Primary disseminated intraabdominal hydatidosis: a case report

Hydatidosis, a zoonotic disease caused by the larvae of Echinococcus granulosus sensu lato (E. granulosus s.l.), can be primary or secondary. However, primary disseminated intraabdominal hydatidosis is a rare form of the disease, accounting for about 2% of all intraabdominal cysts. We report herein...

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Bibliographic Details
Published in:Journal of medical case reports 2022-01, Vol.16 (1), p.35-35, Article 35
Main Authors: Fasihi Karami, Maryam, Bahreini, Amin, Rafiei, Abdollah, Dastyar, Ali Asghar, Beiromvand, Molouk
Format: Article
Language:English
Subjects:
Abdomen
Albendazole - therapeutic use
Animals
Antigens
Blood
Case Report
Case reports
Cystic echinococcosis
Cysts
Echinococcosis - diagnostic imaging
Echinococcosis - drug therapy
Echinococcus granulosus
Enzyme-linked immunosorbent assay
Enzymes
Epidemiology
Humans
Hydatidosis
Intraabdominal hydatidosis
Iran
Liver
Male
Middle Aged
Pain
Surgery
Ultrasonic imaging
Working groups
Zoonoses
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Summary:Hydatidosis, a zoonotic disease caused by the larvae of Echinococcus granulosus sensu lato (E. granulosus s.l.), can be primary or secondary. However, primary disseminated intraabdominal hydatidosis is a rare form of the disease, accounting for about 2% of all intraabdominal cysts. We report herein a case of primary disseminated intraabdominal hydatidosis with multiple organ involvement in a 51-year-old Iranian man presenting to a healthcare facility with abdominal pain. During the physical examination, two abdominal masses were palpated. Ultrasound and computed tomography revealed six cystic lesions in the patient's liver, subhepatic region, pelvic, and omentum. Afterward, he underwent surgery, during which the cystic lesions were completely removed. The patient received albendazole (400 mg/kg/day) postoperatively and was recommended to continue the treatment for 4 months. Although primary disseminated intraabdominal hydatidosis is rare, this problem is of great importance due to the fertility of cysts and the high risk of recurrence. Therefore, it is recommended to follow such patients with imaging modalities and enzyme-linked immunosorbent assay for native antigen B (AgB). In addition, patients should undergo albendazole therapy postoperatively for 4 months.
ISSN:1752-1947
1752-1947
DOI:10.1186/s13256-022-03262-5