Hepatic hydatid cyst

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

Right upper quadrant abdominal pain.

Patient Data

Age: 45 years
Gender: Female
ultrasound

Oval shaped hyperechoic solid appearing mass with multiple hypoechoic curvilinear echoes clustered within the mass without daughter cysts.

Case Discussion

Ultrasound is the most sensitive modality for the detection of membranes, septa, and hydatid sand within the cyst. This case represents an inactive stage of hydatid cyst, stage CE 4 according to the WHO classification of hepatic hydatid cysts.

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