415257

مورد غيرمعمول كيست هيداتيد كبد

Anunusual presentation of hydatid cystof liver (a casereport)

فياضي، نادر نويسنده دانشگاه علوم پزشكي هرمزگان Faiazi, N. , بني هاشمي، حسام الدين نويسنده دانشگاه علوم پزشكي هرمزگان banihashemi, H.

فصلنامه سال 1386

علمي پژوهشي

5

97

101

اكينوكوكوس , هپاتيت , كيست هاي هيداتيك , Echinococcosis , Hepatic , Cysts , hydati

Introduction: Hydatid cyst mainly involves liver and lung. In the liver, it usually has a benign behavior, but occasionally it may rupture and produces obstructive jaundice. Rarely hydatid cyst of the liver ruptures directly into the peritoneal cavity . Case report: A 25-years-old man with progressive abdominal protrusion was admitted to our center. He had complaint of vague constant abdominal pain, early satiety and nausea 3 years prior to admission. Physical exam revealed severe abdominal distension with mild generalized tensemess and muscle wasting, Lab findings were normal except for 11% eosinophilia in peripheral blood smear. Sonography of abdomen revealed multiple hypocchoic cysts in the abdominal cavity . Abdominal CT scan confirmed sonographic finding and revealed additional cysts in the liver. High liter antibody against echinococcus granolosus was detected in serum of the patient, Mebendazole (100 rug/kg of body weght) was prescribed for one month. Complaint of patient abolished and the size of the cysts reduced obviously in the follow up visit. Conclusion: Hydatid cyst of peritoneal cavity is an unusual presentation of hydatid disease even in endemic areas and it is almost always secondary to rupture of the cyst in liver. Although complete extraction of cyst is the best treatment for single cyst, three is no consensus about treatment of multiple cysts especially in peritoneal cavity . But in moot centers, medical therapy is added to surgery 10 reduse thc rate of recurrence. The patient was a case of hepatic hydatid cyst with spontaneous silent rupture into the peritoneal cavity but the clinical manifestations (abdominal distention and muscle wasting) was very similar to eirrhosis , Rupture of hydatid cyst may be asymptomatic or with mild symptoms.

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مجله پزشكي دانشگاه علوم پزشكي هرمزگان

مجله پزشكي دانشگاه علوم پزشكي هرمزگان

فصلنامه با شماره پیاپی سال 1386

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