Rare as hen’s teeth: laparoscopic management of primary pelvic hydatid cyst

Hydatid disease is a zoonotic parasitic most frequently caused by echinococcus granulose Primary peritoneal hydatidosis very rare. We report case of primary hydatid the intraperitoneal pelvic space. A 22-year-old male patient presented with history abdominal pain since 5 months. Abdominal examination revealed smooth, firm, mildly tender, non-mobile lump in suprapubic region, on digital rectal examination, smooth spherical mass was felt anteriorly and laterally outside wall, mucosa normal. All routine investigations including liver function tests were within normal limits Computed tomography scan whole abdomen showed giant cyst 10×10 cm multiple well-defined cysts rectovesical pouch. Diagnostic laparoscopy performed. The liver, spleen, mesentery, omentum found to be large tense noted cavity. Partial peri-cystectomy endo-cystectomy Postoperative period uneventful discharged 4th postoperative day. intra-abdominal but extra-peritoneal localization has been reported only 0.2-2% cases making it rare entity. treatment choice for principally careful surgical excision. Here minimum invasive technique this operated results excellent.