外科ジャーナル

Laparoscopic Management of Hydatid Cyst in Children

Abstract

Radu N Bălănescu, Laura Topor and Andreea Moga

Hydatidosis is a zoonosis produced by the larval stage of Echinococcus granulosus, with an endemic distribution, mainly in the rural areas. Frequently it is localized in the liver (60%) or in the lungs (30%), with most of the patients being asymptomatic. The positive diagnosis is based on ultrasonography, CT or MRI scans, as well as immunological studies (ELISA). The management of hydatidosis includes medical treatment with Albendazole in association with surgical treatment, which may be achieved by open surgery or laparoscopic approach. We present the case of a 5 year-old patient, who was admitted to hospital for recurrent episodes of epistaxis, shortness of breath and abdominal fullness and was diagnosed with hepatic and pulmonary hydatidosis. We decided to perform a laparoscopic Lagrot pericystectomy and postoperative medical treatment with Albendazole, with favorable outcome.