[Diagnosis and treatment of abdominal hydatid cysts in children. A multicentric study]. / Diagnosticul si tratamentul chistului hidatic cu localizare abdominala la copil--studiu multicentric.

UNLABELLED: Echinococcosis is one of the most frequent parasitosis and is endemic in Romania. MATERIAL AND METHOD: The data on 111 children with abdominal localization of hydatidosis who underwent exploration and treatment in 3 pediatric surgical clinics were reviewed. The study evaluated 59 patients who were treated at "Sf. Maria" pediatric hospital Iasi during 2004 and 2009, 47 at "Marie Curie" pediatric hospital from Bucharest during 2000 - 2009 and 5 children at Bacau General Hospital 2004-2009. The medical records were reviewed for: demographics, age, gender, location of the cyst, operative procedure, medical treatment, outcome, length of hospital stay and postoperative follow up. RESULTS: Age ranged between 2 and 17 years and male/female ratio was 1,1/1.67% of patients lived in rural areas. The liver was the most common organ involved: in 69 cases it was the only organ involved and there were 2 kidney cyst cases, 8 spleens involved, 2 cases in broad ligament, 13 peritoneal cases and 26 cases of cyst located in great omentum. The preferred surgical procedure was Lagrot partial pericystectomy. For medical antihelminthic treatment it was used Albendazole. As complications there were: biliary fistulas, postoperative cholangitis, infection of the residual cavity, anaphylactic reactions. The mortality rate was 0%. CONCLUSIONS: Most of the patients were from rural area. The liver was the major organ involved. The treatment includes both surgical and medical means. There is a relatively high rate of postoperative complications (although some of them being minor) in 31 patients.

Dracunculosis of the broad ligament. A case of a "parasitic leiomyoma".

This report describes the case of a 29-year-old Nigerian woman with dracunculosis presenting as an adnexal mass. The patient had a history of two second-trimester spontaneous abortions for which she was being evaluated. During the evaluation, she was found to have multiple uterine leiomyomas and a calcified left adnexal mass by pelvic ultrasound and radiography. At laparotomy, the calcified mass was excised from the left broad ligament, and a myomectomy was performed. Histologic examination revealed a calcified, coiled guinea worm embedded in the fibrous tissue of the broad ligament. Only one other case of calcified guinea worm in the broad ligament has been reported in the literature.