Rare as hen’s teeth: laparoscopic management of primary pelvic hydatid cyst

Authors

  • Kopal Gupta Department of Medicine, Shree Siddhi Vinayak Hospital, Bhilwara, Rajasthan, India
  • Dron Sharma Department of Surgery, Shree Siddhi Vinayak Hospital, Bhilwara, Rajasthan, India

DOI:

https://doi.org/10.18203/2349-3933.ijam20220130

Keywords:

Hydatid disease, Peri cystectomy, Endo-cystectomy, Primary pelvic hydatid cyst

Abstract

Hydatid disease is a zoonotic parasitic disease most frequently caused by echinococcus granulose Primary peritoneal hydatidosis is very rare. We report a case of primary hydatid disease of the intraperitoneal pelvic space. A 22-year-old male patient presented with a history of abdominal pain since 5 months. Abdominal examination revealed a smooth, firm, mildly tender, non-mobile lump in suprapubic region, on digital rectal examination, a smooth spherical mass was felt anteriorly and laterally outside the rectal wall, rectal mucosa was normal. All routine investigations including liver function tests were within normal limits Computed tomography scan of the whole abdomen showed giant cyst of 10×10 cm with multiple well-defined cysts in rectovesical pouch.  Diagnostic laparoscopy was performed. The liver, spleen, mesentery, omentum was found to be normal. A large tense hydatid cyst was noted in the pelvic cavity. Partial peri-cystectomy with endo-cystectomy was performed. Postoperative period was uneventful and patient was discharged on 4th postoperative day. Primary intra-abdominal but extra-peritoneal localization has been reported in only 0.2-2% cases making it a very rare entity. The treatment of choice for pelvic hydatid cyst is principally a careful surgical excision. Here with minimum invasive technique this case was operated and results were excellent.

References

Lewall DB. Hydatid disease: biology, pathology, imaging and classification. Clin Radiol. 1998;53(12):863-74.

Khuroo MS. Hydatid disease: current status and recent advances. Ann Saudi Med. 2002;22(1-2):56-64.

Arazi M, Erikoglu M, Odev K. Primary echinococcus infestation of the bone and muscles. Clin Orthop Relat Res. 2005;432:234-41.

Akbulut S, Senol A, Ekin A, Bakir S, Bayan K, Dursun M. Primary retroperitoneal hydatid cyst: Report of 2 cases and review of 41 published cases. Int Surg. 2010;95:189-96.

Angulo JC, Escribano J, Diego A, Sanchez-Chapado M. Isolated retrovesical and extrarenal retroperitoneal hydatidosis: Clinical study of 10 cases and literature review. J Urol. 1998;159:76-82.

Ait Benkaddour Y, Mansouri MZ, Rabbani K. Primary pelvic hydatidcyst: an unusual cause of cystic adnexal image (mass). Afr J Reprod Health. 2013;17(1):174-7.

Gupta A, Kakkar A, Chaddha M. A primary intrapelvic hydatid cyst presenting with foot drop and a gluteal swelling. J Bone Jt Surg (Br). 1998;(80-B):1037-9.

Parray FQ, Ahmad SZ, Sherwani AY. Primary paraspinal hydatid cyst: a rare presentation of echinococcosis. Int J Surg. 2010;8(5):404-6.

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Published

2022-01-25

Issue

Section

Case Reports