Disseminated peritoneal hydatidosis manifested as intestinal ischaemia

• Published in: Cirugia y cirujanos Vol. 85; no. 3; p. 269
• Main Authors: Rosales-Castañeda, Enrique, Martínez-Ordaz, José Luis, Estrada-Castellanos, Alicia, Goméz-Jiménez, Luz María
• Format: Journal Article
• Language: Spanish
• Published: Mexico 01-05-2017
• Subjects: Albendazole - therapeutic use; Anthelmintics - therapeutic use; Combined Modality Therapy; Echinococcosis - complications; Echinococcosis - diagnosis; Echinococcosis - drug therapy; Echinococcosis - surgery; Humans; Intestines - blood supply; Intestines - diagnostic imaging; Intestines - surgery; Ischemia - diagnostic imaging; Ischemia - etiology; Ischemia - surgery; Jejunostomy; Male; Mesenteric Ischemia - diagnostic imaging; Mesenteric Ischemia - etiology; Mesenteric Ischemia - surgery; Middle Aged; Peritoneal Diseases - complications; Peritoneal Diseases - diagnosis; Peritoneal Diseases - parasitology; Peritoneal Diseases - surgery; Praziquantel - therapeutic use; Rupture, Spontaneous; Tomography, X-Ray Computed; Equinococosis; Hidatidosis peritoneal; Isquemia intestinal; Peritoneal hydatidosis; Intestinal ischemia; Echinococcosis
• ISSN: 2444-054X
• DOI: 10.1016/j.circir.2016.08.006

The hydatid disease, or echinococcosis, is endemic in Mediterranean countries, as well as in Australia, Asia, Africa, South America, and Canada. Among its complications is intraperitoneal rupture, a rare form of presentation, with highly variable symptoms. The treatment of choice is surgery plus adjuvant medical treatment in most patients.
A case is presented of a patient with disseminated peritoneal hydatidosis manifested as intestinal ischaemia.
A 50-year-old male was admitted to the emergency room with a history of chronic abdominal pain that worsened in the last 24hours. He showed signs of sepsis in the physical examination and was subjected to surgery, in which intestinal ischaemia was found due to a disseminated peritoneal cystic disease, which had led to mesentery retraction. An intestinal resection with an end-ileostomy was performed. The results of the biopsy of the cystic lesions was disseminated peritoneal echinococcosis. Medical treatment was started with albendazole and praziquantel.
This case shows a rare presentation of disseminated peritoneal hydatidosis, which led to intestinal ischaemia.