[Disseminated peritoneal hydatidosis manifested as intestinal ischaemia]
| Autor: | Alicia Estrada-Castellanos, José Luis Martínez-Ordaz, Enrique Rosales-Castañeda, Luz María Gómez-Jiménez |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Jejunostomy Ocean Engineering Physical examination Disease Albendazole Peritoneal Diseases Praziquantel Sepsis 03 medical and health sciences 0302 clinical medicine Echinococcosis Ischemia Biopsy medicine Humans Mesentery Anthelmintics medicine.diagnostic_test Rupture Spontaneous business.industry Middle Aged medicine.disease Combined Modality Therapy Surgery Intestines medicine.anatomical_structure 030220 oncology & carcinogenesis Mesenteric Ischemia 030211 gastroenterology & hepatology business Tomography X-Ray Computed medicine.drug |
| Zdroj: | Cirugia y cirujanos. 85(3) |
| ISSN: | 2444-054X |
| Popis: | 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. Clinical case A 50-year-old male was admitted to the emergency room with a history of chronic abdominal pain that worsened in the last 24 h. 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. Conclusion This case shows a rare presentation of disseminated peritoneal hydatidosis, which led to intestinal ischaemia. |
| Databáze: | OpenAIRE |
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