Massive abdominopelvic hydatidosis

Case contributed by Michael P Hartung
Diagnosis almost certain

Presentation

Abdominal discomfort and growth over 7 years.

Patient Data

Age: 55 years
Gender: Female

Massive burden of complex cystic masses containing daughter cysts involving the liver and spleen and filling the entire peritoneal cavity, displacing surrounding structures. Partially calcified cyst in the right hepatic lobe indicating prior rupture. Extension of a cyst into the right lung base. 

Case Discussion

Massive burden of hydatid disease involving the liver, spleen, and filling the peritoneal cavity. The peritoneal spread occurs as a result of hepatic or splenic cyst rupture. There is also a cyst extending transdiaphragmatically (see sagittal images) into the lower right chest. 

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