[Multiple abdominal hydatid disease. Case report]. / Hidatidoza abdominala cu localizare multipla. Prezentare de caz.

Hydatid disease, a parasitic infection caused by Echinococcus granulosus is relatively frequent in our country. Imaging techniques like ultrasound and CT made possible an early and accurate diagnosis prior to serious complications. Hydatid cysts can be ruptured spontaneously or following trauma. The authors report a case of multiple abdominal hydatid disease (hepatic, splenic and peritoneal) in a 11-year-old boy admitted into the Bacau County Hospital with severe abdominal pain and history of abdominal trauma 7 months ago in the right hypochondriac region. The case was managed surgically being performed pericystectomy, splenectomy and omentectomy. Albendazole was administered before and after surgery. The recovery course was uneventful and the evolution favorable. Although ruptured hydatid cyst of liver and multiple abdominal hydatid disease are rare clinic entities, in an endemic region as Romania, they should be taken into account when making the differential diagnosis of abdominal pain.

[Diagnosis and treatment of abdominal hydatid cysts in children. A multicentric study]. / Diagnosticul si tratamentul chistului hidatic cu localizare abdominala la copil--studiu multicentric.

UNLABELLED: Echinococcosis is one of the most frequent parasitosis and is endemic in Romania. MATERIAL AND METHOD: The data on 111 children with abdominal localization of hydatidosis who underwent exploration and treatment in 3 pediatric surgical clinics were reviewed. The study evaluated 59 patients who were treated at "Sf. Maria" pediatric hospital Iasi during 2004 and 2009, 47 at "Marie Curie" pediatric hospital from Bucharest during 2000 - 2009 and 5 children at Bacau General Hospital 2004-2009. The medical records were reviewed for: demographics, age, gender, location of the cyst, operative procedure, medical treatment, outcome, length of hospital stay and postoperative follow up. RESULTS: Age ranged between 2 and 17 years and male/female ratio was 1,1/1.67% of patients lived in rural areas. The liver was the most common organ involved: in 69 cases it was the only organ involved and there were 2 kidney cyst cases, 8 spleens involved, 2 cases in broad ligament, 13 peritoneal cases and 26 cases of cyst located in great omentum. The preferred surgical procedure was Lagrot partial pericystectomy. For medical antihelminthic treatment it was used Albendazole. As complications there were: biliary fistulas, postoperative cholangitis, infection of the residual cavity, anaphylactic reactions. The mortality rate was 0%. CONCLUSIONS: Most of the patients were from rural area. The liver was the major organ involved. The treatment includes both surgical and medical means. There is a relatively high rate of postoperative complications (although some of them being minor) in 31 patients.