A propos of a case: Abdominal compartment syndrome caused by massive hydatid disease.

A propos of a case: Abdominal compartment syndrome caused by massive hydatid disease. Rev Esp Enferm Dig. 2016 Feb;108(2):110-1 Authors: Moreno Serrano A, García Díaz JJ, Ferrer Márquez M, Moreno Marín P, Fabiano P Abstract A 31-year-old Moroccan male patient from a rural area, with no remarkable history, presents at the emergency room for breathlessness and abdominal pain of one week standing. A thorough physical exam and chest-abdominal CT scan were performed, which revealed three large hydatid cysts in the liver, the bigger one in segment VI, as well as massive peritoneal hydatid disease. He was admitted to Surgery and put on fluid therapy, analgesia, and drug therapy including albendazole and praziquantel. On the seventh day after admission his health status worsened with respiratory distress and evidence of congestive heart failure. An emergency mini-laparotomy for decompression was carried out, which removed 13 liters of ascitic fluid and hydatids. Following a positive recovery he was scheduled for surgery within fifteen days. The patient underwent cholecystectomy, bile duct assessment, closed cystectomy for a large mesenteric cyst, open pericystectomy for cysts in segments II-III and VI, and omentectomy with removal of several peritoneal cysts (Figure 2). The patients had a favorable outcome and was discharged on albendazole (800 mg/24 h) after 15 days. The pathology report confirmed hydatid disease. PMID: 2683850...
Source: Revista Espanola de Enfermedades Digestivas - Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research