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Late Diagnosis of Massive Peritoneal Hidatidosis After Blunt Abdominal Trauma
cir esp.
2016;94(1):e1
˜ OLA CIRUGI´ A ESPAN www.elsevier.es/cirugia
Image of the month
Late Diagnosis of Massive Peritoneal [1_TD$IF]Hidatidosis After Blunt Abdominal Trauma§ Hidatidosis [2_TD$IF]peritoneal [3_TD$IF]masiva de [4_TD$IF]diagno´stico [5_TD$IF]tardı´o [6_TD$IF]tras [7_TD$IF]traumatismo [8_TD$IF]abdominal [9_TD$IF]cerrado Montiel Jime´nez-Fuertes,a,* Jaime Ruı´z-Tovar,a Antonia Arjonilla-Lopez,b Damia´n Garcı´a-Olmo c a
Servicio de Cirugı´a General y Digestiva, Hospital Universitario Rey Juan Carlos, Mo´stoles, Madrid, Spain Servicio de Radiologı´a, Hospital Universitario Rey Juan Carlos, Mo´stoles, Madrid, Spain c Servicio de Cirugı´a General y Digestiva, Fundacio´n Jime´nez Dı´az, Madrid, Spain b
[(Fig._1)TD$IG]
Fig. 1 The patient is a 38-year-old woman who reported pain and progressive abdominal distension. Her medical history included a hydatid cyst in liver segment VIIthat had been diagnosed by ultrasound after a car accident 2 years before. CT scan (Fig. 1) showed evidence of innumerable lesions in the context of disseminated hydatid disease. During surgery, we observed peritoneal echinococcosis (crystalline fluid with numerous floating vesicles), massive disseminated hydatid disease and hydatid carcinomatosis (millimetric cysts disseminated on the peritoneal surface). The fluid was suctioned and we proceeded with splenectomy, pericystectomy, bilateral diaphragm resection, resection of the visible vesicles and peritonectomy with electrofulguration of the non-resected parietal peritoneum. §
Please cite this article as: Jime´nez-Fuertes M, Ruı´z-Tovar J, Arjonilla-Lopez A, Garcı´a-Olmo D. Hidatidosis peritoneal masiva de diagno´stico tardı´o tras traumatismo abdominal cerrado. Cir Esp. 2016;94:e1. * Corresponding author. E-mail address: [email protected] (M. Jime´nez-Fuertes). 2173-5077/ # 2015 AEC. Published by Elsevier Espan˜a, S.L.U. All rights reserved.
2016;94(1):e1
˜ OLA CIRUGI´ A ESPAN www.elsevier.es/cirugia
Image of the month
Late Diagnosis of Massive Peritoneal [1_TD$IF]Hidatidosis After Blunt Abdominal Trauma§ Hidatidosis [2_TD$IF]peritoneal [3_TD$IF]masiva de [4_TD$IF]diagno´stico [5_TD$IF]tardı´o [6_TD$IF]tras [7_TD$IF]traumatismo [8_TD$IF]abdominal [9_TD$IF]cerrado Montiel Jime´nez-Fuertes,a,* Jaime Ruı´z-Tovar,a Antonia Arjonilla-Lopez,b Damia´n Garcı´a-Olmo c a
Servicio de Cirugı´a General y Digestiva, Hospital Universitario Rey Juan Carlos, Mo´stoles, Madrid, Spain Servicio de Radiologı´a, Hospital Universitario Rey Juan Carlos, Mo´stoles, Madrid, Spain c Servicio de Cirugı´a General y Digestiva, Fundacio´n Jime´nez Dı´az, Madrid, Spain b
[(Fig._1)TD$IG]
Fig. 1 The patient is a 38-year-old woman who reported pain and progressive abdominal distension. Her medical history included a hydatid cyst in liver segment VIIthat had been diagnosed by ultrasound after a car accident 2 years before. CT scan (Fig. 1) showed evidence of innumerable lesions in the context of disseminated hydatid disease. During surgery, we observed peritoneal echinococcosis (crystalline fluid with numerous floating vesicles), massive disseminated hydatid disease and hydatid carcinomatosis (millimetric cysts disseminated on the peritoneal surface). The fluid was suctioned and we proceeded with splenectomy, pericystectomy, bilateral diaphragm resection, resection of the visible vesicles and peritonectomy with electrofulguration of the non-resected parietal peritoneum. §
Please cite this article as: Jime´nez-Fuertes M, Ruı´z-Tovar J, Arjonilla-Lopez A, Garcı´a-Olmo D. Hidatidosis peritoneal masiva de diagno´stico tardı´o tras traumatismo abdominal cerrado. Cir Esp. 2016;94:e1. * Corresponding author. E-mail address: [email protected] (M. Jime´nez-Fuertes). 2173-5077/ # 2015 AEC. Published by Elsevier Espan˜a, S.L.U. All rights reserved.