Marco César Valenzuela-Ramos MC, Navarrete-Arellano M, Soto-Fernández AE

Language: Spanish
References: 0
Page: 38-43
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ABSTRACT

Introduction: Hydatid cyst is caused by Echinococcus granulosus, causes severe disease in humans, the route of infection is ingestion of eggs undercooked viscera of animals for human consumption. The most frequently affected organ is the liver in children. The clinical picture and treatment depend on the location of the condition.
Clinical Case Description: 9 year old female patient with an evolving three months with headache and abdominal pain. On physical examination, with mass of 5 x 5 cm right upper quadrant, mobile and painful. CT hypodense lesions in liver liquid density. It was decided to carry drainage from the lesion in the left lobe of the liver. Reported abundant protoescoleces Bacteriology of Echinococcus granulosus. Subsequently subjected to laparoscopy and washing carried out adherenciolisis the abdominal cavity with hypertonic saline. Evolve to improvement and was discharged postlaparoscopía day 4, with treatment with albendazole. A CT ruled two months after hepatic recurrence.
Discussion: The hydatid cyst has no pathognomonic pattern of symptoms and signs, and in the presence of a cystic liver mass must have a high index of suspicion and treated appropriately diagnosed cases, the risk of a severe anaphylactic reaction and can be fatal . The treatment of this condition is surgical and should be assisted in the management of infectious diseases doctor. In our patient the adherenciolisis and laparoscopic peritoneal lavage, contributed to its improvement. Medical treatment should begin preoperatively with oral albendazole and intravenous Antacids. The monitoring of these patients is ideally by ELISA for Echinococcus granulosus. In this case the CT was useful to rule out recurrence in the liver.