title: Secondary peritoneal hydatidosis, the challenges of echinococcal disease in South Sudan: a case report.
abstract: A 28 year old male presented to the Juba Teaching Hospital with progressive shortness of breath. 18 months prior to admission, he presented to a rural hospital with severe abdominal pain. An emergency laparotomy was performed, and a large hepatic cyst was removed. Examination at the Juba Teaching hospital revealed a grossly distended abdomen with multiple palpable masses per abdomen. An Abdominal Ultrasound revealed multiple loculated cysts throughout the abdomen. A diagnosis of Secondary Peritoneal Hydatidosis resulting from incorrectly performed surgery was made. The patient was conservatively treated and at 14 weeks, the cysts showed a moderate reduction in size. Cystic Echinococcus (CE) is common in South Sudan and has a considerable disease burden throughout the developing world. Greater governmental and international support is required to develop effective control measures for these diseases.
authors.affiliation: General Medicine, Prince Philip Hospital, Llanelli, United Kingdom.
authors.forename: Richard William
authors.initials: RW
authors.lastname: Thomas
authors.affiliation: Consultant Radiologist, University Hospital of Wales, Cardiff, United Kingdom.
authors.forename: Rwth
authors.initials: R
authors.lastname: Ellis-Owen
authors.affiliation: Core Surgical Trainee, University Hospital of Wales, Cardiff, United Kingdom.
authors.forename: Daniel
authors.initials: D
authors.lastname: Winson
mesh_terms: D015746:Abdominal Pain / Q000469:parasitology / Q000473:pathology; D000328:Adult; D000818:Animals; D004443:Echinococcosis / Q000473:pathology*; D004444:Echinococcosis, Hepatic / Q000150:complications* / Q000473:pathology; D004446:Echinococcus / Q000302:isolation & purification; D006801:Humans; D008297:Male; D010532:Peritoneal Diseases / Q000469:parasitology* / Q000473:pathology; D000068037:South Sudan
keywords: South Sudan; cystic echinococcus; hydatid