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Revista Colombiana de Cirugía
versão impressa ISSN 2011-7582versão On-line ISSN 2619-6107
Resumo
ENSUNCHO-HOYOS, César; OVIEDO-MARTINEZ, Rafael; GARCIA-POSADA, Mara e LEON-TIRADO, William Andrés. Mesenteric and hepatic hydatid disease on the Colombian Caribbean coast. Case report. rev. colomb. cir. [online]. 2024, vol.39, n.2, pp.326-331. Epub 27-Nov-2023. ISSN 2011-7582. https://doi.org/10.30944/20117582.2345.
Introduction.
Hydatidosis or echinococcosis is a parasitic zoonosis that is acquired by ingesting eggs of cestodes of the genus Echinococcus. Clinical diagnosis is rarely made in non-endemic sites. Most patients are asymptomatic and incidental findings on imaging studies or surgical procedures allow for diagnostic suspicion.
Clinical case.
A 70-year-old male patient, resident in a rural area of the municipality of Puerto Libertador, department of Córdoba, Colombia, who consulted for an abdominal mass in the epigastrium and mesogastrium, partially mobile and painless.
Results.
In surgery, mesenteric and hepatic cystic lesions were identified. After surgery and through immunohistochemistry studies, the diagnosis of hydatid cyst was confirmed. The patient had a satisfactory evolution.
Conclusion.
Symptomatic mesenteric and hepatic cystic hydatidosis is a rare disease in non-endemic sites, where surgery constitutes a fundamental pillar in the diagnosis and treatment in addition to pharmacological medical management.
Palavras-chave : echinococcosis; hepatic echinococcosis; zoonosis; mesentery; laparotomy.