Primary Mesenteric Hydatid Cyst- A Rare Case Report

A fairly uncommon condition is primary mesenteric hydatid cyst. Echinococcus granulosus, the most frequent cause of hydatid illness in which humans are unintentionally an intermediate host. The condition affects the liver 75% of the time, the lung 15% of the time, and extrahepatic hydatid cysts 10% of the time in the brain, breast, ovary, mesentery, bones, and soft tissues of the body. These are rare lesions with incidence of 1:100000 in adults, and 1:20000 in children. Mesenteric hydatid cyst are usually remains asymptomatic for many years. Peritoneal, mesenteric hydatid disease is a clinical challenge, presenting with cystic mass, especially in endemic areas. High resolution ultrasonography is the first line screening for mesenteric hydatid cyst. Imaging studies CT scan and ultrasonography showed a well-defined, double wall, anechoic or hypoechoic single or multiple small cyst with a honeycomb pattern with or without calcification. The best treatment modalities have been surgical excision of cyst with adjuvant Albendazole therapy is the gold standard treatment procedure.

We are reporting a 30 years old male patient complains of pain in abdomen and lump in right iliac fossa of size 10x8 cm. On ultrasonography diagnosed as a simple mesenteric cyst. On exploration, cyst was in the mesentery of small bowel and cyst completely excised. Histopathological examination showed a hydatid cyst with multiple daughter cyst inside the mother cyst.