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BMMR. 2006; 9(4): 139-143


Intraperitoneal hydatid disease with no previous history of acute abdominal symptoms

Uluutku AH, Kurt Y, Akin ML, Demirbas S, Y􀃕ld􀃕z M.

Abstract
Perforation of the echinococcal cysts is one
the most common complications, which may cause
allergic, obstructive and infective problems. The free
peritoneal perforation has been reported to cause
significant acute abdominal signs and even anaphylactic
reactions. The aim of this study is to discuss
the patients who had disseminated intra-peritoneal
hydatid cysts with no or mild previous abdominal
signs. A total of 78 patients who were operated for
their abdominal hydatid diseases including 7 patients
with disseminated intraperitoneal hydatid cysts were
reviewed. Seven patients with multiple intraabdominal
cysts had synchronous hepatic cysts supposing
the source of dissemination. The most prominent
symptom of these patients was abdominal pain. The
other symptoms were nausea, weakness, fever, jaundice
and various pulmonary symptoms. Only one
patient had a mild type of acute abdominal pain and
discomfort supposing cystic intraperitoneal rupture
about two months ago. The others had no previous
history of allergic reactions or sudden abdominal
discomfort. Intraperitoneal rupture and dissemination
of hepatic cysts may not always be caused acute
abdominal symptoms and allergic reactions. There
may be previous mild abdominal symptoms or no
history of symptoms. There could be some other
factors that may affect the response of the patients to
the cyst rupture and dissemination.

Key words: Echinococcal disease, hydatid cyst, intraperitoneal rupture, allergic reactions, acute abdominal symptoms.



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