Assi Farah, Abou Hamdan Douaa, Mourad Youmna, El Dakdoukii Ghenwa K, Akil Leila, Chamseddine Nada
Infectious Diseases/Internal Medicine, Lebanese University Faculty of Medicine, St Georges Hospital, Beirut, LBN.
Infectious Diseases, Lebanese University Faculty of Medicine, Beirut, LBN.
Cureus. 2025 Jul 31;17(7):e89153. doi: 10.7759/cureus.89153. eCollection 2025 Jul.
Hydatid cyst is a parasitic zoonosis caused by echinococcosis. Liver and lung are the two primarily affected organs. Primary mesenteric hydatid cyst is a rare event, and few cases have been reported globally. In this case report, we present the first documented case, to our knowledge, in Lebanon. The patient was a 49-year-old female who presented for acute worsening of a long-standing abdominal pain. The primary differential diagnosis was an ovarian cyst, for which urgent surgical excision was performed. Histopathological analysis showed a primary mesenteric hydatid cyst, thus providing the final diagnosis. This case highlights the diagnostic challenges that rare and atypical localizations of hydatid cysts present, and the importance of including echinococcosis in the differential diagnosis of abdominal cystic masses.
包虫囊肿是由棘球蚴病引起的一种寄生虫人畜共患病。肝脏和肺是两个主要受累器官。原发性肠系膜包虫囊肿是一种罕见的情况，全球报道的病例很少。在本病例报告中，据我们所知，我们呈现了黎巴嫩的首例有记录的病例。患者为一名49岁女性，因长期腹痛急性加重前来就诊。主要鉴别诊断为卵巢囊肿，为此进行了紧急手术切除。组织病理学分析显示为原发性肠系膜包虫囊肿，从而得出最终诊断。该病例突出了包虫囊肿罕见和非典型定位所带来的诊断挑战，以及在腹部囊性肿块的鉴别诊断中纳入棘球蚴病的重要性。
