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CC BY-NC-ND 4.0 · Journal of Gastrointestinal Infections 2022; 12(01): 061
DOI: 10.1055/s-0042-1757608
Images in GI Infection

Images in GI Infection: Hydatid Disease of Liver

Jyoti Kharel
1   Department of Surgical Gastroenterology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
,
Harjeet Singh
1   Department of Surgical Gastroenterology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
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A 32-year male patient presented with generalized weakness and dull aching pain in the abdomen for 1 year. Abdomen ultrasonography revealed a large cystic lesion in the liver. A hydatid serology was strongly positive. An abdominal computed tomography showed a large cystic exophytic lesion from both liver lobes measuring 25 × 7 × 23 cm. There were multiple peripherally arranged daughter cysts ([Fig. 1A]). This patient underwent open, partial cyst excision and repair of cyst biliary communication. Multiple daughter cysts were evacuated ([Fig. 1B]). The residual cavity was packed with omentum. The patient developed a postoperative bile leak, which was managed with endoscopic cholangiography and stenting.

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Fig. 1 (A) Computed tomography showing large cystic lesion replacing whole of the liver parenchyma with multiple daughter cysts. (B) Picture showing evacuated multiple daughter cysts.

Hydatid cyst is a zoonotic disease caused by Echinococcus species. The most commonly infected organ is the liver (50–90%).[1] A surgical partial or complete excision is a main stay of treatment with excellent outcomes.[2]

Ethical Statement

Informed consent to publish was obtained.


Author Contributions

J.K. wrote the initial draft and H.S. revised it. Both authors approved the manuscript.


Data Availability Statement

All relevant data are provided in the report.




Publication History

Received: 21 January 2022

Accepted: 24 February 2022

Article published online:
22 September 2023

© 2022. Gastroinstestinal Infection Society of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

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