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Acta Médica Peruana

On-line version ISSN 1728-5917


VELASQUEZ-ROQUE, Mario; MUNOZ DEL CARPIO TOIA, Agueda; VELASQUEZ-ORTEGA, Luis  and  VELASQUEZ LAZO, César. Periappendiceal hydatid disease in an elderly patient: a case report. Acta méd. peruana [online]. 2016, vol.33, n.2, pp.146-149. ISSN 1728-5917.

Hydatid disease is a zoonotic disease caused most frequently by Echinococcus granulosus and Echinococcus multilocularis. A periappendiceal primary location is extremely rare. The case of a 63-year-old patient is presented. She is from a high Andean region in Cusco. She has had contact with cattle, sheep, and dogs. She had symptoms of disease for a period of approximately 10 years. The predominant symptoms were abdominal pain in the right hemi-abdomen. The physical examination revealed a mobile tumor mass in the right iliac area. The ultrasound scan evidenced cholelithiasis and complex cystic mass in the lower right hemi-abdomen, suggesting peritoneal hydatidosis. A total cholecystectomy and cystectomy was performed (with adherence to cecal appendix). Histopathological results confirmed the diagnosis of a periappendiceal hydatid cyst measuring 3.94 x 3.15 inches, and acute catarrhal appendicitis. The importance of this case is based on the unusual location of a primary hydatid cyst.

Keywords : Hydatidosis; Health of the elderly; Abdominal pain; Peritoneal diseases.

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