Hydatid cyst with daughter cysts

Case contributed by Dr Muthu Magesh

Presentation

Three months of abdominal pain.

Patient Data

Age: 20 years
Gender: Female
X-ray

Frontal radiograph of the abdomen is normal.

Well defined thin walled hypodense lesion with few non-enhancing hypodensities
within is seen in segment VI/VII of the liver. No calcifications within the lesion. No IHBR dilatation.

Another partially exophytic lesion with peripheral wall calcification is seen in segment VI of the liver.

Case Discussion

Calcification is rarely picked up on the radiograph. However, if present usually appears as ring-like or curvilinear. Calcification usually indicates pericyst.

Daughter cysts are hypodense and appear as a cyst within the cyst. Daughter cyst separated by hydatid matrix appear as spoke wheel pattern. Multivesicular cysts appear in a honeycomb pattern.

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Case information

rID: 50956
Published: 24th Jan 2018
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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