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Case Reports
. 2012 Jul-Sep;97(3):245-8.
doi: 10.9738/CC96.1.

Spontaneous intraperitoneal rupture of a hepatic hydatid cyst

Zulfu Arikanoglu  1 , Fatih Taskesen, İbrahim Aliosmanoğlu, Mesut Gul, Mehmet Guli Cetincakmak, Akin Onder, Murat Kapan
Affiliations
Case Reports

Spontaneous intraperitoneal rupture of a hepatic hydatid cyst

Zulfu Arikanoglu et al. Int Surg. 2012 Jul-Sep.

Abstract

Hydatid cysts, which are endemic to certain areas, typically are found in the liver. Spontaneous intraperitoneal rupture, which can be life threatening, is rare. This article presents a case of spontaneous rupture of a hydatid cyst in a 69-year-old woman who was admitted to the emergency department. The patient had no history of trauma. Abdominal ultrasonography and computed tomography suggested rupture of a hydatid cyst. The patient underwent a partial cystectomy, and the cystic area was washed with hypertonic saline and the peritoneal cavity was washed with isotonic saline and drained. Postoperatively, the patient was treated with albendazole for 3 months. No additional pathology was observed at the 3-, 6-, and 9-month follow-ups. Although rare, a ruptured hydatid cyst should be considered in the differential diagnosis of the acute abdomen in a patient residing in an endemic area.

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Figures

Fig. 1
Fig. 1
Post-contrast CT examination in preoperative period (a: axial, b: coranal). Collapsed germinative membrane (both long arrows) and free perihepatic fluid (short arrow).
See this image and copyright information in PMC

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