Primary hydatid cyst of the retroperitoneum

• Published in: The American journal of surgery Vol. 199; no. 2; pp. e25 - e26
• Main Authors: Sall, Ibrahima, M.D, Ali, Abdelmounaim Ait, M.D, El Kaoui, Hakim, M.D, Bouchentouf, Sidi Mohammed, M.D, El Hjouji, Abderrahmane, M.D, El Fahssi, Mohammed, M.D, Bounaim, Ahmed, M.D, Zentar, Aziz, M.D, Sair, Khalid, M.D
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-02-2010; Elsevier Limited
• Subjects: Abdomen; Abdominal mass; Abdominal Neoplasms - diagnosis; Agriculture; Antigens; Case reports; Complications; Constipation; Contamination; Cysts; Diagnosis, Differential; Echinococcosis - diagnosis; Echinococcosis - diagnostic imaging; Echinococcosis - surgery; Humans; Hydatid cyst; Hydatid disease; Liver; Male; Medical personnel; Middle Aged; Retroperitoneal Space; Retroperitoneum; Spillage; Surgery; Tomography, X-Ray Computed; Retroperitoneum; Hydatid cyst; Abdominal mass
• ISSN: 0002-9610; 1879-1883
• DOI: 10.1016/j.amjsurg.2009.04.019

Abstract Retroperitoneal contamination may occur during the natural history of hydatid disease. Primary hydatid cyst of the retroperitoneum is extremely rare. The authors report a case of a giant retroperitoneal hydatid cyst. Clinicians and surgeons must be aware of this possibility and follow a policy of nonsystematic puncture of an abdominal cyst and avoid spillage during surgery. Symptoms are related to the size, location, or ensuing complications of a cyst. Its occurrence should be strongly suspected ahead of any abdominal cyst, especially in an endemic area, where it may act as a parasite. Total and careful surgical excision is the gold-standard therapy.