An unusual presentation of hydatid cyst of liver (a case report)

AUTHORS

Nader Fayazi 1 , * , Seied Hesamaldin Banihashemi 2

1 Assistant Professor Department of Internal Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

2 Assistant Professor Department of Surgery, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

How to Cite: Fayazi N, Banihashemi S H. An unusual presentation of hydatid cyst of liver (a case report), Hormozgan Med J. 2007 ; 11(1):e89118.

ARTICLE INFORMATION

Hormozgan Medical Journal: 11 (1); e89118
Published Online: September 19, 2006
Article Type: Case Report
Received: September 28, 2005
Accepted: September 19, 2006

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Abstract

Introduction: Hydatid cyst mainly involves liver and lung. In the liver, it usually
has a benign behavior, but occasionally it may rupture and produces obstructive
jaundice. Rarely hydatid cyst of the liver ruptures directly into the peritoneal cavity.
Case report: A 25-years-old man with progressive abdominal protrusion was
admitted to our center. He had complaint of vague constant abdominal pain, early
satiety and nausea 3 years prior to admission. Physical exam revealed severe
abdominal distension with mild generalized tenserness and muscle wasting. Lab
findings were normal except for 11% eosinophilia in peripheral blood smear.
Sonography of abdomen revealed multiple hypoechoic cysts in the abdominal cavity.
Abdominal CT scan confirmed sonographic finding and revealed additional cysts in
the liver. High titer antibody against echinococcus granolosus was detected in serum
of the patient. Mebendazole (100 mg/kg of body weght) was prescribed for one
month. Complaint of patient abolished and the size of the cysts reduced obviously in
the follow up visit.
Conclusion: Hydatid cyst of peritoneal cavity is an unusual presentation of hydatid
disease even in endemic areas and it is almost always secondary to rupture of the cyst
in liver. Although complete extraction of cyst is the best treatment for single cyst,
three is no consensus about treatment of multiple cysts especially in peritoneal cavity.
But in most centers, medical therapy is added to surgery to reduse the rate of
recurrence. The patient was a case of hepatic hydatid cyst with spontaneous silent
rupture into the peritoneal cavity but the clinical manifestations (abdominal distention
and muscle wasting) was very similar to cirrhosis. Rupture of hydatid cyst may be
asymptomatic or with mild symptoms.

Keywords

Echinococcosis Hepatic – Cysts Hydatid

© 2007, Hormozgan Medical Journal. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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