# Hydatid disease beyond the liver: An unusual multi-organ presentation in a 2-year-old girl

## TL;DR

A 2-year-old girl in Morocco had hydatid disease affecting her brain, lungs, and kidney, but not her liver, which is very unusual.

## Contribution

This case report presents an atypical pediatric hydatid disease with multi-organ involvement and no liver lesions.

## Key findings

- A 2-year-old girl was diagnosed with hydatid cysts in the central nervous system, lungs, and kidney.
- No hepatic involvement was observed, which is highly unusual for echinococcosis.
- The case emphasizes the importance of comprehensive radiologic assessment in endemic areas.

## Abstract

Hydatid disease is endemic in regions like Morocco, commonly affecting the liver and lungs. In pediatric patients, the condition is uncommon, and multi-organ involvement without hepatic lesions is exceedingly rare. We report the case of a 2-year-old girl diagnosed with hydatid cysts involving the central nervous system, lungs, and right kidney. Notably, imaging studies revealed no hepatic involvement, which is highly unusual for echinococcosis. This case highlights an atypical presentation of pediatric hydatid disease and illustrates the essential role of comprehensive radiologic assessment in endemic areas. Early identification of extrahepatic involvement can guide appropriate management and improve outcomes.