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Pol J Radiol. 2017 Feb 25;82:110-113. doi: 10.12659/PJR.899073. eCollection 2017.

Focal Biliary System Obstruction and Atypical Liver Mass: Intrabiliary Ruptured Cyst Hydatid Case Report.

Polish journal of radiology

Esra Ummuhan Mermi, Nurdan Fidan, Muammer Murat

Affiliations

  1. Department of Radiology, Hitit University, Training and Research Hospital, Corum, Turkey.

PMID: 28344685 PMCID: PMC5338872 DOI: 10.12659/PJR.899073

Abstract

BACKGROUND: Hydatid disease can involve any part of the body, but the liver is the most frequently affected organ. Intrabiliary rupture is one of the most serious complications of a hepatic hydatid cyst. Radiological findings, especially magnetic resonance imaging and magnetic resonance cholangiopancreatography (MRI/MRCP), are helpful in the diagnosis of hydatid disease.

CASE REPORT: We present a 48-year-old female patient with complaints of abdominal pain and jaundice. Radiological examination showed a heterogeneous lesion that contained cystic-solid components and millimetric calcifications in the liver. Adjacent intrahepatic bile ducts were dilated.

CONCLUSIONS: In geographical areas endemic for hydatid disease, cyst rapture into the bile ducts should be included in the differential diagnosis even in seronegative cases, although it is not typical for hydatid cyst to be found as a mass lesion in the liver on US in patients with right upper quadrant pain and jaundice.Detailed imaging by MRI/MRCP should be done.

Keywords: Bile Ducts, Intrahepatic; Cholangiopancreatography, Magnetic Resonance; Echinococcosis, Hepatic; Jaundice

Conflict of interest statement

Conflicts of interest All of the authors declare no conflicts of interest.

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