Extensive abdominopelvic hydatidosis

Case contributed by Dr Michael P Hartung

Presentation

Abdominal discomfort.

Patient Data

Age: 40 years
Gender: Female

Partially images calcifications in the lung base. 

Large cyst with daughter cysts right hepatic lobe. Atrophy of much of the left hepatic lobe, with adjacent cyst containing subtle amounts of fat suggesting communication with the biliary tree. 

Numerous cysts of various sizes throughout the peritoneum and pelvis, with variable density, daughter cysts, and few small peripheral calcifications. Mild right hydrouteronephrosis due to compression by the larger pelvic cyst. 

Case Discussion

Very large burden of liver and peritoneal hydatid disease with various stages, although many are active and characterized by the presence of daughter cysts. This presumably began as a liver cyst (most common site to become infected) which eventually ruptured and seeded the peritoneal cavity. 

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