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Case Reports
. 2019 Aug 20;14(10):1306-1310.
doi: 10.1016/j.radcr.2019.08.006. eCollection 2019 Oct.

Concurrent pulmonary and hepatic hydatid cysts managed with single stage surgery

Asma S Alharbi  1
Affiliations
Case Reports

Concurrent pulmonary and hepatic hydatid cysts managed with single stage surgery

Asma S Alharbi. Radiol Case Rep. .

Abstract

Most of the case reports on hydatid cyst have documented its diagnosis and treatment involving either lungs or liver. This case report is unique as it documents the standard diagnostic and treatment approach followed for curing concurrent multiple hydatid cysts involving liver and right lung simultaneously via single stage surgery. A 52-year-old male presented with symptoms of simple pneumonia along with mild pain in the right upper quadrant. Hydatid cyst was considered as the differential diagnosis after physical examination. Both CT scan and MRI confirmed the presence of multiple cysts both in the liver as well as right lung. A single stage radical removal of cysts from both the organs was performed. The patient was hemodynamically stable, and no complications were reported postoperatively. This case report highlights the importance of considering hydatid cyst as a differential diagnosis in the light of vague presenting symptoms. Also, it emphasizes on the benefits of single stage surgery for removing cysts from both the organs simultaneously.

Keywords: Hydatid cyst; Liver; Lungs; Single stage surgery; Water lily appearance.

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Conflict of interest statement

I declare that i have no significant competing financial, professional, or personal interests that might have influence the performance or presentation of the work described in this manuscript.

Figures

Fig. 1
Fig. 1
Chest X-ray (A). X-ray chest comparing left and right lung (B). Arrow showing airspace with probable cavitation in the right lung.
Fig. 2
Fig. 2
CT scan of lungs.
Fig. 3
Fig. 3
CT scan Liver.
Fig. 4
Fig. 4
MRI.
Fig. 5
Fig. 5
Pathologic appearance of 2 hydatid cysts after cystotomy.
Fig. 6
Fig. 6
Histopathologic examination of hydatid cyst. (Color version available online.)
See this image and copyright information in PMC

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