Hydatid Cyst Migration in Peritoneal Cavity: A Case Report

Introduction. Cystic echinococcosis is a zoonosis caused by the larval stage of Echinococcus granulosus. In most of cases hydatid cysts are found in the liver but in rare cases a migration of the hydatid cyst can occur following rupture of hepatal pericist. Case. A 38 year old female presented with...

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Main Authors: Petar Markov, Ilija Milev, Aleksandar Mitevski
Format: Article
Language:English
Published: Vilnius University Press 2019-12-01
Series:Lietuvos Chirurgija
Subjects:
Online Access:https://www.journals.vu.lt/lietuvos-chirurgija/article/view/16301
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author Petar Markov
Ilija Milev
Aleksandar Mitevski
author_facet Petar Markov
Ilija Milev
Aleksandar Mitevski
author_sort Petar Markov
collection DOAJ
description Introduction. Cystic echinococcosis is a zoonosis caused by the larval stage of Echinococcus granulosus. In most of cases hydatid cysts are found in the liver but in rare cases a migration of the hydatid cyst can occur following rupture of hepatal pericist. Case. A 38 year old female presented with abdominal pain, fatigue, weakness and fever for more than three months. Computed tomography show segment II and IV hepatic per-magna cystic formations with dimensions: No I: 80×60×74 mm and No. II: 70×60×58 mm. Per magna cystic formation in the Douglas space, with dimensions of 93×90×62 mm with clearly expressed mass effect on surrounding organ structures. Discussion. Active hydatid disease may show migration of cysts due to rupture of hepatal pericyst, pressure difference between the anatomic cavities, and by contribution of gravity. Sudden death, anaphylactic shock and dissemination of disease can be seen with cystic content spillage into the peritoneal cavity. Conclusion. Migrated hydatid cysts are very rare parasitic manifestation presenting with symptoms deriving from the neighboring organs. They are diagnosed typically by CT and managed with evacuation of cysts following abdominal exploration. Full abdominal organ ultrasonography, with accent on the liver, should be performed in any case of intraabdominal simple cyst presence.
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spelling doaj.art-ffc508a742214c429e2a225f69aeac472022-12-22T02:50:43ZengVilnius University PressLietuvos Chirurgija1392-09951648-99422019-12-0118410.15388/LietChirur.2019.18.18Hydatid Cyst Migration in Peritoneal Cavity: A Case ReportPetar Markov0Ilija Milev1Aleksandar Mitevski2Goce Delcev University, MacedoniaDepartment of General Surgery, Clinical Hospital, Stip, MacedoniaGoce Delcev University, MacedoniaIntroduction. Cystic echinococcosis is a zoonosis caused by the larval stage of Echinococcus granulosus. In most of cases hydatid cysts are found in the liver but in rare cases a migration of the hydatid cyst can occur following rupture of hepatal pericist. Case. A 38 year old female presented with abdominal pain, fatigue, weakness and fever for more than three months. Computed tomography show segment II and IV hepatic per-magna cystic formations with dimensions: No I: 80×60×74 mm and No. II: 70×60×58 mm. Per magna cystic formation in the Douglas space, with dimensions of 93×90×62 mm with clearly expressed mass effect on surrounding organ structures. Discussion. Active hydatid disease may show migration of cysts due to rupture of hepatal pericyst, pressure difference between the anatomic cavities, and by contribution of gravity. Sudden death, anaphylactic shock and dissemination of disease can be seen with cystic content spillage into the peritoneal cavity. Conclusion. Migrated hydatid cysts are very rare parasitic manifestation presenting with symptoms deriving from the neighboring organs. They are diagnosed typically by CT and managed with evacuation of cysts following abdominal exploration. Full abdominal organ ultrasonography, with accent on the liver, should be performed in any case of intraabdominal simple cyst presence.https://www.journals.vu.lt/lietuvos-chirurgija/article/view/16301hydatidcystrupturemigration
spellingShingle Petar Markov
Ilija Milev
Aleksandar Mitevski
Hydatid Cyst Migration in Peritoneal Cavity: A Case Report
Lietuvos Chirurgija
hydatid
cyst
rupture
migration
title Hydatid Cyst Migration in Peritoneal Cavity: A Case Report
title_full Hydatid Cyst Migration in Peritoneal Cavity: A Case Report
title_fullStr Hydatid Cyst Migration in Peritoneal Cavity: A Case Report
title_full_unstemmed Hydatid Cyst Migration in Peritoneal Cavity: A Case Report
title_short Hydatid Cyst Migration in Peritoneal Cavity: A Case Report
title_sort hydatid cyst migration in peritoneal cavity a case report
topic hydatid
cyst
rupture
migration
url https://www.journals.vu.lt/lietuvos-chirurgija/article/view/16301
work_keys_str_mv AT petarmarkov hydatidcystmigrationinperitonealcavityacasereport
AT ilijamilev hydatidcystmigrationinperitonealcavityacasereport
AT aleksandarmitevski hydatidcystmigrationinperitonealcavityacasereport