Communicating hydatid cysts lung and liver

Case contributed by Dr L J Chacko

Presentation

c/o respiratory distress, chest pain Initial x ray showed pleural effusion. Pleural fluid tapping was done and patient showed no improvement. USG: showed two calcified hepatic cysts and moderate right pleural effusion.

Patient Data

Age: 63
Gender: Female

Initial x ray

Modality: X-ray

Moderate right pleural effusion.

No mediastinal shift.

No effusion on left side.

Contrast CT

Modality: CT

Large loculated fluid collection in right hemithorax.

Two calcified hydatid cysts in liver with rupture of one cyst into pleuroperitoneal cavities.

Case Discussion

Hydatid disease is a common parasitic disease affecting humans.

Liver is the most common site, followed by lung.

Rupture of cysts can lead to various complications like ascites, pleural effusion, transbiliary, peritoneal seeding.

Transdiaphragmatic involvement of pleural cavity is a rare occurence, which can produce secondary cysts in pleura and mediastinum.

Hematogenous spread to lung may also produce pulmonary cysts.

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Case Information

rID: 43015
Case created: 18th Feb 2016
Last edited: 5th Mar 2016
Inclusion in quiz mode: Included

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