Ola Messaoud, Kenza Horache, Manal Jidal, Amine Cherraqi, Omar El Aoufir, Fatima Zahra Laamrani, Laila Jroundi
Emergency Radiology Department, University Hospital IBN Sina, Rabat, Morocco.
Clin Med Insights Case Rep. 2024 Aug 14;17:11795476241271561. doi: 10.1177/11795476241271561. eCollection 2024.
Hydatid disease, caused primarily by Echinococcus granulosus, is prevalent in regions where livestock farming is common. Although typically considered benign, ruptured hydatid cysts into the abdominal cavity present a rare but severe complication requiring urgent surgical intervention. We hydatid liver cyst, emphasizing the unprecedented nature of this occurrence, as it has never been reported in the literature before. The case underscores the role of computed tomography (CT) imaging in diagnosis and multidisciplinary management involving emergency physicians, radiologists, anesthetists, and surgeons. Key points highlighted include the rarity of postpartum hydatid cyst rupture, the diagnostic utility of CT scans, and the necessity of immediate surgical intervention. Surgical strategies include conservative techniques and intraoperative lavage with hypertonic saline solution to prevent recurrence. Postoperative albendazole therapy and regular follow-up aid in preventing recurrence and early detection of complications. This case underscores the importance of suspecting ruptured hydatid cysts in postpartum women with underlying hepatic hydatid cyst and features of peritonitis, necessitating prompt recognition and management of complications in hydatid disease.
包虫病主要由细粒棘球绦虫引起，在畜牧业常见的地区流行。尽管通常被认为是良性的，但破裂的包虫囊肿进入腹腔是一种罕见但严重的并发症，需要紧急手术干预。我们报道了一例产后肝包虫囊肿破裂的病例，强调了这一事件的前所未有的性质，因为此前文献中从未有过报道。该病例强调了计算机断层扫描（CT）成像在诊断以及涉及急诊医生、放射科医生、麻醉师和外科医生的多学科管理中的作用。突出的关键点包括产后包虫囊肿破裂的罕见性、CT扫描的诊断效用以及立即进行手术干预的必要性。手术策略包括保守技术和术中用高渗盐溶液冲洗以防止复发。术后阿苯达唑治疗和定期随访有助于预防复发和早期发现并发症。该病例强调了对于患有潜在肝包虫囊肿且有腹膜炎特征的产后妇女怀疑包虫囊肿破裂的重要性，有必要及时识别和处理包虫病的并发症。
