Index Copernicus IC Value: 85.42
International Journal of Case Reports and Images - IJCRI - Case Reports, Case Series, Case in Images, Clinical Images

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Case Report
 
Primary extrahepatic echinococcosis of the right lower abdomen
Ingeborg Bohlmann1, Johannes Zitt2, Bertram Wagner3
1Surgical resident, Department of General Surgery, Asklepios Clinic, Lindau, Germany.
2Surgical attendant, Department of General Surgery, Asklepios Clinic, Lindau, Germany.
3Chief of Surgery, Department of General Surgery, Asklepios Clinic, Lindau, Germany.

doi:10.5348/ijcri-2012-05-120-CR-5

Address correspondence to:
Ingeborg Bohlmann, MD
Friedrichshafenerstr. 82
88131 Lindau
Germany
Phone: 004983822763832, 004369918157736
Fax: 004983822762069
Email: ingeborg.bohlmann@iplace.at

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How to cite this article:
Bohlmann I, Zitt J, Wagner B. Primary extrahepatic echinococcosis of the right lower abdomen. International Journal of Case Reports and Images 2012;3(5):25–27.


Abstract
Introduction: Primary, intraperitoneal hydatidosis without involvement of the liver is a rare occurrence. Due to vague symptoms, echinococcosis is often neglected as a differential diagnosis.
Case Report: We present a case of a primary extrahepatic echinoccocal cyst, located in the peritoneal cavity and in immediate contact to the right psoas muscle. After initial medical treatment, the cyst was surgically removed via laparotomy. Parts of the psoas muscle had to be removed due to muscle invasion and as the impairment of vena caval blood flow seemed imminent. Apart from a minor ventral thigh paraesthesia, the patient recovered well after surgery.
Conclusion: Imaging and serologic tests are described as standard tools for diagnosing echinococcosis. Nevertheless, in uncertain cases, PCR analysis has proven to be useful. Conservative therapy of large intraabdominal echinococcal cysts has recently gained more interest. However, if the cyst is located in uncommon areas, surgery is the treatment of choice. Despite advanced imaging techniques, diagnosing intraabdominal extrahepatic echinococcosis to be quite challen ging and should be included in the differential diagnosis of abdominal pathologies.

Key Words: Echinococcosis, Hydatidosis, Extrahepatic, Abdominal tumor

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Author Contributions:
Ingeborg Bohlmann - Conception and design, Acquisition of data, Analysis and interpretation of data, Critical revision of the article, Final approval of the version to be published
Johannes Zitt - Analysis and interpretation of dat, Critical revision of the article, Final approval of the version to be published
Bertram Wagner - Analysis and interpretation of dat, Critical revision of the article, Final approval of the version to be published
Guarantor of submission:
The corresponding author is the guarantor of submission.
Source of support:
None
Conflict of interest:
Authors declare no conflict of interest.
Copyright:
© Ingeborg Bohlmann et al. 2012; This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)



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