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.
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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Copyright
© 2005, Author(s). This open-access article is available under the Creative Commons Attribution 4.0 (CC BY 4.0) International License (https://creativecommons.org/licenses/by/4.0/), which allows for unrestricted use, distribution, and reproduction in any medium, provided that the original work is properly cited.