Intra-Abdominal Hydatidosis: Hydatid Cyst Related to Right Hepatic Colon Lumen

Abstract

Hydatid disease is very common in endemic areas and is one of the most frequent parasitoses in Turkey. We present a rare case of hydatidosis related to the right hepatic colon lumen. Hydatid cysts were present on the liver, in the right adrenal region, and also on the hepatic flexura, surrounded by the right colon and omentum. In our case, a cyst adjacent to the ascending colon had ruptured into the colon lumen and developed a cystocolonic communication. Cysts may not always be detectable by ultrasound (US); adrenal and right colonic cysts may not be detected, depending on the patient's colonic gas superposition factors or other reasons related to the operator. In our case, multiple hydatid cysts and cystocolonic communication of complications of the cyst were found with multidetector computerized tomography (MDCT), and then, a colonoscopy identified the cystocolonic communication. These results reveal the important role of CT in the differential diagnosis process. J Clin Exp Invest 2016; 7 (2): 207-210

A Rare Case of Secondary Hydatid Cyst: Uterus and Colon Locations in the Same Patient

“…Since our case was operated for the hydatid cyst in the liver, it was recognized that cysts in these two organs were primary cysts from the liver. The pre-operative diagnosis of cysts in our case was conducted with USG, MRI and CT consistent with the literature (3)(4)(5)(6)11,12) and the cuticular layer of the cyst was revealed with histopathological methods post-operationally.…”

“…There are reports in the literature on the secondary hydatid cyst cases in uterus and colon (10), ovary and colon (5) due to the perforation of the primary cyst in the liver, and ruptured to the right colon from the liver (4). There are also primary CE cases reported due to involvement of the uterus (11) and colon (12).…”

“…Due to the slow growth and development of the cystic structure and the response of the host immune system, the disease may not be recognized for years. The symptoms could differ based on the size and localization of the cysts (1)(2)(3)(4). Clinical history, serologic tests and various imaging techniques such as ultrasonography (USG), computed tomography (CT) and magnetic resonance imaging (MRI) can help make the diagnosis of cyst hydatid (3)(4)(5).…”