Peritoneal Echinococcosis: Anatomoclinical Features and Surgical Treatment

Majbar, Mohammed Anass; Souadka, Amine; Sabbah, Farid; Raiss, Mohamed; Hrora, A.; Ahallat, Mohamed

doi:10.1007/s00268-012-1475-6

Cited by 31 publications

(24 citation statements)

References 34 publications

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“…Peritoneal hydatidosis is classified into four groups: localized, disseminated, hydatid carcinomatosis, and hydatidoperitoneum. 2 Secondary bacterial infection, compression of adjacent structures, and cystic rupture are the three main complications of PHCs. Acute rupture is the most severe and lifethreatening incident.…”

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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“…5 Prior administration of albendazole reduces chance of anaphylaxis and peroperative spillage and dissemination. Still dissemination and recurrence may occur in up to 10% cases.…”

Section: Discussionmentioning

confidence: 99%

Primary Disseminated Intra-abdominal Hydatid Disease: A Case Report

2017

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“…La présence d'un kyste hydatique péritonéal impose la réalisation d'une chirurgie rigoureuse (résection du dôme saillant), souvent associée à un traitement antiparasitaire pré-et postopératoire (Albendazole ® ) pour diminuer les risques de récidive [2]. Dans les ruptures aiguës, la chirurgie est réalisée en urgence avec évacuation de l'épanchement péritonéal et toilette minutieuse associée à la cure du kyste perforé [3].…”

Section: Discussionunclassified