[Disseminated peritoneal hydatidosis manifested as intestinal ischaemia].
BACKGROUND
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.


OBJECTIVE
A case is presented of a patient with disseminated peritoneal hydatidosis manifested as intestinal ischaemia.


METHODS
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.


CONCLUSIONS
This case shows a rare presentation of disseminated peritoneal hydatidosis, which led to intestinal ischaemia.
Servicio de Gastrocirugía, Hospital de Especialidades Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, México.
Enrique
E
Rosales-Castañeda
Servicio de Gastrocirugía, Hospital de Especialidades Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, México. Electronic address: jlmo1968@hotmail.com.
José Luis
JL
Martínez-Ordaz
Servicio de Gastrocirugía, Hospital de Especialidades Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, México.
Alicia
A
Estrada-Castellanos
Servicio de Gastrocirugía, Hospital de Especialidades Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, México.
Luz María
LM
Goméz-Jiménez
D015766:Albendazole / Q000627:therapeutic use; D000871:Anthelmintics / Q000627:therapeutic use; D003131:Combined Modality Therapy; D004443:Echinococcosis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery; D006801:Humans; D007422:Intestines / Q000098:blood supply* / Q000000981:diagnostic imaging / Q000601:surgery; D007511:Ischemia / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D007582:Jejunostomy; D008297:Male; D065666:Mesenteric Ischemia / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D008875:Middle Aged; D010532:Peritoneal Diseases / Q000150:complications* / Q000175:diagnosis / Q000469:parasitology / Q000601:surgery; D011223:Praziquantel / Q000627:therapeutic use; D012422:Rupture, Spontaneous; D014057:Tomography, X-Ray Computed
D000871:Anthelmintics; D011223:Praziquantel; D015766:Albendazole
Echinococcosis; Equinococosis; Hidatidosis peritoneal; Intestinal ischemia; Isquemia intestinal; Peritoneal hydatidosis