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Spontaneous intraperitoneal rupture of hepatic hydatid cyst: a rare cause of ascites

BACKGROUND: Hydatid disease is endemic in certain areas of the world and it is located mostly in the liver. Intraperitoneal rupture is rare. Rupture may result from trauma or may occur spontaneously from increased pressure of the cystic fluid. Ruptured hydatid cyst is a rare cause of ascites, but sh...

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Autores principales: Limeme, Manel, Yahyaoui, Sana, Zaghouani, Houneida, Ghannouchi, Mosaab, Khnissi, Abdelmajid, Amara, Habib, Letaief, Rached, Bakir, Dejla, Kraiem, Chakib
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4256059/
https://www.ncbi.nlm.nih.gov/pubmed/25427421
http://dx.doi.org/10.1186/1471-2482-14-99
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author Limeme, Manel
Yahyaoui, Sana
Zaghouani, Houneida
Ghannouchi, Mosaab
Khnissi, Abdelmajid
Amara, Habib
Letaief, Rached
Bakir, Dejla
Kraiem, Chakib
author_facet Limeme, Manel
Yahyaoui, Sana
Zaghouani, Houneida
Ghannouchi, Mosaab
Khnissi, Abdelmajid
Amara, Habib
Letaief, Rached
Bakir, Dejla
Kraiem, Chakib
author_sort Limeme, Manel
collection PubMed
description BACKGROUND: Hydatid disease is endemic in certain areas of the world and it is located mostly in the liver. Intraperitoneal rupture is rare. Rupture may result from trauma or may occur spontaneously from increased pressure of the cystic fluid. Ruptured hydatid cyst is a rare cause of ascites, but should be considered in the differential diagnosis, especially in endemic areas. The diagnosis of ruptured hydatid cyst should be prompt because it requires emergency intervention. CASE PRESENTATION: The present case refers to a 62 year old Tunisian male admitted in our institution for diffuse abdominal distension. Physical examination was unremarkable except for the presence of ascites. Abdominal ultrasonography showed a large amount of fluid into the peritoneal cavity associated with many intraperitoneal cysts with a scalloping on the liver. It showed also a heterogeneous cystic lesion of the segment II of the liver. Abdominal computed tomography (CT) revealed in addition a fat infiltration and a thickening of the peritoneum. Thus intraperitoneal hydatid cyst rupture was suspected and emergency laparotomy was performed. A yellow serous fluid , containing many daughter vesicles disseminated through the peritoneal cavity was noted. A mass consistent with a hydatid cyst was noted at segment II of the liver with a tear on the inferior surface. Thus, intraperitoneal rupture of hepatic hydatid cyst was diagnosed. CONCLUSION: The rupture of hydatid cyst into the peritoneal cavity is rare but presents a challenge for the radiologist and the surgeon. This condition is included in the differential diagnosis of ascites in endemic areas.
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spelling pubmed-42560592014-12-05 Spontaneous intraperitoneal rupture of hepatic hydatid cyst: a rare cause of ascites Limeme, Manel Yahyaoui, Sana Zaghouani, Houneida Ghannouchi, Mosaab Khnissi, Abdelmajid Amara, Habib Letaief, Rached Bakir, Dejla Kraiem, Chakib BMC Surg Case Report BACKGROUND: Hydatid disease is endemic in certain areas of the world and it is located mostly in the liver. Intraperitoneal rupture is rare. Rupture may result from trauma or may occur spontaneously from increased pressure of the cystic fluid. Ruptured hydatid cyst is a rare cause of ascites, but should be considered in the differential diagnosis, especially in endemic areas. The diagnosis of ruptured hydatid cyst should be prompt because it requires emergency intervention. CASE PRESENTATION: The present case refers to a 62 year old Tunisian male admitted in our institution for diffuse abdominal distension. Physical examination was unremarkable except for the presence of ascites. Abdominal ultrasonography showed a large amount of fluid into the peritoneal cavity associated with many intraperitoneal cysts with a scalloping on the liver. It showed also a heterogeneous cystic lesion of the segment II of the liver. Abdominal computed tomography (CT) revealed in addition a fat infiltration and a thickening of the peritoneum. Thus intraperitoneal hydatid cyst rupture was suspected and emergency laparotomy was performed. A yellow serous fluid , containing many daughter vesicles disseminated through the peritoneal cavity was noted. A mass consistent with a hydatid cyst was noted at segment II of the liver with a tear on the inferior surface. Thus, intraperitoneal rupture of hepatic hydatid cyst was diagnosed. CONCLUSION: The rupture of hydatid cyst into the peritoneal cavity is rare but presents a challenge for the radiologist and the surgeon. This condition is included in the differential diagnosis of ascites in endemic areas. BioMed Central 2014-11-26 /pmc/articles/PMC4256059/ /pubmed/25427421 http://dx.doi.org/10.1186/1471-2482-14-99 Text en © Limeme et al.; licensee BioMed Central Ltd. 2014 This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Limeme, Manel
Yahyaoui, Sana
Zaghouani, Houneida
Ghannouchi, Mosaab
Khnissi, Abdelmajid
Amara, Habib
Letaief, Rached
Bakir, Dejla
Kraiem, Chakib
Spontaneous intraperitoneal rupture of hepatic hydatid cyst: a rare cause of ascites
title Spontaneous intraperitoneal rupture of hepatic hydatid cyst: a rare cause of ascites
title_full Spontaneous intraperitoneal rupture of hepatic hydatid cyst: a rare cause of ascites
title_fullStr Spontaneous intraperitoneal rupture of hepatic hydatid cyst: a rare cause of ascites
title_full_unstemmed Spontaneous intraperitoneal rupture of hepatic hydatid cyst: a rare cause of ascites
title_short Spontaneous intraperitoneal rupture of hepatic hydatid cyst: a rare cause of ascites
title_sort spontaneous intraperitoneal rupture of hepatic hydatid cyst: a rare cause of ascites
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4256059/
https://www.ncbi.nlm.nih.gov/pubmed/25427421
http://dx.doi.org/10.1186/1471-2482-14-99
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