CASE REPORT article
Front. Pediatr.
Sec. Pediatric Surgery
Volume 13 - 2025 | doi: 10.3389/fped.2025.1623294
Case Report: Simultaneous Hepatic and Renal Echinococcosis in a child: A Multidisciplinary Approach
Provisionally accepted
- 1Department of Hepatobiliary and Pancreatic Surgery, Chengdu 363 Hospital Affiliated to Southwest Medical University, Chengdu, China
- 2the Second Affiliated Hospital of Chengdu Medical College, Chengdu, China
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We report an uncommon instance of simultaneous hepatic and renal echinococcosis in a 5-year-old child belonging to a pastoral region. The child was admitted following the detection of a palpable abdominal mass one month prior.Imaging studies identified multiple echinococcal lesions in the liver and a sizable cystic mass in the kidney, with serological assays confirming infection with Echinococcus granulosus. Following a multidisciplinary team (MDT) discussion, the patient underwent surgical intervention, which included radical multiple pericystectomies of the liver and an endocystectomy of the right renal echinococcal cyst, resulting in complete removal of the lesions. Postoperatively, the patient experienced transient hypernatremia and hepatic dysfunction, both of which were effectively managed. The child was discharged on postoperative day 7 and exhibited no recurrence at the 1-month follow-up. This case underscores the rarity and complexity of pediatric hepatic and renal echinococcosis, highlighting the critical importance of early diagnosis and tailored surgical treatment to achieve successful outcomes.
Keywords: Pediatric echinococcosis, Hepatic echinococcosis, renal echinococcosis, Multidisciplinary team, surgical treatment
Received: 05 May 2025; Accepted: 02 Jul 2025.
Copyright: © 2025 Zhou, Xia and Zou. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Haibo Zou, Department of Hepatobiliary and Pancreatic Surgery, Chengdu 363 Hospital Affiliated to Southwest Medical University, Chengdu, China
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