PubMed · 4070876
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M Chifan, V Strat, E Tîrcoveanu, M R Diaconescu, D Niculescu, S Georgescu. [Reinterventions in hydatid cyst surgery].. https://pubmed.ncbi.nlm.nih.gov/4070876/
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Treatment of liver hydatid cyst is still controversial. Besides medical treatment, interventional radiologic techniques and traditional surgery, recently the laparoscopic approach has been proposed. Laparoscopic treatment of liver hydatid cyst, however, has not been well defined so far and seems to be associated with a recurrence rate from 0 to 9%, in a 3-49 months follow-up. Disadvantages of the laparoscopic approach are difficult control of spillage, peritoneal dissemination of parasites and incomplete aspiration of high density fluid contents of the cyst. The authors have reviewed the literature and describe a personal technique to avoid this disadvantage and to reduce postoperative recurrence rate.
We describe an unusual case of disseminated peritoneal hydatidosis in a 64 year ld woman, with previous surgery for liver hydatidosis (22 years before) and show the radiological features in question. Serological tests and radiological imaging allow diagnosis of hydatid disease and are useful in assessing response to therapy. In this case no changes in size, number and density of lesions and clinical features are present after albendazole therapy.