Spontaneous disseminated hydatidosis with uterine involvement in an 8-year-old child: a multidisciplinary approach

Abstract Background Spontaneous disseminated hydatidosis is a rare manifestation of Echinococcus tapeworm infection, especially in pediatric patients. This case report presents an unusual instance of multi-organ involvement in an 8-year-old Afghan girl living in Iran, a hydatid disease endemic regio...

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Main Authors: Mehdi Forooghi, Ali Tadayon, Shayan Yousufzai, Hossein Hosseini, Razie Vahdani, Rojan Abdollahzade Mirali, Simin Sharifi
Format: Article
Language:English
Published: BMC 2025-07-01
Series:BMC Infectious Diseases
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Online Access:https://doi.org/10.1186/s12879-025-11300-y
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author Mehdi Forooghi
Ali Tadayon
Shayan Yousufzai
Hossein Hosseini
Razie Vahdani
Rojan Abdollahzade Mirali
Simin Sharifi
author_facet Mehdi Forooghi
Ali Tadayon
Shayan Yousufzai
Hossein Hosseini
Razie Vahdani
Rojan Abdollahzade Mirali
Simin Sharifi
author_sort Mehdi Forooghi
collection DOAJ
description Abstract Background Spontaneous disseminated hydatidosis is a rare manifestation of Echinococcus tapeworm infection, especially in pediatric patients. This case report presents an unusual instance of multi-organ involvement in an 8-year-old Afghan girl living in Iran, a hydatid disease endemic region. Case presentation The patient presented with progressive abdominal distension, intermittent pain, nausea, and vomiting. Imaging revealed multiple hydatid cysts in the liver, peritoneal cavity, and uterus, suggesting disseminated disease without prior history of hydatidosis or exposure to definitive hosts. A multidisciplinary team performed an exploratory laparotomy, removing cysts from the liver, spleen, and uterus. Post-operative care included 12 months of Albendazole therapy to promote cyst shrinkage and reduce recurrence risk, with successful outcomes observed on follow-up. Conclusion This case highlights the importance of recognizing hydatid disease in endemic regions and the role of imaging and surgery in achieving good outcomes. This case also underscores the need for further research to elucidate the mechanisms behind such atypical presentations.
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publishDate 2025-07-01
publisher BMC
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series BMC Infectious Diseases
spelling doaj-art-8d1ccf99c26f4c3cb7ebf15fa0ac78c92025-08-20T03:04:15ZengBMCBMC Infectious Diseases1471-23342025-07-012511910.1186/s12879-025-11300-ySpontaneous disseminated hydatidosis with uterine involvement in an 8-year-old child: a multidisciplinary approachMehdi Forooghi0Ali Tadayon1Shayan Yousufzai2Hossein Hosseini3Razie Vahdani4Rojan Abdollahzade Mirali5Simin Sharifi6Pediatric surgery department, Namazi Hospital, Shiraz University of Medical SciencesDepartment of Pediatric Surgery, Namazi Hospital, Shiraz University of Medical SciencesStudent Research Committee, Shiraz university of medical sciencesStudent Research Committee, Shiraz university of medical sciencesMaternal-Fetal Medicine Research Center, Gynecology and Obstetrics Department, Shiraz University of Medical SciencesStudent Research Committee, Shiraz university of medical sciencesMedical Laboratory Sciences (B.Sc.), Student Research Committee, Shiraz University of Medical SciencesAbstract Background Spontaneous disseminated hydatidosis is a rare manifestation of Echinococcus tapeworm infection, especially in pediatric patients. This case report presents an unusual instance of multi-organ involvement in an 8-year-old Afghan girl living in Iran, a hydatid disease endemic region. Case presentation The patient presented with progressive abdominal distension, intermittent pain, nausea, and vomiting. Imaging revealed multiple hydatid cysts in the liver, peritoneal cavity, and uterus, suggesting disseminated disease without prior history of hydatidosis or exposure to definitive hosts. A multidisciplinary team performed an exploratory laparotomy, removing cysts from the liver, spleen, and uterus. Post-operative care included 12 months of Albendazole therapy to promote cyst shrinkage and reduce recurrence risk, with successful outcomes observed on follow-up. Conclusion This case highlights the importance of recognizing hydatid disease in endemic regions and the role of imaging and surgery in achieving good outcomes. This case also underscores the need for further research to elucidate the mechanisms behind such atypical presentations.https://doi.org/10.1186/s12879-025-11300-ySpontaneous HydatidosisDisseminated HydatidosisEchinococcosisPediatrics GastroenterologyAlbendazole therapyUterus Hydatidosis
spellingShingle Mehdi Forooghi
Ali Tadayon
Shayan Yousufzai
Hossein Hosseini
Razie Vahdani
Rojan Abdollahzade Mirali
Simin Sharifi
Spontaneous disseminated hydatidosis with uterine involvement in an 8-year-old child: a multidisciplinary approach
BMC Infectious Diseases
Spontaneous Hydatidosis
Disseminated Hydatidosis
Echinococcosis
Pediatrics Gastroenterology
Albendazole therapy
Uterus Hydatidosis
title Spontaneous disseminated hydatidosis with uterine involvement in an 8-year-old child: a multidisciplinary approach
title_full Spontaneous disseminated hydatidosis with uterine involvement in an 8-year-old child: a multidisciplinary approach
title_fullStr Spontaneous disseminated hydatidosis with uterine involvement in an 8-year-old child: a multidisciplinary approach
title_full_unstemmed Spontaneous disseminated hydatidosis with uterine involvement in an 8-year-old child: a multidisciplinary approach
title_short Spontaneous disseminated hydatidosis with uterine involvement in an 8-year-old child: a multidisciplinary approach
title_sort spontaneous disseminated hydatidosis with uterine involvement in an 8 year old child a multidisciplinary approach
topic Spontaneous Hydatidosis
Disseminated Hydatidosis
Echinococcosis
Pediatrics Gastroenterology
Albendazole therapy
Uterus Hydatidosis
url https://doi.org/10.1186/s12879-025-11300-y
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