Primary retroperitoneal echinococcal cyst

A 74-year-old man was admitted with right flank pain and discomfort lasting for 2 months. CT scanning revealed a large retroperitoneal cystic mass. There were no cysts elsewhere. Serological testing revealed hydatid disease. Preoperatively he was treated by Albendazole 400 mg for 1 month and then un...

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Bibliographic Details
Published in:BMJ case reports 2012-11, Vol.2012, p.bcr2012006465
Main Authors: Gavriilidis, Paschalis, Ananiadis, Ananias, Theodoulidis, Vasilios, Barbanis, Sotirios
Format: Article
Language:English
Subjects:
Abdomen
Aged
Albendazole - therapeutic use
Anticestodal Agents - therapeutic use
Cysts
Diagnosis, Differential
Echinococcosis - diagnosis
Echinococcosis - drug therapy
Echinococcosis - surgery
Europe (East)
Humans
Infections
Male
Rare Disease
Retroperitoneal Space
Tomography, X-Ray Computed
White
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Description
Summary:A 74-year-old man was admitted with right flank pain and discomfort lasting for 2 months. CT scanning revealed a large retroperitoneal cystic mass. There were no cysts elsewhere. Serological testing revealed hydatid disease. Preoperatively he was treated by Albendazole 400 mg for 1 month and then underwent laparotomy. The entire mass was excised en bloc and intact and right hemicolectomy was simultaneously performed for excision of the adhered ascending colon. He recovered uneventfully and was discharged on the eighth day, Albendazole was given and follow-up visits were arranged for every 6 months. Total cystectomy in case of active echinococcal cysts remains the treatment of choice.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2012-006465