Navigating Complexities: Successful Pericystectomy in a South Asian Female With Hepatic and Peritoneal Hydatid Disease

TL;DR

A South Asian woman successfully underwent surgery for hydatid disease affecting her liver and abdomen after initial drug treatment failed.

Contribution

This case study highlights the complexities of diagnosing and managing concurrent hepatic and peritoneal hydatid disease through a multidisciplinary approach.

Findings

The patient showed inadequate response to albendazole, necessitating surgical intervention.

Postoperative albendazole was used to prevent disease recurrence.

A multidisciplinary approach combining medical and surgical strategies was crucial for successful management.

Abstract

Hydatid cyst disease, caused by the larval stage of Echinococcus granulosus, is a parasitic infection endemic in many regions, including South Asia. We present a case of a 36-year-old South Asian female with concurrent liver and peritoneal hydatid cysts, emphasizing the diagnostic challenges and management complexities associated with this condition. The patient presented with abdominal pain, nausea, and decreased appetite, and imaging studies revealed characteristic cystic lesions in the liver and peritoneum. Initial medical management with albendazole was followed by surgical excision due to inadequate response to therapy. Postoperative care included prophylactic albendazole to prevent recurrence. This case highlights the importance of a multidisciplinary approach involving medical therapy and surgical intervention tailored to the individual patient's needs and disease presentation.

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