A case of disseminated hydatid disease by surgery involving multiple organs

Echinococcosis is especial ly endemic to the Mediterranean Region, Australia, the Middle East, Turkey, Africa, and South America, and is the most common zoonotic infection in the world. Echinococcosis in humans is caused by the larval stages of cestode species of the genus Echinococcus, predominantly by Echinococcus granulosus[1]. These cysts are often seen as a single cyst in humans, although multiple cysts or multiple organ involvement has been observed. Echinococcosis can involve any organ in the human body[2]. The liver (50%70%) is the most common site of hydatid cysts, followed by the lungs (20%-30%)[3], kidney (2%-3%), brain (1%-2%), spine (1%), and eyes (0.2%)[4]. Occasionally, heart, thyroid, spleen, pancreas, and muscle involvement may be seen[3,5]. Secondary peritoneal involvement can occur due to the spontaneous rupture of a hydatid cyst in the liver or spleen, or accidental spillage during surgery. Primary peritoneal involvement is very rare, and constitutes less than 0.5% of all intra-abdominal hydatidosis[1]. Here, we present an unusual case of multiple cystic hydatidosis with radiological findings.