Acute peritonitis secondary to spontaneous rupture of hepatic hydatid cyst: A case report and literature review
Spontaneous intraperitoneal rupture of hepatic hydatid cysts is a rare but serious complication that can lead to significant morbidity and mortality due to risks such as anaphylactic shock and secondary peritoneal hydatidosis. This report presents the case of a 59-year-old male farmer from a rural a...
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| Language: | English |
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Elsevier
2025-01-01
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| Series: | IDCases |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214250925000216 |
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| author | Imen Ben Ismail Elmontassar Belleh Zaafouri Hakim Zenaidi Saber Rebii Ayoub Zoghlami |
| author_facet | Imen Ben Ismail Elmontassar Belleh Zaafouri Hakim Zenaidi Saber Rebii Ayoub Zoghlami |
| author_sort | Imen Ben Ismail |
| collection | DOAJ |
| description | Spontaneous intraperitoneal rupture of hepatic hydatid cysts is a rare but serious complication that can lead to significant morbidity and mortality due to risks such as anaphylactic shock and secondary peritoneal hydatidosis. This report presents the case of a 59-year-old male farmer from a rural area of Tunisia who presented with severe abdominal pain, nausea, and vomiting. Diagnostic imaging revealed a large hepatic cyst with free peritoneal fluid, indicating a ruptured hydatid cyst. Emergency surgery involved cyst evacuation, peritoneal lavage, and drainage. Postoperatively, the patient developed a transient biliary fistula but recovered well with albendazole therapy to prevent recurrence. Six months post-surgery, the patient remains asymptomatic. The case underscores the importance of considering hydatid disease in acute abdomen diagnoses in endemic regions and highlights the critical role of imaging and timely surgical intervention. The literature review indicates variability in the prevalence of cyst rupture and emphasizes the need for a comprehensive approach combining surgery and antiparasitic treatment for effective management and recurrence prevention. |
| format | Article |
| id | doaj-art-e676b7edf3354a54a97e3c99e424bf44 |
| institution | OA Journals |
| issn | 2214-2509 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | IDCases |
| spelling | doaj-art-e676b7edf3354a54a97e3c99e424bf442025-08-20T02:06:19ZengElsevierIDCases2214-25092025-01-0139e0216610.1016/j.idcr.2025.e02166Acute peritonitis secondary to spontaneous rupture of hepatic hydatid cyst: A case report and literature reviewImen Ben Ismail0Elmontassar Belleh Zaafouri1Hakim Zenaidi2Saber Rebii3Ayoub Zoghlami4Corresponding author.; University of Tunis El Manar, Department of General Surgery, Trauma Center Ben Arous, TunisiaUniversity of Tunis El Manar, Department of General Surgery, Trauma Center Ben Arous, TunisiaUniversity of Tunis El Manar, Department of General Surgery, Trauma Center Ben Arous, TunisiaUniversity of Tunis El Manar, Department of General Surgery, Trauma Center Ben Arous, TunisiaUniversity of Tunis El Manar, Department of General Surgery, Trauma Center Ben Arous, TunisiaSpontaneous intraperitoneal rupture of hepatic hydatid cysts is a rare but serious complication that can lead to significant morbidity and mortality due to risks such as anaphylactic shock and secondary peritoneal hydatidosis. This report presents the case of a 59-year-old male farmer from a rural area of Tunisia who presented with severe abdominal pain, nausea, and vomiting. Diagnostic imaging revealed a large hepatic cyst with free peritoneal fluid, indicating a ruptured hydatid cyst. Emergency surgery involved cyst evacuation, peritoneal lavage, and drainage. Postoperatively, the patient developed a transient biliary fistula but recovered well with albendazole therapy to prevent recurrence. Six months post-surgery, the patient remains asymptomatic. The case underscores the importance of considering hydatid disease in acute abdomen diagnoses in endemic regions and highlights the critical role of imaging and timely surgical intervention. The literature review indicates variability in the prevalence of cyst rupture and emphasizes the need for a comprehensive approach combining surgery and antiparasitic treatment for effective management and recurrence prevention.http://www.sciencedirect.com/science/article/pii/S2214250925000216Hydatid diseaseEchinococcusHydatid cystIntraperitoneal rupturePeritonitis |
| spellingShingle | Imen Ben Ismail Elmontassar Belleh Zaafouri Hakim Zenaidi Saber Rebii Ayoub Zoghlami Acute peritonitis secondary to spontaneous rupture of hepatic hydatid cyst: A case report and literature review IDCases Hydatid disease Echinococcus Hydatid cyst Intraperitoneal rupture Peritonitis |
| title | Acute peritonitis secondary to spontaneous rupture of hepatic hydatid cyst: A case report and literature review |
| title_full | Acute peritonitis secondary to spontaneous rupture of hepatic hydatid cyst: A case report and literature review |
| title_fullStr | Acute peritonitis secondary to spontaneous rupture of hepatic hydatid cyst: A case report and literature review |
| title_full_unstemmed | Acute peritonitis secondary to spontaneous rupture of hepatic hydatid cyst: A case report and literature review |
| title_short | Acute peritonitis secondary to spontaneous rupture of hepatic hydatid cyst: A case report and literature review |
| title_sort | acute peritonitis secondary to spontaneous rupture of hepatic hydatid cyst a case report and literature review |
| topic | Hydatid disease Echinococcus Hydatid cyst Intraperitoneal rupture Peritonitis |
| url | http://www.sciencedirect.com/science/article/pii/S2214250925000216 |
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