Presentation
Epigastric pain, vomiting and jaundice in patient had previous cholecystectomy
Patient Data
There is a subcapsular multiloculated cyst in segment 6 of the liver measuring approximately 4.7 x 4.9 cm with rim calcification. Possible hydatid.
The spleen contains a 3.3 cm hypoattenuating lesion which is probably a cyst but better characterised on ultrasound.
Numerous bilateral renal cysts are present.
The complex partially calcified cyst in the liver likely represents a hydatid cyst.
Case Discussion
This patient presented with multiple cysts involving multiple organs. Follow up ultrasound showed multiple different types of cysts:
- stage 1 (homogeneously hypoechogenic cystic thin-walled lesion) involving the kidney and spleen
- stage 2 (septated cystic lesion) involving the kidneys and the spleen
- stage 3 (cystic lesion with daughter lesions) involving the kidneys
- stage 5 (calcified or partially calcified lesion (inactive cyst)) in the liver
Patient was commenced on albendazole 400mg bd and praziquantel 40mg/kg in 2 divided doses (4 tablets) twice a week.