Multiple masses were present, which were described as follows: On examination, abdominal contour was irregular. Patient gave a history of ultrasound-guided aspiration of a liver swelling 10 years prior to presentation. Anatomical and clinical characteristics as well as therapeutic problems raised by this case prompted us to present it.Ī forty-six-year old female presented with swelling in abdomen since four years and heaviness in right side of abdomen since one year. We report such a presentation wherein the abdominal cavity, retroperitoneum, and pelvis contain multiple hydatid cysts. The disseminated intra-peritoneal hydatid disease is a very rare finding. Synchronous multiple cysts represent less than 2% of all cases. The remaining (10-15%) of the cases involve other regions of the body. In humans, hydatid disease commonly involves the liver (75%) and the lungs (15%). , A surgeon managing a patient with a hydatid cyst should understand both the parasitology and pathology of the parasite and be fully aware of treatment limitations and possible complications. Humans are the accidental intermediate host (dead end) and animals are both intermediate and definitive hosts. Available from: Įchinococcosis (hydatidosis, hydatid disease) is a zoonotic disease caused by the larval (metacestode) stages of cestodes (flatworms) belonging to the genus Echinococcus. Intraperitoneal, pelvic and retroperitoneal multiple hydatid cysts. How to cite this URL: Varma A, Mahajan A, Sandhu GS, Singh M, Prasad N. How to cite this article: Varma A, Mahajan A, Sandhu GS, Singh M, Prasad N. Keywords: Echinococcus, hydatid disease, intraperitoneum, peritoneal hydatid disease The challenges encountered in the diagnosis and treatment of this patient are highlighted. We report such a presentation wherein the abdominal cavity, retro peritoneum and pelvis contain multiple hydatid cysts. Asymptomatic hydatid disease may present with complications, but unusual locations as well as multiple primary or secondary hydatid disease pose special diagnostic and therapeutic challenges. Hydatid disease is relatively frequent in our country.
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