GIANT MULTIPLE INTRA-ABDOMINAL HYDATID CYSTS

Authors

  • Naila Nadeem
  • Hassan Khan
  • Saulat Fatimi
  • Mohammad Nadeem Ahmad

Abstract

Hydatid disease is endemic in the cattle grazing areasparticularly Australia, New-Zealand, Middle East,India, Africa, South America and Turkey 1. It is aparasitic infection caused by the cestode tapewormEchinoccocus granulosus. The dogs are the definitivehost and the adult worms are found in their smallintestine. Humans get infected either by contact withthe definitive host or by consuming vegetables andwater contaminated with the hydatid ova 2. In humansthe hydatid disease commonly involves the liver (75%)and the lungs (15%). The remaining (10-15%) of thecases include the other regions of the body 1. Thedisseminated intra-peritoneal hydatid disease is a veryrare finding 1. We report such a presentation whereinthe abdominal cavity is seen to contain multiplehydatid cysts.

References

Pedrosa I, Saiz A, Arrazola J, Ferreiros J, Pedrosa CS. Hydatid

disease: radiologic and pathologic features and complications.

Radiographics 2000; 3:795-817.

Polat P, Kantarci M, Alper F, Suma S, Koruyucu MB, Okur

A. Hydatid Disease from Head to Toe. Radiographics 2003;

:475-94.

Ammann RW, Eckert J. Cestodes. Echinococcus. Gastroenterol

Clin North Am 1996; 3:655-89.

Husen YA, Nadeem N, Aslam F, Bhaila I. Primary splenic

hydatid cyst: a case report with characteristic imaging

appearance. J Pak Med Assoc 2005; 5:219-21

Karavias DD, Vagianos CE, Kakkos SK, Panagopoulos CM,

Androulakis JA. Peritoneal echinococcosis. World J Surg 1996;

:337-40.

Kune GA, Morris DI. Hydatid disease In: Schwasyz & Ellis,

eds. Maingot’s Abdominal Operations, 9th edn. Appleton &

Lange 1989; 1225-40.

Buttenschoen K, Carli Buttenschoen D. Echinococcus

granulosus infection: the challenge of surgical treatment.

Langenbecks Arch Surg 2003; 4:218-30.

Hamamci EO, Besim H , Korkmaz A. Unusual locations of

hydatid disease and surgical approach. ANZ J Surg 2004;

:356-60

Balik AA, Celebi F, Basglu M, Oren D, Yildirgan I, Atamanalp

SS. Intra-abdominal extrahepatic echinococcosis. Surg Today

;10:881-4.