Pediatric Cystic Echinococcosis in Northern Jordan: A Retrospective Analysis of Clinical Features, Imaging Findings, and Surgical Results from a Single Institution

By
Aladaileh, Mohammad
Ba-shammakh, Saleh A.
Al Ramadneh, Joud
Badran, Yousef
Al-A'athal, Musab
Khamees, Almu'Atasim
Al-tawarah, Tayseer
Aljaiuossi, Anas
Al Bataineh, Bassem
AL-Smirat, Mohammad
March 30, 2026
0 min

Frontiers In Surgery

Overview

This study analyzes 41 pediatric cases of cystic echinococcosis in Northern Jordan, highlighting clinical features, imaging findings, and surgical outcomes. The findings indicate that open cyst deroofing combined with albendazole resulted in low recurrence rates and manageable postoperative complications.

Background

Cystic echinococcosis is a significant zoonotic disease caused by Echinococcus granulosus, particularly affecting children in endemic regions. Understanding its clinical presentation and management is crucial for improving outcomes and reducing morbidity. This study provides valuable insights into the pediatric population in Northern Jordan, where data on this condition is limited.

Data Highlights

Variable	Value
Mean Age	9.3 ± 3.1 years
Female Percentage	56%
Domestic Animal Contact	76%
Liver Involvement	56%
Lung Involvement	39%
Mean Operative Time	105 ± 24 minutes
Mean Hospital Stay	6 ± 3 days
Postoperative Complications	34%
Recurrence Rate	4.9%

Key Findings

56% of patients had liver involvement, while 39% had lung involvement.
90% of cases presented with single-organ disease.
Type III cysts were the most common, accounting for 37% of cases.
Postoperative complications occurred in 34% of patients, with pneumonia being the most frequent.
The median follow-up period was 12 months, with a recurrence rate of 4.9%.

Clinical Implications

The study underscores the effectiveness of open cyst deroofing combined with albendazole in managing pediatric cystic echinococcosis, suggesting a low recurrence and acceptable morbidity. Enhanced screening and community education about zoonotic transmission are recommended to improve early detection and management.

Conclusion

This analysis of pediatric cystic echinococcosis in Northern Jordan demonstrates the importance of surgical intervention and adjunctive medical therapy. Continued efforts in education and screening are essential for better outcomes in affected populations.