Generalised recurrent hydatidosis with unusual subcutaneous polycystic localisation

Abstract

Introduction: Echinococcosis, also known as Hydatidosis, is a parasitic infection caused by Echinococcus species. Although the infection has a worldwide distribution with higher prevalence in certain regions, the incidence in western countries has been declining. As a result, both diagnosis and treatment have become a great challenge for health systems and medical practitioners. Case Presentation: Such an example is the rare case of an 82-year-old woman first diagnosed with echinococcosis 50 years ago. Even though she had multiple recurrences and multiple surgeries in the past, she presented with multiple pelvic and intra abdominal cysts, one of which had ruptured and fistulised to the skin of the anterior abdominal wall. Due to the complexity of this case, the multidisciplinary team of our hospital suggested a four- week therapy with albendazole before surgical treatment in an outpatient setting. Conclusion: Subcutaneous cysts of the anterior abdominal wall are rare findings, even in countries where the hydatid parasite is endemic. In complex cases of echinococcosis, the preoperative administration of albendazole aims to reduce the risk of recurrence and decrease the size of the cyst, facilitating surgical excision. Medical practitioners around the world must be fully aware of the unusual presentations of echinococcosis and the options that they have regarding the management of complicated patients.