An infected Hydatid cyst with Budd – chiari syndrome manifestation in Zahedan

How to Cite:Zohreh RohaniAlireza khazaeiaAn infected Hydatid cyst with Budd – chiari syndrome manifestation in Zahedan.Zahedan J Res Med Sci.7(4):e94919.

Abstract

Hydatid cyst is among the most common etiologies of hepatic cysts and is caused by
Echinococcos granulosus. Dogs are definitive host and human may be infected accidentally. Liver
is the most common site of involvement (70%). Generally the cysts remain asymptomatic only if its
size expanded too much it causes symptoms such as dyspepsia, a mass in right lower quadrant, pain
and other manifestation such as obstructive jaundice and secondary infection.
As it is reported here, an infected hydatid cyst in this case became large enough to put pressure
on IVC and hepatic vein causing Budd – chiari syndrome. The patient presentation was ascitis and
lower limb edema because of portal vein hypertension. After imaging studies she became candidate
for operation, and she underwent successful incomplete Liver resection, abscess drainage,
hepatoraphe and billiary drainage.

Keywords

Hydatid cyst

Echinococcosis granulosus

Budd – chiari syndrome

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