Rare Coexistence of Hepatic and Mesenteric Hydatid Cysts

Abstract Hydatid disease is a worldwide spread and mostly affects liver and lungs. The liver is the primary site of infection, with hydatid cysts predominantly developing in the right lobe. In contrast, mesenteric involvement is uncommon and occurs due to secondary dissemination, either via direct extension or hematogenous spread. The clinical presentation of hydatid disease varies widely, ranging from asymptomatic cysts to complications such as rupture, secondary infection, or mass effect. Management typically involves surgical excision or percutaneous aspiration techniques, with albendazole therapy used as an adjunct to prevent recurrence. In this report, we present a rare case of a 38-year-old male with concurrent hepatic and mesenteric hydatid cysts, successfully treated with laparoscopic excision and drainage.