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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Peritoneal echinococcosis: Anatomoclinical features and surgical treatment
World Journal of Surgery, Volume 36, No. 5, Year 2012
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Description
Background: Peritoneal hydatid disease is a rare and poorly known disease. We report our experience with 17 patients treated for peritoneal echinococcosis. The main objectives were to analyze and discuss the specific features of the anatomic peritoneal lesions along with their surgical treatment. Methods: We analyzed retrospectively all patients treated in our unit for peritoneal echinococcosis between January 2001 and December 2008. Preoperative description of the lesions, and the surgical procedures were carefully reported. Results: Peritoneal hydatidosis represented 6.3% of all abdominal localizations. There were 10 women (58.8%) and 7 men (41.2%). Median age was 34 years. Ten patients (58.8%) had had previous surgery for abdominal echinococcosis. Ten patients (58.8%) had synchronous abdominal localization of hydatid disease, and two patients had synchronous pulmonary localization. Sixteen patients were operated on by laparotomy. We classified the anatomic lesions into four groups: localized form (n = 6, 37.4%), disseminated form (n = 8, 50%), "hydatid carcinomatosis" (n = 3, 18.7%), hydatidoperitoneum (n = 1, 6.25%). One patient had a ruptured hydatid cyst of the left liver. We performed total cystectomies in 10 patients, partial cystectomies in 8 patients, and omentectomy in 5 patients. Two patients (12.5%) had surgical complications. One patient (6.25%) died owing to a pulmonary embolism. Anthelmintic chemotherapy was given to two patients before surgery and to nine patients postoperatively. Recurrences were seen in two patients (14.2%). Conclusions: Peritoneal echinococcosis can cause a large variety of specific and complex anatomic lesions. The disseminated form is the most common, and therefore the surgical treatment is challenging in most cases. © Société Internationale de Chirurgie 2012.
Authors & Co-Authors
Majbar, Anass Mohammed
Morocco, Agdal Rabat
Ibn Sina Hospital, Agdal Rabat
Morocco, Rabat
Faculté de Médecine et de Pharmacie de Rabat
Souadka, Amine
Morocco, Agdal Rabat
Ibn Sina Hospital, Agdal Rabat
Morocco, Rabat
Faculté de Médecine et de Pharmacie de Rabat
Sabbah, Farid
Morocco, Rabat
Faculté de Médecine et de Pharmacie de Rabat
Raïss, Mohammed
Morocco, Agdal Rabat
Ibn Sina Hospital, Agdal Rabat
Morocco, Rabat
Faculté de Médecine et de Pharmacie de Rabat
Hrora, Abdelmalek El Malk
Morocco, Agdal Rabat
Ibn Sina Hospital, Agdal Rabat
Morocco, Rabat
Faculté de Médecine et de Pharmacie de Rabat
Ahallat, Mohamed
Morocco, Agdal Rabat
Ibn Sina Hospital, Agdal Rabat
Morocco, Rabat
Faculté de Médecine et de Pharmacie de Rabat
Statistics
Citations: 32
Authors: 6
Affiliations: 2
Identifiers
Doi:
10.1007/s00268-012-1475-6
ISSN:
03642313
e-ISSN:
14322323
Research Areas
Cancer
Health System And Policy
Participants Gender
Male
Female