Anaphylactic and Hemorrhagic Shock during Disseminated Abdominal Hydatidosis Surgery: A Case Report

Hydatidosis is a frequent pathology which remains endemic in Morocco. Its preferred location is the liver while the peritoneal location remains rare, even more rarely the pelvic location. The treatment is mainly surgical, but this surgery can be complicated (intraoperatively) by potentially serious accidents, it can be implicated in the occurrence of severe allergic reactions which can be life-threatening, more rarely by hemorrhagic accidents, especially if the cysts keep important and close vascular contact. We report the observation of a case of disseminated peritoneal hydatidosis supra-mesocolic, sub-mesocolic, pelvic and hepatic surgery complicated first by anaphylactic shock and secondarily by hemorrhagic shock. We insist on the need for its rapid recognition in order to quickly institute an adequate and effective treatment. The prevention of this accident is based on surgical precautions to prevent leaks or accidental intraoperative ruptures of hydatid cysts.

Confirmation of an internal hydatid bladder fistula using postoperative methylene blue retrograde injection via urinary catheter: a case report

Abdominal hydatidosis resulting in an internal hydatid bladder fistula postoperatively is quite rare and might have serious consequences without timely treatment. A 74-year-old Tibetan woman presented with abdominal distension and was diagnosed with hydatid disease. Cyst contents were removed, and the pericyst was partially resected without contraindication. Furthermore, no internal urinary fistula was found before or during the operation, and the presence of an internal fistula was indicated by methylene blue retrograde injection via urinary catheter after the operation. The use of postoperative methylene blue retrograde injection via urinary catheter is recommended to identify internal hydatid bladder fistula formation.

Giant Splenic Hydatid Cyst in Pediatric Age

Giant hydatid cyst in spleen is rare in the pediatric age group. We came across two cases of giant splenic hydatid cysts in pediatric age group, out of which, one case had pulmonary, liver and splenic hydatid cyst which was managed with single stage approach. As a single stage approach is a novel method with less morbidity, it should be adopted as a preferred method for the management of pulmonary and abdominal hydatidosis. Hydatid cyst is described as a slow growing cyst in literature, but the presentation of giant size hydatid cyst in our 7 and 12 year old child is difficult to explain by this concept of slow growth.

Abdominal Hydatidosis: Surgical Perspectives

Hydatid disease or Echinococcosis is a zoonotic disease (Krabbe and Finsen 1862) caused by the larva of Echinococcus species and is one of the oldest known parasitic diseases to man. The disease has a worldwide distribution and is also well recognised and documented in the Indian subcontinent. The disease is caused by the larval stage of Echinococcosis. Humans are accidental intermediate/dead-end hosts whereas animals can be both intermediate and definitive hosts. The two main types of hydatid diseases are caused by E.granulosus and E.multilocularis, former being the most common type in humans and liver is the most commonly affected organ [1]. The other types include E.vogeli, E.oligarthus, E.shiquicus, E.ortleppi and E.equinus. In humans, 50-75% of the cysts occur in liver, 25% in lungs and 5-10% distribute along the arterial system [2] JMS 2018;21(1):1-2

Abdominal Hydatidosis-A Rare Presentation

Hydatid disease may develop in almost any part of the body. Approximately 70% of the hydatid cysts are located in the liver followed by the lung (25%). The kidneys, spleen, mesentery, peritoneum, soft tissues and brain are uncommon locations for hydatid cysts. Involvement of pelvis is very rare, with ovary the most frequently involved genital organ. We report a rare case of abdominal hydatidosis with cysts in the liver, spleen, peritoneal cavity and ovary.

Primary Disseminated Intra-abdominal Hydatid Disease: A Case Report

Hydatid disease in human is common and liver is the most common site of involvement followed by lungs. Within the abdomen, hydatid disease can disseminate to involve spleen, pancreas, mesentery, kidney, ovary, gut, supra-renal glands etc. Such disseminations are usually secondary to rupture of a cyst: spontaneous, iatrogenic or traumatic. Without such a history, primary disseminated intra-abdominal hydatidosis is rare. Here we present such a case.Birdem Med J 2018; 8(1): 75-76