Peritoneal Hydatidosis

Case Report

Abstract

A widespread parasitic illness, hydatidosis is a serious public health concern, especially in endemic nations like Morocco. Analyzing the prognostic, therapeutic, paraclinical, evolutionary, and clinical aspects of widespread peritoneal hydatidosis with numerous localizations is the aim of this work. All problems that arise from Echinococcus granulosus larvae essentially secondary populating the peritoneal serosa are collectively referred to as peritoneal hydatidosis. The polymorphic symptomatology of peritoneal hydatidosis is one of its defining characteristics. Epidemiological, clinical, biochemical, and imaging findings are combined to make the diagnosis.

Materials and Methods: We present a case of peritoneal hydatidosis in its specific form that occurred in the visceral surgery emergency service P35 of the Ibn Rochd Hospital during the year 2017.

Results: The purpose of the patient's admission was to treat diffuse peritoneal hydatidosis. A clinical examination found many hepatomegaly-related abdominal tumors. The biological evaluation revealed a highly positive hydatid serology. Computed tomography was used to establish the preoperative diagnosis of peritoneal hydatidosis. It revealed sub-mesocolic peritoneal hydatidosis and type 3 hydatid cysts in segments VI, VII, II, and III of the left liver. Resection of the hydatid cysts and projecting domes along with drainage was the course of treatment. Following a straightforward surgical procedure, the patient was released on day six, receiving adjuvant treatment consisting of albendazole for a duration of three months. In our current work, we emphasized the diagnostic challenges presented by this atypical placement of the hydatid cyst, as well as the significant role that CT plays in delivering a positive and extremely exact topographic diagnosis, based on this observation and the literature. In addition, we discussed the critical role that surgery plays in the therapy of this illness and the growing significance of medical care, especially in preventing recurrences.

One uncommon but dangerous side effect of hydatid illness is peritoneal hydatidosis. A positive diagnosis is dependent on clinical, paraclinical, and epidemiological data, the most prominent of which is computed tomography. The prognosis is determined by optimal surgical care of peritoneal hydatidosis and early detection and treatment of the main locations.