Intrabiliary rupture of hepatic hydatid cyst

Case contributed by Raad Al Tahat
Diagnosis almost certain

Presentation

Abdominal pain.

Patient Data

Age: 55 years
Gender: Male
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Info

Few hepatic cysts, the largest seen at right liver lobe, which contains small intra cystic daughter cysts.

Multiple variable sized cysts seen along the course of common bile duct.

Intrahepatic biliary dilatation.

Filling defect seen within the superior mesenteric vein in keeping with non-obstructing thrombus.

Multiple collaterals in the porta hepatis area, most likely due to mass effect of the cysts on the portal confluence and portal vein.

 

This study is a stack
Axial
T2-HASTE
This study is a stack
Coronal
T2-HASTE
This study is a stack
Coronal
T2-TRUFI
Coronal
T2-HASTE
Coronal
T2-HASTE
Coronal
T2
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Info

Few hepatic cysts, the largest seen at right liver lobe, which contains multiple daughters cysts.

Multiple cysts seen along the course of dilated common bile duct (intraluminal), associated with intrahepatic bile ducts dilatation.

Case Discussion

Patient is a known case of hepatic hydatid disease, underwent partial liver resection.

Radiological features are most likely in keeping with hepatic hydatic disease with intrabiliary rupture of hepatic hydatid cyst.

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