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Disseminated pelvic hydatidosis presenting as ovarian carcinomatosis: Successful post‐operative treatment with mebendazole
Author(s) -
Mousa A.M.,
Mehrez M.G.,
Muhtaseb S.A.,
AlMudalal D.S.,
Kamel S.M.
Publication year - 1987
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/0020-7292(87)90065-8
Subject(s) - medicine , mebendazole , echinococcosis , peritoneal carcinomatosis , surgery , general surgery , cancer , colorectal cancer , ecology , biology
The case of a female with disseminated pelvic cystic hydatidosis presenting as ovarian carcinomatosis 2.5 years after repeated abdominal paracentesis is reported. The diagnosis was made during surgery and confirmed by serology and histological examination. Over 100 cysts were removed from the abdominal cavity and wall. Innumerable small cysts studded the viscera; these and larger inaccessible ones were untouched. Medical cure in this patient was achieved with a combination of partial resection and special irrigation, broad spectrum antibiotic for coverage of infectious episodes and high dose long term mebendazole therapy for 25 months. The danger of blind aspiration in patients coming from endemic areas is emphasized.