Primary Retroperitoneal Hydatidosis with Cholelithiasis; Management Dilemma: A Case Report.

Abstract

Hydatidosis is an endemic disease in sheep rearing countries around the world. Mostly hydatid cysts are seen in liver and lungs. Primary retroperitoneal hydatid cyst is a very rare disease and it's occurrence with cholelithiasis poses a management dilemma. The approach in cholelithiasis is laparoscopic cholecystectomy while retroperitoneal hydatid cyst is removed laparoscopally or through open surgical approach. Both should be operated separately with emphasis on special care to prevent of implantationof hydatid cysts in the abdominal cavity. Albendazole is the drug of choice which has been used preoperatively to sterilise the cysts as well as post operatively to prevent recurrences after surgery.