Severe case of disseminated hydatidosis

Abstract

. Introduction Hydatidosis is a severe zoonosis, human contamination occurring by the ingestion of foods contaminated by dog faeces containing Echinococcus granulosus (E. granulosus) eggs. Peritoneal hydatidosis is one of the serious complications of the disease, often associated with another visceral location, it affects all ages and all segments of the peritoneal cavity. Materials and methods: We present the case of a 34 years old male, admitted in Saint Spiridon Emergengy Hospital, Surgery Clinic I, Iași, România with severe disseminated hydatidosis. Result: Our patient presented diffuse pain in the superior abdomen, without any other complains. The biochemical tests were normal, except the eosinophils. The ultrasound and the computer tomography revealed the presence of multiple cystic tumors in the liver, peritoneum and in the spleen, with imagistic appearance specific for hydatid cyst. A surgery team was formed to extract the multiple cysts, by laparotomy. The histopathological examination confirmed the diagnosis of multiple hydatid cysts. Conclusion: Peritoneal hydatidosis is a rare but serious complication of hydatid disease. The positive diagnosis is based on epidemiological, clinical, and paraclinical arguments represented essentially by CT scan. Early diagnosis and treatment of primary sites as well as optimal surgical management of peritoneal hydatidosis determine the prognosis.