Presentation
Pain in epigastric region; raised bilirubin levels; serum amylase and lipase were normal.
Patient Data
Age: 45 years
Gender: Male
From the case:
Hydatid cyst of liver
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Axial T2
MRI findings:
- a large cyst (measuring 8 cm x 7 cm approx.) noted in the right lobe of liver involving segments VII and VI
- multiple cysts of varying sizes noted within the large cyst
- the cystic structures are seen to appear hyperintense on T2W sequences and hypointense on T1W sequences with no post contrast enhancement
- there is evidence of compression of the adjacent intrahepatic biliary radicals
From the case:
Hydatid cyst of liver
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Gross pathology
Specimen of the surgically resected hydatid cyst with multiple (>100) daughter cysts within.
Case Discussion
Case of hepatic hydatid cyst
- based on morphology this would be classified as type IIb (see article on hydatid disease)
- infection occurs by ingesting food contaminated with Echinococcus eggs
- liver is the most commonly affected organ; lung is the second most common organ affected
- in this case the cyst was surgically resected and patient recovered well post operatively with resolution of jaundice