Hepatic hydatid cyst compressing the left portal vein

Case contributed by Ammar Haouimi , 19 May 2019
Diagnosis almost certain
Changed by Matt A. Morgan, 21 May 2019

Updates to Case Attributes

Title was changed:
Hepatic hydatid cyst - transient hepatic attenuation differences (THAD)compressing the left portal vein
Presentation was changed:
Right upper abdominal pain in a patient from a rural patientarea
Body was changed:

Case of hepatic hydatid cyst stage CE1 (WHO classification) with transient hepatic attenuation differences (THAD)a perfusion defect of the left liver due to an extrisic left portal vein compression.

The serologicalSerological tests for hydatid disease were positive in this case.

  • -<p>Case of <a href="/articles/hepatic-hydatid-infection">hepatic hydatid cyst</a> stage CE1 (<a href="/articles/2001-who-classification-of-hepatic-hydatid-cysts">WHO classification</a>) with <a href="/articles/transient-hepatic-attenuation-differences">transient hepatic attenuation differences</a> (THAD) of the left liver due to an extrisic portal vein compression.</p><p>The serological tests for hydatid disease were positive in this case.</p><p> </p><p> </p><p> </p>
  • +<p>Case of <a href="/articles/hepatic-hydatid-infection">hepatic hydatid cyst</a> stage CE1 (<a href="/articles/2001-who-classification-of-hepatic-hydatid-cysts">WHO classification</a>) with a perfusion defect of the left liver due to an extrisic left portal vein compression.</p><p>Serological tests for hydatid disease were positive.</p>

Tags changed:

  • hydatid cyst
  • liver
  • liver abscess

Updates to Link Attributes

Title was removed:
Hepatic hydatid cyst - transient hepatic attenuation differences (THAD)
Type was removed.
Visible was set to .

Updates to Primarylink Attributes

Updates to Study Attributes

Findings was changed:

There is a well-defined unilocular hypoechoic cystic lesion with a few internal echoes. It is located in the segments I and VIII/I of the liver withlive. It has a thick, and but regular wall. 

Images Changes:

Image Ultrasound (Transverse, mildly obliques) ( update )

Perspective changed from Recurrent subcostal oblique to Transverse, mildly obliques.

Updates to Study Attributes

Findings was changed:

The cystic lesion appearsis well-defined with thick, and regular wall. No peripheral enhancement is seen following IV contrast. There is subtle dilatation of the intrahepatic biliary ducts withduct. There is also compression of the left portal vein, and hypoperfusion of the left liverhepatic lobe on the portal venous phase which is not visible on non-contrast images and disappearedequilibrates on delayed images.

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