Managing Large Bowel Obstruction From Colorectal Cancer in the Presence of Multiorgan Hydatid Disease: A Multidisciplinary Challenge

Large bowel obstruction may represent a surgical emergency due to the risk of sepsis and hemodynamic instability, particularly given the underlying etiologies such as colorectal malignancies. Hydatid cyst mainly occurs in the liver and may migrate to other organs, particularly the lungs. It may remain asymptomatic for years, often discovered incidentally during abdominal ultrasound. Coexistence of colorectal cancer and hydatid cyst is a rare phenomenon, which when presenting, demands close cooperation of surgical, oncological and infectious diseases specialties to ensure proper management. This report presents a case of large bowel obstruction found to be caused by colorectal cancer in a patient with known hepatic and pulmonary hydatid cyst. Clinical presentation, diagnosis, surgical procedures are reviewed with emphasis on the importance of multidisciplinary collaboration in rare-dual pathology to ensure appropriate management and avoid unintended multi-therapeutic interactions.