Hepatic hydatid cysts

Case contributed by Dr Ahmed Abd Rabou

Presentation

Right iliac fossa pain and fever of 2 weeks duration

Patient Data

Age: 50 years
Gender: Female
CT
  • The liver shows two well defined calcified cysts with typical water-lily sign.
  • Right ileocecal inflammatory lesion with smudging of adjacent fat planes.
  • Mild abdominal ascites and small bilateral pleural effusion as well as right basal atelectasis.
  • A solitary gall stone and small simple left renal cysts are incidentally noted.
  • Bilateral breast implants are shown.

Case Discussion

Ultrasonograph of the patient showed incidental findings of two hepatic focal lesions with calcification and heavy post acoustic shadowing. Calcification of hepatic cysts raises the possibility of hydatid disease.

Other features depends on the separation of an endocyst floating within the cyst fluid (water-lily sign).

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Case information

rID: 26634
Case created: 31st Dec 2013
Last edited: 10th Oct 2015
Tag: hydatid
Inclusion in quiz mode: Included

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