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Intrabiliary rupture of hepatic hydatid cyst

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Abdominal pain and jaundice.

Patient Data

Age: 65 years
Gender: Male

A 110×107×98mm multi-vesicular cyst occupying the entire right lobe of the liver. Daughter cysts of varying sizes are seen predominantly in the periphery of the giant mother cyst. Peripheral incomplete coarse calcification is evident. Interruption of the superoanterior cyst wall adjacent to a bile duct suggest cystobiliary communication. Dilatation intra-extrahepatic biliary ducts is present.   

Case Discussion

Intrabiliary rupture of hepatic hydatid cyst is a common complication of hepatic hydatid cyst infection. This may cause cholangitis, obstructive jaundice and even life threating sepsis.

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