Acute appendicitis caused by Echinococcus granulosus: report of a case and literature review

  • Angel F. Vera-Portilla Servicio de Cirugia General, Departamento de Cirugia, Hospital Regional Honorio Delgado Espinoza. Arequipa, Peru; Universidad Nacional de San Agustin. Arequipa, Peru. https://orcid.org/0000-0002-4128-8990
  • Gean Zevallos-Delgado Servicio de Cirugia General, Departamento de Cirugia, Hospital Regional Honorio Delgado Espinoza. Arequipa, Peru; Universidad Nacional de San Agustin. Arequipa, Peru. http://orcid.org/0000-0001-5855-2068
  • Diana Cuayla-Flores Servicio de Cirugia General, Departamento de Cirugia, Hospital Regional Honorio Delgado Espinoza. Arequipa, Peru; Universidad Nacional de San Agustin. Arequipa, Peru. http://orcid.org/0000-0001-8363-0072
  • Walter Vera-Portilla Servicio de Cirugia General, Departamento de Cirugia, Hospital Regional Honorio Delgado Espinoza. Arequipa, Peru; Universidad Nacional de San Agustin. Arequipa, Peru. http://orcid.org/0000-0003-3578-5218
Keywords: Appendicitis/etiology, Echinococcosis, Abdomen, acute

Abstract

Acute appendicitis is the most frequent surgical emergency instance in young adults; and its association with parasitic infections is rare. Of these particular cases, appendix location of hydatid cyst is extremely rare; and there have been published reports of such cases only in Iran, India, Tunisia, and Peru. We present the case of a 52-year old male subject born in Puno, with no relevant past medical history, who was admitted with a clinical condition typically consistent with acute appendicitis. When this patient underwent surgery, the appendix was found showing a cystic mass, compatible with complicated Echinococcus granulosus hydatid cyst. Later on, three additional intraabdominal hydatid cysts were identified. There was no surgical or trauma past history, so it was concluded this condition corresponded to disseminated primary intraabdominal location of hydatid disease, including the appendix, liver, and peritoneum.

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Published
2020-12-27
How to Cite
1.
Vera-Portilla AF, Zevallos-Delgado G, Cuayla-Flores D, Vera-Portilla W. Acute appendicitis caused by Echinococcus granulosus: report of a case and literature review. Acta Med Peru [Internet]. 2020Dec.27 [cited 2021May8];37(4). Available from: https://www.amp.cmp.org.pe/index.php/AMP/article/view/948
Section
CASE REPORTS