title: The management of abdominal hydatidosis after the rupture of a pancreatic hydatid cyst: a case report.
abstract: BACKGROUND
  Echinococcosis or hydatidosis is a zoonosis caused by cestodes from the genus Echinococcus; its habitat is the small intestine of the definitive host, represented by dogs/carnivorous animals, where it produces eggs which are eliminated in the environment. Cystic echinococcosis represents more than 95% of the hydatidosis cases registered annually. The most frequent localization is the hepatic one, followed by the pulmonary localization with a ratio of 2.5:1. A pancreatic localization represents 0.2% of hydatidosis cases with a higher possibility of disseminating intra-abdominally. The incidence of hydatidosis in Romania has not been investigated yet through national studies.
  
  
  METHODS
  We present the case of a 54-year-old Caucasian man who underwent emergency surgery in 1989 for symptoms suggestive for an acute abdomen. He was diagnosed intraoperatively with rupture of a pancreatic hydatid cyst, having a caudal localization and complicated by necrotic acute pancreatitis. Our objective is to describe a patient with hydatidosis, with unfavorable evolution after two surgical interventions, with intra-abdominal dissemination, for whom we considered the best therapeutic choice to be long-term anti-parasite drugs.
  
  
  CONCLUSIONS
  He has been treated with albendazole for 6 years and he shows a very good tolerance; praziquantel (600 mg/week) was also administered and he is under clinical and biological screening. There is no general consensus on the duration of anti-parasite treatments.
authors.affiliation: Faculty of Medicine Sibiu, Academic Emergency Hospital SIBIU - Chief of the Infectious Diseases Clinic, "Lucian Blaga" University Sibiu, Sibiu, Romania. victoriabirlutiu@yahoo.com.
authors.forename: Victoria
authors.initials: V
authors.lastname: Bîrluţiu
authors.affiliation: Faculty of Medicine Sibiu, "Lucian Blaga" University Sibiu, Alba-Iulia Str. No.79 23/8, Sibiu, 550052, Romania. raresmircea@yahoo.com.
authors.forename: Rareş Mircea
authors.initials: RM
authors.lastname: Bîrluţiu
mesh_terms: D015766:Albendazole / Q000627:therapeutic use; D000818:Animals; D000871:Anthelmintics / Q000627:therapeutic use; D004443:Echinococcosis / Q000188:drug therapy / Q000601:surgery*; D006801:Humans; D059413:Intraabdominal Infections / Q000628:therapy; D008297:Male; D008875:Middle Aged; D010182:Pancreatic Diseases / Q000188:drug therapy / Q000601:surgery*; D012383:Romania; D012422:Rupture, Spontaneous
chemical_list: D000871:Anthelmintics; D015766:Albendazole