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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Format: | Article |
Language: | English |
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Vilnius University Press
2019-12-01
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Series: | Lietuvos Chirurgija |
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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. |
first_indexed | 2024-04-13T10:15:53Z |
format | Article |
id | doaj.art-ffc508a742214c429e2a225f69aeac47 |
institution | Directory Open Access Journal |
issn | 1392-0995 1648-9942 |
language | English |
last_indexed | 2024-04-13T10:15:53Z |
publishDate | 2019-12-01 |
publisher | Vilnius University Press |
record_format | Article |
series | Lietuvos Chirurgija |
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 |