additional studies should be conducted to evaluate the feasibility of laparoscopy. Albendazole should be prescribed postoperatively to prevent recurrence. Mortality is closely related to anaphylaxis; hence, early and accurate diagnosis and appropriate preventive measures are crucial.

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Section: Discussionmentioning

confidence: 99%

Acute rupture of a peritoneal hydatid cyst

Berri¹

2015

Formosan Journal of Surgery

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“…Olgular genellikle karaciğer KE'in rüptürüne sekonderdir (1,7,8,10). Diğer karın içi organlarda KE yokken pelviste izole primer KE nadiren gelişebilir ve literatürde az sayıda primer pelvik KE olgusu bildirilmiştir (1,4,(11)(12)(13). Bu olgular hidatik embriyonun hematojen ya da lenfojen yolla pelvise ulaşmasıyla oluşabilir (4,10).…”

Section: Discussionunclassified

“…Kist canlılığını, kist duvarındaki gerilimi, anafilaksi riskini ve nüksü azaltabilmek için ameliyat öncesi ve sonrası dönemde albendazol veya mebendazol kullanılması önerilmektedir (10,11,15). Mebendazol veya albendazol kullanımıyla nüks riskinin %80'den %10'a gerilediği ve albendazolün Echinococcus granulosus için en efektif medikal tedavi ajanı olduğu bildirilmektedir (2,9).…”

Section: Discussionunclassified

“…Mebendazol veya albendazol kullanımıyla nüks riskinin %80'den %10'a gerilediği ve albendazolün Echinococcus granulosus için en efektif medikal tedavi ajanı olduğu bildirilmektedir (2,9). Ameliyat esnasında kisti açmadan önce kız vezikülleri öldürmek, yayılım ve anafilaktik reaksiyonu önlemek ve nüks riskini azaltabilmek için hipertonik salin, povidon-iyodin veya %0,5 gümüş nitrat gibi skolosidal ajanların kullanılması önerilmektedir (8,11,14). Hem ameliyat sahası skolosidal ajan emdirilmiş kompreslerle korunmalı, hem de kist kavitesi skolosidal ajanla irrige edilmelidir (3, 4, 14).…”

Section: Discussionunclassified

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Primary Pelvic Cystic Echinococcosis

Yaman

İnceboz²,

İnceboz³

et al. 2015

TurkiyeParazitolDerg

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Cystic echinococcosis caused by Echinococcus granulosus is still an important health problem in endemic areas. Cystic echinococcosis may involve different organs or areas with the most common sites being the liver and the lungs. Pelvic involvement has previously been reported and was mainly accepted as secondary to cystic echinococcosis in other organs, isolated pelvic involvement is very rare. In this case report, we aimed to present the case with pelvic cystic mass that was finally diagnosed with isolated pelvic cystic echinococcosis in and after the operation, and we would like to draw attention to include "cystic echinococcosis" in the differential diagnosis of pelvic masses.

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“…Hydatid disease is a zoonotic infection caused by Echinococcus granulosus and Echinococcus multilocularis, which probably account for more than 95% of the estimated annual 2-3 million cases globally [1]. Echinococcus has worldwide distribution.…”

Section: Introductionmentioning

confidence: 99%

Medical management of abdominal hydatid cyst in a teaching hospital in Eastern Libya: treatment and outcome in 16 cases, 2004-2010

Bohtera

Patro

2013

East Mediterr Health J

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Surgery is the mainstay of treatment for hydatid cyst, but the development of antihelminths has become a boon in the management of the disease. The role of medical management is now well defined, alone or with surgery or percutaneous aspiration, injection and re-aspiration (PAIR). The aim of this study was to evaluate the effect of antihelminth treatment on 16 selected patients (10 females and 6 males) with hydatid cyst. Hydatid cyst was diagnosed radiologically and treated with albendazole. Patients were followed up for 12 months after completion of therapy. Hydatid cyst collapsed completely in 10 patients; recurrence of cyst during the observation period was recorded in 2 patients. No patient in this study developed side-effects from the treatment. We suggest that albendazole is a safe and effective agent for uncomplicated hydatid cyst and should be advised for any hydatid cyst < 5 cm or for surgically inaccessible hydatid cyst. RÉSUMÉ La chirurgie est généralement la base de la prise en charge du kyste hydatique, mais la mise au point d'anthelminthiques a renouvelé l'arsenal thérapeutique dont on disposait. Le rôle du traitement médicamenteux est aujourd'hui bien défini, qu'il soit prescrit seul ou en adjuvant de la chirurgie ou du traitement percutané (PAIR : ponction, aspiration, injection, ré-aspiration). L'étude avait pour but d'évaluer l'effet du traitement anthelminthique sur 16 patients sélectionnés (10 femmes et 6 hommes) qui présentaient un kyste hydatique, ayant fait l'objet d'un diagnostic radiographique et d'un traitement à l'albendazole. Les patients ont été suivis pendant 12 mois après la fin du traitement. Le kyste hydatique a complètement disparu chez 10 patients et une récidive du kyste a été enregistrée pendant la période d'observation chez deux patients. Le traitement médicamenteux n'a entraîné aucun effet indésirable sur les patients de l'étude. Nous avançons l'idée que l'albendazole est un anthelminthique sûr et efficace en cas de kyste hydatique non compliqué et que cette option thérapeutique devrait être conseillée si la taille du kyste est inférieure à 5 cm ou s'il est inaccessible à la chirurgie. 2010-‫املتوسط‬ ‫لرشق‬ ‫الصحية‬ ‫املجلة‬ ‫عرش‬ ‫التاسع‬ ‫املجلد‬ 3 ‫اإلضايف‬ ‫العدد‬ S191

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Laparoscopic Removal of Pelvic Hydatid Cysts in Young Female: A Case Report

Cited by 8 publications

References 2 publications

Acute rupture of a peritoneal hydatid cyst

Acute rupture of a peritoneal hydatid cyst

Primary Pelvic Cystic Echinococcosis

Medical management of abdominal hydatid cyst in a teaching hospital in Eastern Libya: treatment and outcome in 16 cases, 2004-2010

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