Departement of surgery, Habib Bourguiba Hospital, Sfax, Tunisia.
Faculty of Medicine of Sfax, University of Sfax, Sfax, Tunisia.
J Med Case Rep. 2022 May 25;16(1):202. doi: 10.1186/s13256-022-03415-6.
Hydatid disease is endemic in Mediterranean countries and most commonly occurs in the liver followed by the lung. A primary localization in the retroperitoneum is extremely rare.
We report the case of a 29-year-old Tunisian patient presenting with progressive left flank pain and skin urticaria. On abdominal ultrasonography and computed tomography scan, a ruptured retroperitoneal hydatid cyst was diagnosed, which was confirmed by positive hydatid serology. The treatment consisted of resection of protruding dome. The evolution was favorable. No local recurrence was detected during postoperative follow-up.
Primary retroperitoneal hydatid cyst is extremely rare and has uncommon presentation, but we should learn the keys to its diagnosis. In endemic regions, high suspicion for this disease is justified regardless of localization.
包虫病在地中海国家流行，最常发生于肝脏，其次是肺部。原发于腹膜后的情况极为罕见。
我们报告了 1 例 29 岁突尼斯患者，表现为进行性左侧腰痛和皮肤荨麻疹。腹部超声和 CT 扫描诊断为破裂的腹膜后包虫囊肿，包虫血清学阳性证实了这一诊断。治疗方法为切除突出的顶部。病情好转。术后随访未发现局部复发。
原发性腹膜后包虫囊肿极为罕见，临床表现不典型，但我们应该了解其诊断要点。在流行地区，无论病变部位如何，均应高度怀疑该病。
