Hepatic and splenic hydatid cysts

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Abdominopelvic pain and fullness on physical exam.

Patient Data

Age: 65 years
Gender: Female

A large thick-walled cystic lesion with internal septations and without calcification or enhancing solid component is evident in the left liver lobe.

In addition, the spleen is enlarged, and a huge thick-walled cystic lesion with internal layer detachment is noted in the spleen that shows no enhancing solid component or calcification.

Case Discussion

Features on CT scan are compatible with hepatic and splenic hydatid cysts, correlated with serologic evaluation.

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