Simultaneous Hydatid Cyst of the Liver and Left Iliac Fossa: An Unusual Case Report

Hydatid disease is a significant health problem in many livestock-rearing areas especially in the developing world, mainly caused by Echinococcus granulosus. The liver and lung are the most common affected sites. However, hydatid disease can occur anywhere in the body. Simultaneous involvement of tw...

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Main Authors: Tika Ram Bhandari, Sudha Shahi
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2019/9101425
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author Tika Ram Bhandari
Sudha Shahi
author_facet Tika Ram Bhandari
Sudha Shahi
author_sort Tika Ram Bhandari
collection DOAJ
description Hydatid disease is a significant health problem in many livestock-rearing areas especially in the developing world, mainly caused by Echinococcus granulosus. The liver and lung are the most common affected sites. However, hydatid disease can occur anywhere in the body. Simultaneous involvement of two organs or sites is very unusual, mainly for organs other than the lung and liver. We thus report a very unusual combination of hepatic and left iliac fossa with hydatid disease in an adult patient. A 37-year-old farmer from a village presented with intermittent right upper quadrant and left iliac fossa pain associated with distention of abdomen for one month. Abdominal radiological investigations reported hydatid cyst disease; one cyst was found in the right lobe of the liver and another in the left iliac fossa. Positive IgG antibody by the ELISA test also confirmed the diagnosis. Pericystectomy and excision of hydatid cyst without spillage of content for the liver and left iliac fossa were done, respectively. Patient was discharged on the 10th postoperative day with an uneventful postoperative course. There was no recurrence of the lesion during one-year follow-up period. A combination of hydatid disease in the liver and iliac fossa is very unusual, so clinician should have thoughts regarding this rare entity as an important differential diagnosis.
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spelling doaj-art-e7dce8c9240846b8840cd89a60a3732c2025-08-20T02:22:15ZengWileyCase Reports in Surgery2090-69002090-69192019-01-01201910.1155/2019/91014259101425Simultaneous Hydatid Cyst of the Liver and Left Iliac Fossa: An Unusual Case ReportTika Ram Bhandari0Sudha Shahi1Department of General Surgery, People’s Dental College and Hospital, Kathmandu, NepalDepartment of Otorhinolaryngology Head and Neck Surgery, National Academy of Medical Sciences, Kathmandu, NepalHydatid disease is a significant health problem in many livestock-rearing areas especially in the developing world, mainly caused by Echinococcus granulosus. The liver and lung are the most common affected sites. However, hydatid disease can occur anywhere in the body. Simultaneous involvement of two organs or sites is very unusual, mainly for organs other than the lung and liver. We thus report a very unusual combination of hepatic and left iliac fossa with hydatid disease in an adult patient. A 37-year-old farmer from a village presented with intermittent right upper quadrant and left iliac fossa pain associated with distention of abdomen for one month. Abdominal radiological investigations reported hydatid cyst disease; one cyst was found in the right lobe of the liver and another in the left iliac fossa. Positive IgG antibody by the ELISA test also confirmed the diagnosis. Pericystectomy and excision of hydatid cyst without spillage of content for the liver and left iliac fossa were done, respectively. Patient was discharged on the 10th postoperative day with an uneventful postoperative course. There was no recurrence of the lesion during one-year follow-up period. A combination of hydatid disease in the liver and iliac fossa is very unusual, so clinician should have thoughts regarding this rare entity as an important differential diagnosis.http://dx.doi.org/10.1155/2019/9101425
spellingShingle Tika Ram Bhandari
Sudha Shahi
Simultaneous Hydatid Cyst of the Liver and Left Iliac Fossa: An Unusual Case Report
Case Reports in Surgery
title Simultaneous Hydatid Cyst of the Liver and Left Iliac Fossa: An Unusual Case Report
title_full Simultaneous Hydatid Cyst of the Liver and Left Iliac Fossa: An Unusual Case Report
title_fullStr Simultaneous Hydatid Cyst of the Liver and Left Iliac Fossa: An Unusual Case Report
title_full_unstemmed Simultaneous Hydatid Cyst of the Liver and Left Iliac Fossa: An Unusual Case Report
title_short Simultaneous Hydatid Cyst of the Liver and Left Iliac Fossa: An Unusual Case Report
title_sort simultaneous hydatid cyst of the liver and left iliac fossa an unusual case report
url http://dx.doi.org/10.1155/2019/9101425
work_keys_str_mv AT tikarambhandari simultaneoushydatidcystoftheliverandleftiliacfossaanunusualcasereport
AT sudhashahi simultaneoushydatidcystoftheliverandleftiliacfossaanunusualcasereport