{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T23:17:40Z","timestamp":1788304660324,"version":"build-2803163510"},"reference-count":23,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T00:00:00Z","timestamp":1777420800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Cystic echinococcosis is a zoonotic parasitic disease with heterogeneous presentation and stage-conscious management. Data describing the clinical profile, imaging pathways, management patterns, and outcomes of pediatric cases in Jordan remain limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively reviewed 41 patients (0\u201313 years) with radiologically confirmed hydatid cysts treated between March 2022 and May 2025. Diagnosis was established using abdominal ultrasound and\/or computed tomography (CT), and cysts were staged according to the Gharbi and WHO criteria. Forty patients underwent open cyst deroofing combined with albendazole (15\u201320\u2005mg\/kg\/day; one preoperative course and six months post-operatively), whereas one received medical therapy alone. Collected variables included demographics, exposure history, cyst location and stage, operative metrics (duration and blood loss), length of stay, postoperative complications, and recurrence during follow-up (median 12 months).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean age was 9.3\u2009\u00b1\u20093.1 years; 56% were female, and 76% reported domestic animal contact. Liver involvement was most common (56%), followed by lung (39%); 90% had single-organ disease. Type III cysts predominated (37%). The mean operative time was 105\u2009\u00b1\u200924\u2005min, and the mean hospital stay was 6\u2009\u00b1\u20093 days. Postoperative complications occurred in 34% (pneumonia 15% and intra-abdominal collections 10%). Recurrence during follow-up (median 12 months) was 4.9%.No demographic or exposure factors significantly predicted complications or recurrence (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;gt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Open deroofing plus albendazole in Northern Jordanian children was associated with low recurrence and acceptable morbidity. Expanded ultrasound screening, community zoonosis education, and WHO-aligned protocols are needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fsurg.2026.1779069","type":"journal-article","created":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T06:09:04Z","timestamp":1777442944000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Clinical profile, imaging characteristics, and operative outcomes of pediatric cystic echinococcosis in Northern Jordan: a single-center retrospective study"],"prefix":"10.3389","volume":"13","author":[{"given":"Mohammad","family":"Aladaileh","sequence":"first","affiliation":[{"name":"Department of General Surgery and Anesthesia, Faculty of Medicine, Yarmouk University","place":["Irbid, Jordan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saleh A.","family":"Ba-Shammakh","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Ministry of Health","place":["Amman, Jordan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joud","family":"Al Ramadneh","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Jordan University of Science and Technology","place":["Irbid, Jordan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yousef","family":"Badran","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Jordan University of Science and Technology","place":["Irbid, Jordan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Musab","family":"Al-A\u2019athal","sequence":"additional","affiliation":[{"name":"Department of Public Health and Community Medicine, Jordan University of Science and Technology","place":["Irbid, Jordan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Almu\u2019atasim","family":"Khamees","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Ministry of Health","place":["Amman, Jordan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tayseer","family":"Al-tawarah","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Urology and Anesthesia, Faculty of Medicine, The Hashemite University","place":["Zarqa, Jordan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anas","family":"Aljaiuossi","sequence":"additional","affiliation":[{"name":"Department of General Surgery and Anesthesia, Faculty of Medicine, Yarmouk University","place":["Irbid, Jordan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bassem","family":"Al Bataineh","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Jordan University of Science and Technology","place":["Irbid, Jordan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad","family":"AL-Smirat","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Ministry of Health","place":["Amman, Jordan"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,4,29]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1016\/j.fjs.2014.12.001","article-title":"Hydatid disease in children: our experience","volume":"47","author":"Gupta","year":"2014","journal-title":"Formos J Surg"},{"key":"B2","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1016\/j.prrv.2021.11.001","article-title":"Paediatric pulmonary echinococcosis: a neglected disease","volume":"43","author":"Goussard","year":"2022","journal-title":"Paediatr Respir Rev"},{"key":"B3","doi-asserted-by":"publisher","first-page":"204","DOI":"10.1186\/s13019-023-02327-w","article-title":"Hospital-based retrospective analysis of 224 surgical cases of lung hydatid cyst from southern Iran","volume":"18","author":"Shahriarirad","year":"2023","journal-title":"J Cardiothorac 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hydatiques chez l'enfant en Tunisie [retrospective study of the distribution and the fertility of hydatid cysts in the child in Tunisia]","volume":"60","author":"M'rad","year":"2012","journal-title":"Pathol Biol"},{"key":"B8","volume-title":"WHO guidelines for the Treatment of Patients with Cystic Echinococcosis","year":"2025"},{"key":"B9","article-title":"Echinococcosis","year":"2021"},{"key":"B10","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.actatropica.2009.11.001","article-title":"Expert consensus for the diagnosis and treatment of cystic and alveolar echinococcosis in humans","volume":"114","author":"Brunetti","year":"2010","journal-title":"Acta Trop"},{"key":"B11","doi-asserted-by":"publisher","first-page":"e34","DOI":"10.1017\/S0022149X2400021X","article-title":"Ultrasound diagnosis of cystic echinococcosis: updates and implications for clinical management","volume":"98","author":"Tamarozzi","year":"2024","journal-title":"J 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An overview","volume":"6","author":"Ros","year":"2002","journal-title":"Clin Liver Dis"},{"key":"B19","doi-asserted-by":"publisher","first-page":"101","DOI":"10.2174\/1871526518666180629134511","article-title":"Albendazole and treatment of hydatid cyst: review of the literature","volume":"19","author":"Dehkordi","year":"2019","journal-title":"Infect Disord Drug Targets"},{"key":"B20","doi-asserted-by":"publisher","first-page":"124","DOI":"10.3748\/wjg.v21.i1.124","article-title":"Review of the treatment of liver hydatid cysts","volume":"21","author":"Gomez i Gavara","year":"2015","journal-title":"World J Gastroenterol"},{"key":"B21","first-page":"1373","article-title":"Hepatic hydatid disease: surgical experience over 15 years","volume":"55","author":"Agayev","year":"2008","journal-title":"Hepatogastroenterology"},{"key":"B22","doi-asserted-by":"publisher","first-page":"1","DOI":"10.58742\/bmj.v2i1.69","article-title":"What are the strategies for controlling hydatid cysts in developing countries?","volume":"2","author":"Hussein","year":"2024","journal-title":"Barw Med J"},{"key":"B23","doi-asserted-by":"publisher","first-page":"360","DOI":"10.4103\/jmas.JMAS_220_20","article-title":"Comparison of laparoscopic and open surgery in hepatic hydatid disease in children: feasibility, efficacy and safety","volume":"18","author":"Masood","year":"2022","journal-title":"J Minim Access Surg"}],"container-title":["Frontiers in Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2026.1779069\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T06:09:14Z","timestamp":1777442954000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2026.1779069\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,29]]},"references-count":23,"alternative-id":["10.3389\/fsurg.2026.1779069"],"URL":"https:\/\/doi.org\/10.3389\/fsurg.2026.1779069","relation":{},"ISSN":["2296-875X"],"issn-type":[{"value":"2296-875X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,29]]},"article-number":"1779069"}}