Giant Liver Hydatid Cyst

AbstractHydatiosis due to Echinococcus granulosus is an endemic parasitic zoonosis characterized by worldwide distribution. The most commonly involved anatomical locations are the liver and lung. The autors present a 12-year-old patient with a giant hepatic echinococcus cyst misdiagnosed as an abdominal malignancy during formal investigation. The patient was admitted to the hospital complaining for abdominal pain and with an important abdominal distention. Abdominal computed tomography revealed a giant abdominal mass: 23/21 cm, resembling a tumor, adherent to the liver edges and parietal peritoneum. The patient was taken into operation, and an a giant liver hydatid cyst was removed despite the radiological findings and the preoperative clinical suspicion.

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Pseudotumoral Hydatid Cyst: Report of a Case

HPB Surgery ◽

10.1155/2009/137956 ◽

2009 ◽

Vol 2009 ◽

pp. 1-3 ◽

Cited By ~ 1

Author(s):

Ioannis E. Petrakis ◽

Evaggelia Grysbolaki ◽

Stefanos Paraskakis ◽

Theodore Lagoudis ◽

Demetrios Filis ◽

...

Keyword(s):

Hydatid Cyst ◽

Abdominal Mass ◽

Exploratory Laparotomy ◽

Clinical Suspicion ◽

Radiological Findings ◽

Abdominal Tenderness ◽

Worldwide Distribution ◽

Echinococcus Cyst ◽

Mediterranean Countries ◽

Abdominal Malignancy

Hydatidosis due to Echinococcus granulosus is an endemic parasitic zoonosis characterized by worldwide distribution particularly in Mediterranean countries. The most commonly involved anatomical locations are the liver and lung. Occasionally the cyst may progressively increase in size, mimicking gross ascites or intrabdominal tumor. Herein, are reported a case of a 40-year-old patient with a giant exophytically expanded hepatic echinococcus cyst, misdiagnosed as an abdominal malignancy during formal investigation. The patient was admitted to the hospital complaining for mild diffuse abdominal tenderness, moderate abdominal pain, nausea, diarrhoea, and vomiting. A CT scan revealed the presence of a giant abdominal mass cm, resembling a tumor, adherent to the liver edges and parietal peritoneum, displacing intestinal loops. During the ensuing days the patient’s clinical condition worsened, and he became febrile. Exploratory laparotomy was performed, and an exophytically grown giant liver hydatid cyst was removed, despite the radiological findings and the preoperative clinical suspicion.

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Hydatid cysts of the liver rupture into the peritoneal cavity: Fifteen cases and review of the literature

10.21203/rs.3.rs-151634/v1 ◽

2021 ◽

Author(s):

Atef MEJRI ◽

Khaoula ARFAOUI ◽

Sarra SAAD ◽

Jasser RCHIDI ◽

Ahmed OMRI ◽

...

Keyword(s):

Abdominal Pain ◽

Hydatid Cyst ◽

Peritoneal Cavity ◽

Cyst Wall ◽

Anaphylactic Shock ◽

Acute Abdominal Pain ◽

Abdominal Cavity ◽

Surgical Care ◽

Liver Hydatid Cyst ◽

The Mean

Abstract BackgroundHydatid cyst is an infectious disease caused mainly by E. Granulosus, which is generally considered benign, however, the rupture of the hepatic Hydatid Cyst to the abdominal cavity is a life-threatening incident that requires urgent and multidisciplinary management (emergency physician, radiologists, aneasthetists and surgeons). This study aims to describe the various clinical and paraclinical features of ruptured liver hydatid cyst in the peritoneal cavity, and to detail the appropriate treatment.Materials and MethodsFifteen cases of ruptured liver hydatid cyst into the abdominal cavity that underwent urgent surgery were collected over a period of eight years. Results There were nine men and six women. The average age was 38 years. Two patients were admitted with abdominal trauma. All patients presented with acute abdominal pain. Only one patient had anaphylactic shock. Abdominal ultrasound showed discontinuous cyst wall and intraperitoneal fluid in 100% of cases. Abdominal computed tomography (CT) showed discontinuous cyst wall with intraperitoneal fluid in 100% of cases. Intraoperatively, the intraperitoneal fluid was clear in thirteen cases and purulent in two. All patients underwent unroofing procedure associated with intra-operative peritoneal lavage and external drainage. The mean hospital stay was 6.11 days and the mean follow-up was 19 months. No case of recurrence was reported among the patients.ConclusionRupture of a hydatid cyst in the abdominal cavity should be considered as a differential diagnosis in every case of an acute abdominal pain, especially in endemic areas and in presence of an allergic reaction or signs of anaphylactic shock. Combined medical and surgical care starting in the emergency room is the only guarantee of a good outcome.

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Hydatid Cyst Migration in Peritoneal Cavity: A Case Report

Lietuvos chirurgija ◽

10.15388/lietchirur.2019.18.18 ◽

2019 ◽

Vol 18 (2) ◽

pp. 254-258

Author(s):

Petar Markov ◽

Ilija Milev ◽

Aleksandar Mitevski

Keyword(s):

Computed Tomography ◽

Abdominal Pain ◽

Hydatid Cyst ◽

Anaphylactic Shock ◽

Mass Effect ◽

Abdominal Organ ◽

Hydatid Cysts ◽

Simple Cyst ◽

Cystic Formation ◽

Abdominal Exploration

Introduction. Cystic echinococcosis is a zoonosis caused by the larval stage of Echinococcus granulosus. In most of cases hydatid cysts are found in the liver but in rare cases a migration of the hydatid cyst can occur following rupture of hepatal pericist.Case. A 38 year old female presented with abdominal pain, fatigue, weakness and fever for more than three months. Computed tomography show segment II and IV hepatic per-magna cystic formations with dimensions: No I: 80×60×74 mm and No. II: 70×60×58 mm. Per magna cystic formation in the Douglas space, with dimensions of 93×90×62 mm with clearly expressed mass effect on surrounding organ structures.Discussion. Active hydatid disease may show migration of cysts due to rupture of hepatal pericyst, pressure difference between the anatomic cavities, and by contribution of gravity. Sudden death, anaphylactic shock and dissemination of disease can be seen with cystic content spillage into the peritoneal cavity.Conclusion. Migrated hydatid cysts are very rare parasitic manifestation presenting with symptoms deriving from the neighboring organs. They are diagnosed typically by CT and managed with evacuation of cysts following abdominal exploration. Full abdominal organ ultrasonography, with accent on the liver, should be performed in any case of intraabdominal simple cyst presence.

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Abdominal pain caused by a giant liver hydatid cyst and the management of the residual cavity in a tertiary public hospital in Greece

Pan African Medical Journal ◽

10.11604/pamj.2019.34.11.17198 ◽

2019 ◽

Vol 34 ◽

Author(s):

Athanasios Syllaios ◽

Dimitrios Schizas ◽

Antonios Koutras ◽

Prokopis-Andreas Zotos ◽

Spyridon Davakis ◽

...

Keyword(s):

Abdominal Pain ◽

Hydatid Cyst ◽

Public Hospital ◽

Liver Hydatid Cyst ◽

Residual Cavity

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Plexiform Neurofibroma in the Hepatic Hilum Associated with Neurofibromatosis Type 1: A Case Report

Rare Tumors ◽

10.4081/rt.2009.e23 ◽

2009 ◽

Vol 1 (1) ◽

pp. 44-46 ◽

Cited By ~ 7

Author(s):

Sojun Hoshimoto ◽

Zenichi Morise ◽

Chinatsu Takeura ◽

Masahiro Ikeda ◽

Tadashi Kagawa ◽

...

Keyword(s):

Computed Tomography ◽

Abdominal Pain ◽

Neurofibromatosis Type 1 ◽

Histopathological Examination ◽

Abdominal Mass ◽

Plexiform Neurofibroma ◽

Celiac Trunk ◽

Neurofibromatosis Type ◽

Hepatic Hilum

We present an extremely rare case of plexiform neurofibroma involving the hepatic hilum. A 24-year old woman who had been diagnosed with neurofibromatosis type 1 was referred to our hospital for evaluation of an abdominal mass found on computed tomography and progressive aggravation of intermittent abdominal pain. Abdominal computed tomography revealed a multilobulated non-enhancing mass involving the celiac trunk and hepatic artery, that extended to the hepatic hilum through the hepatoduodenal ligament. Magnetic resonance imaging showed the lesion extending along the intrahepatic Glisson's sheath. Based on the imaging findings, the patient was diagnosed to have a neurofibroma, although sarcomatous differentiation could not be excluded. The tumor was resected, leaving behind the intrahepatic extension, with the aim of alleviating the abdominal pain and preventing obstructive jaundice. Histopathological examination revealed the diagnosis of plexiform neurofibroma. At present, three years after the surgery, the patient remains symptom-free, without any evidence of recurrence.

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A Heavily Giant Calcified Hydatid Cyst of the Liver with Thoracic Involvement Presenting as an Abdominal Mass (A Very Rare Case Report): The Role of Imaging

European Journal of Medical and Health Sciences ◽

10.24018/ejmed.2020.2.6.583 ◽

2020 ◽

Vol 2 (6) ◽

Author(s):

Mohammed Danfulani ◽

Abubakar Musa ◽

Ibrahim Haruna Gele

Keyword(s):

Hydatid Cyst ◽

Hydatid Disease ◽

Rare Case ◽

Abdominal Mass ◽

The Body ◽

Radiological Findings ◽

Rare Case Report ◽

Magnetic Resonance Imaging Mri ◽

The Tropics

Hydatid disease is common in the tropics. It is caused by infection with the larval stage of Echinococcus tapeworm. Infestation of humans, who are accidentally the intermediate host, occurs from ingestion of water or food contaminated by fecal material of definitive host (dog, wolves, deer, sheeps). The most frequent organ of involvement is the liver in up to 70%, followed by the lung about 18% and with a lower reported incidence in other organs or tissues in the body. It primarily affects the liver and shows typical imaging findings. However clinical presentation varies widely and is non specific. Thus, imaging plays an important role in diagnosis of hydatid diseases. Ultrasound (US), computed tomography (CT), and magnetic resonance imaging (MRI) can depict hydatid disease. The imaging methods used depend on involved organ and the radiological findings which range from purely cystic lesions to completely solid appearance. We report a very rare case of a calcified huge hydatid cyst in a 42 year old patient to buttress the role of imaging in management of such cases.

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Intestinal Obstruction in Pregnancy: A Case Report

Case Reports in Obstetrics and Gynecology ◽

10.1155/2013/564838 ◽

2013 ◽

Vol 2013 ◽

pp. 1-2 ◽

Cited By ~ 2

Author(s):

Shakina Rauff ◽

Stephen Kin Yong Chang ◽

Eng Kien Tan

Keyword(s):

Computed Tomography ◽

Abdominal Pain ◽

Intestinal Obstruction ◽

Surgical Intervention ◽

Clinical Suspicion ◽

Fetal Mortality ◽

Delay In Diagnosis ◽

Appropriate Treatment ◽

Prompt Diagnosis ◽

In Pregnancy

Background. Intestinal obstruction in pregnancy is uncommon. The condition is associated with significant maternal and fetal mortality. The delay in diagnosis is due to nonspecific symptoms and a disinclination to carry out radiologic investigations in pregnancy.Case. A 39-year-old lady at 32 weeks of gestation presented with abdominal pain and nausea. Her symptoms worsened during admission. A computed tomography (CT) scan showed dilated small bowel loops suggestive of intestinal obstruction. She eventually underwent a laparotomy as conservative measures failed.Conclusion. A high index of clinical suspicion is required to diagnose intestinal obstruction in pregnancy. Prompt diagnosis should be made and the appropriate treatment instituted. Surgical intervention should be performed if necessary as further delay only results in increased morbidity and mortality.

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Hydatid Cysts of the Liver Rupture into the Peritoneal Cavity: Fifteen Cases and Review of the Literature

10.21203/rs.3.rs-165286/v1 ◽

2021 ◽

Author(s):

Atef MEJRI ◽

Khaoula ARFAOUI ◽

Sarra SAAD ◽

Jasser RCHIDI ◽

Ahmed OMRI ◽

...

Keyword(s):

Abdominal Pain ◽

Hydatid Cyst ◽

Peritoneal Cavity ◽

Anaphylactic Shock ◽

Acute Abdominal Pain ◽

Abdominal Cavity ◽

Liver Hydatid Cyst ◽

The Mean ◽

Hydatid Cyst Rupture ◽

Cyst Rupture

Abstract BackgroundHydatid cyst is a parasitic infection caused mainly by E. Granulosus, which is generally considered benign. However, the hepatic Hydatid Cyst rupture in the abdominal cavity is a life-threatening incident that requires urgent and multidisciplinary management (emergency physician, radiologists, anesthetists, and surgeons). This study describes clinical and paraclinical liver hydatid cyst rupture in the peritoneal cavity and details the appropriate treatment.Materials and MethodsFifteen liver hydatid cyst cases ruptured into the abdominal cavity that underwent urgent surgery were collected over eight years. Results There were nine men and six women. Patients' age ranged from 14 to 59 years, with an age average of 38 years. Two patients were admitted with abdominal trauma, and acute abdominal pain was the common consultation's reason. Only one patient had an anaphylactic shock. Both abdominal ultrasound and CT scan showed discontinuous cyst wall and intraperitoneal fluid in 100% of cases. Intraoperatively, the intraperitoneal effusion was clear in thirteen cases and purulent in two. All patients underwent unroofing procedure associated with intra-operative peritoneal lavage and external drainage. The mean hospital stay was 6.11 days, and the mean follow-up was 19 months. No case of recurrence was reported among the patients.ConclusionRupture of a hydatid cyst in the abdominal cavity should be evoked in front of acute abdominal pain, especially in endemic areas, and in the presence of an allergic reaction or anaphylactic shock signs. Combined surgical and medical care starting in the emergency room is the only guarantee of a good outcome.

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The Influence of Mesenteric Defects Closure on the Use of Computed Tomography for Abdominal Pain 5 Years After Laparoscopic Gastric Bypass—a Post Hoc Analysis of a Randomized Clinical Trial

Obesity Surgery ◽

10.1007/s11695-021-05778-z ◽

2021 ◽

Author(s):

Demir Amanda ◽

Påhlson Elin ◽

Norrman Eva ◽

Erik Stenberg

Keyword(s):

Computed Tomography ◽

Gastric Bypass ◽

Abdominal Pain ◽

Ct Scans ◽

Radiation Doses ◽

Radiological Findings ◽

Total Radiation Dose ◽

Mesenteric Defects ◽

Post Hoc ◽

Risk Of Cancer

Abstract Background Abdominal pain after laparoscopic Roux-en-Y gastric bypass (LRYGB) is a common and unwanted complication that typically leads to further exploration through radiology. Concerns have been raised regarding the consequences of this radiation exposure and its correlation with the lifetime risk of cancer. The aim of this study was to evaluate the differences in computed tomography (CT) use between LRYGB patients with open and closed mesenteric defects and to assess the radiological findings and radiation doses. Methods This subgroup analysis included 300 patients randomized to either closure (n = 150) or nonclosure (n = 150) of mesenteric defects during LRYGB. The total number of CT scans performed due to abdominal pain in the first 5 postoperative years was recorded together with the radiological findings and radiation doses. Results A total of 132 patients (44%) underwent 281 abdominal CT scans, including 133 scans for 67 patients with open mesenteric defects (45%) and 148 scans for 65 patients with closed mesenteric defects (43%). Radiological findings consistent with small bowel obstruction or internal hernia were found in 31 (23%) of the scans for patients with open defects and in 18 (12%) of the scans for patients with closed defects (p = 0.014). The other pathological and radiological findings were infrequent and not significantly different between groups. At the 5-year follow-up, the total radiation dose was 82,400 mGy cm in the nonclosure group and 85,800 mGy cm in the closure group. Conclusion Closure of mesenteric defects did not influence the use of CT to assess abdominal pain. Graphical abstract

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Intra-Abdominal Hydatid Cyst: Sociodemographics, Clinical Profiles, and Outcomes of Patients Operated on at a Tertiary Hospital in Addis Ababa, Ethiopia

Journal of Parasitology Research ◽

10.1155/2017/4837234 ◽

2017 ◽

Vol 2017 ◽

pp. 1-6 ◽

Cited By ~ 2

Author(s):

Engida Abebe ◽

Temesgen Kassa ◽

Mahteme Bekele ◽

Ayelign Tsehay

Keyword(s):

Abdominal Pain ◽

Hydatid Cyst ◽

Addis Ababa ◽

Abdominal Mass ◽

Abdominal Ultrasound ◽

Tertiary Hospital ◽

Common Finding ◽

Right Lobe ◽

Clinical Profiles ◽

The Right

Background. Hydatid cyst is caused by the tapewormEchinococcus granulosus. The abdomen, specifically the liver, is the most common site affected.Objective. Determine the presentation patterns, types of surgical management, and outcomes of patients operated for intra-abdominal hydatid cyst (IAHC).Methodology. A retrospective descriptive study of patients admitted and operated for IAHC from September 1, 2011, to August 31, 2015.Results. Forty-two patients whose age ranged from 10 to 65 (mean of 37 years) were operated on. Females comprised 27 (64.3%) of the patients. The commonest presenting complaint was abdominal pain (41, 97.6%). Abdominal mass was documented in 23 (54.7%) cases. Abdominal ultrasound (AUS) and CT were the main imaging studies done on 38 (90.5%) and 24 (57.1%) patients, respectively. Cysts measuring more than 10 cm in diameter were the most common finding in both studies. Liver was the primary site involved, 30 (71.4%) cases, the right lobe being the main side, 73%. Thirty-eight (90.5%) patients underwent deroofing, evacuation, marsupialization, and omentoplasty (DEMO). There was no perioperative death, but 4 (9.5%) of the patients had post-op complications.Conclusion. Abdominal pain was the most common presenting complaint. AUS and CT remain the preferred imaging. DEMO was the most common surgery.

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