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Case Reports
. 2001 May;12(3):178-82.
doi: 10.1155/2001/302738.

Canadian-acquired hydatid disease: A case report

M A Saghier  1 , M C Taylor, H M Greenberg
Affiliations
Case Reports

Canadian-acquired hydatid disease: A case report

M A Saghier et al. Can J Infect Dis. 2001 May.

Abstract

Echinococcal cysts are unusual in Canada, and most cases seen are in immigrants. In northern Canadian communities, Echinococcus granulosis infection occasionally is acquired from dogs that feed on the entrails of caribou or moose. Seventeen patients with Canadian-acquired hydatid cysts were seen over an 11-year period. One challenging case is described in detail. An 18-year-old aboriginal woman presented with jaundice, pain, lower extremity edema and coagulopathy from a 26 cm echinococcal hepatic cyst. She was successfully treated with a combination of oral albendazole, percutaneous drainage and surgery. One-year follow-up showed no recurrence of disease. The management options for echinococcal cysts are extensively reviewed.

Keywords: Echinococcus; Hepatic cyst; Hydatid; Jaundice.

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Figures

Figure 1
Figure 1
Computed tomography scan showing a large, well circumscribed, low density, 26 cm mass arising from the medial segment of the left lobe of the liver. There was considerable dense debris within the dependent portion of this mass. The mass produced mild dilation of the left intrahepatic biliary radicles
Figure 2
Figure 2
After two weeks of percutaneous drainage, the cyst had decreased in size. A daughter cyst and the endocyst wall were noted in the dependent portion of the cyst. The cyst measured approximately 8 cm in diameter
See this image and copyright information in PMC

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