Primary Retroperitoneal Hydatid Cyst: A Diagnostic and Treatment Conundrum

Hydatid cysts are caused by accidental egg ingestion of the parasite. A 24-year-old female was admitted to our hospital for chronic left lumbar pain. Computed tomography (CT) and abdominal ultrasonography identified an 8/12 cm retroperitoneal cyst. The CT results coupled with enzyme-linked immunosor...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2024-02, Vol.16 (2), p.e53842
Main Authors: Slavu, Iulian M, Gheorghita, Valeriu, Macovei Oprescu, Anca Monica, Filipoiu, Florin, Munteanu, Octavian, Tulin, Raluca, Dogaru, Iulian A, Ursuț, Bogdan M, Tulin, Adrian
Format: Article
Language:English
Subjects:
Abdomen
Anaphylaxis
Cysts
Hypernatremia
Infections
Laparoscopy
Liver
Medical diagnosis
Parasites
Surgeons
Surgery
Ultrasonic imaging
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Summary:Hydatid cysts are caused by accidental egg ingestion of the parasite. A 24-year-old female was admitted to our hospital for chronic left lumbar pain. Computed tomography (CT) and abdominal ultrasonography identified an 8/12 cm retroperitoneal cyst. The CT results coupled with enzyme-linked immunosorbent assay tests (positive IgG for ) confirmed that the tumor was a hydatid cyst. Treatment consisted of preoperative chemotherapy with albendazole, intraoperative parasite inactivation, laparoscopic partial cystectomy, and drainage. The drain was removed after three days. Chemotherapy was maintained for two years after surgery. No relapse was observed at the six-month reevaluation. In this article, the diagnostic and therapeutic options and resources are discussed and compared with the published literature.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.53842