title: Primary peritoneal hydatidosis.
abstract: Hydatid disease is a parasitic infestation caused by the tapeworm Echinococcus granulosus. Echinococcosis occurs worldwide and can affect multiple organs. The liver (75%) and the lungs (15%) are the most common sites of occurrence followed by the spleen, kidney, bones and brain. Peritoneal hydatidosis commonly occurs secondary to a ruptured hydatid cyst of the liver or the spleen. Primary peritoneal hydatidosis is an extremely rare entity accounting for just 2% of all intra-abdominal hydatid disease. Most patients remain asymptomatic for years before presenting with vague abdominal symptoms such as non-specific pain, abdominal fullness, dyspepsia, anorexia and vomiting. We successfully treated a 55-year-old woman with primary peritoneal hydatidosis. The role of imaging and immunological tests in the diagnosis is highlighted. The patient was managed by a combination of preoperative and postoperative antihelminthic therapy along with laparotomy, cyst deroofing, toileting and omentoplasty. The patient is asymptomatic at 1-year follow-up.
authors.affiliation: Department of General Surgery, M S Ramaiah Medical College and Hospital, Bangalore, Karnataka, India.
authors.forename: Nishchit
authors.initials: N
authors.lastname: Hegde
authors.forename: Bharati
authors.initials: B
authors.lastname: Hiremath
mesh_terms: D004443:Echinococcosis / Q000175:diagnosis; D005260:Female; D006801:Humans; D008875:Middle Aged; D010532:Peritoneal Diseases / Q000175:diagnosis / Q000469:parasitology*
references.citation: N Am J Med Sci. 2013 Jan;5(1):10-20
references.pmid: 23378949
references.citation: Radiology. 1981 May;139(2):459-63
references.pmid: 7220891
references.citation: World J Surg. 2005 Sep;29(9):1161-5
references.pmid: 16088421
references.citation: Case Rep Surg. 2011;2011:809387
references.pmid: 22606594
references.citation: Iran J Immunol. 2007 Sep;4(3):167-72
references.pmid: 17767016
references.citation: Acta Trop. 2003 Feb;85(2):253-61
references.pmid: 12606104
references.citation: J Assoc Physicians India. 2008 Jan;56:55
references.pmid: 18472505
references.citation: Korean J Radiol. 2007 Nov-Dec;8(6):531-40
references.pmid: 18071284
references.citation: Surg Today. 2001;31(10):920-2
references.pmid: 11759891
references.citation: Case Rep Surg. 2012;2012:654282
references.pmid: 23050190
references.citation: Surg Today. 2000;30(10):947-9
references.pmid: 11059740
references.citation: J Comput Assist Tomogr. 1986 May-Jun;10(3):428-31
references.pmid: 3700744
references.citation: Ann Saudi Med. 2002 Jan-Mar;22(1-2):56-64
references.pmid: 17259768
references.citation: Radiographics. 2000 May-Jun;20(3):795-817
references.pmid: 10835129