Hepatic, intra- and retro-peritoneal hydatid cysts

Case contributed by Dr Mohammad Taghi Niknejad

Presentation

Abdominal pain and distention.

Patient Data

Age: 70 years
Gender: Male

A large thick walled multiloculated cystic lesion, 146×110×80mm in diameter in the right lobe of the liver. There are also several large cystic lesions with similar appearance at right abdominopelvic spaces as well as pre-splenic region. Small foci of calcifications are noted in some lesions.

A 30 mm anterior abdominal wall defect with herniation of some omental fat are observed.

The prostate gland is enlarged.

Degenerative changes as osteophytosis are seen at the lumbar spine.

Case Discussion

Hepatic, intra- and retro-peritoneal multiloculated cystic lesions compatible with hydatid cysts. Retroperitoneal hydatid cysts are generally seen secondary to intraperitoneal (mainly hepatic) infection. Isolated occurrence is rare.

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