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An Unusual Presentation of Massive Hydatid Cyst of Liver in a 39-Year-Old Female Patient



Salehi AM1 ; Salehi H2 ; Akhlaghi A1 ; Foroughiparvar F3
Authors
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Authors Affiliations
  1. 1. School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran
  2. 2. Baharloo Hospital, Tehran University of Medical Sciences, Gastroenterology Ward, Tehran, Iran
  3. 3. Department of Medical Parasitology and Mycology, School of Medicine, Hamadan University of Medical Sciences, Iran

Source: Govaresh Published:2022

Abstract

Hydatidosis, a zoonotic infection of the larval stage of Echinococcus granulosus, has a worldwide distribution. Due to the late onset of clinical manifestation, the cyst can involve the greater part of the tissue. This case study was performed on a massive hydatid cyst (HC) (85×115mm), reported in a 39-year-old woman. She was referred to the clinic with right upper quadrant pain and gastric pressure. Magnetic resonance imaging (MRI) revealed that the vast space of the liver had been occupied by the massive cyst in the right lobe of the liver. Routine liver assays were normal. IgG enzyme-linked immunoassay (ELISA) test using antibody was negative (0.19 mg/dL). Resection laparoscopic surgery was scheduled for the patient due to severe pain. The massive HC was confirmed in microscopic examination of the cyst. © 2022 Iranian Association of Gastroenterology and Hepatology. All rights reserved.
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