Spontaneous Intra Peritoneal Rupture of a Hepatic Hydatic Cyst: A Case Report

Abstract

Hydatid disease in people is mainly caused by infection with the larval stage of the dog tapeworm Echinococcus granulosus, A 27-year-old men was admitted with a more than a week history of abdominal pain with a perception of an abdominal mass, the evolution was marked by the disappearance of the abdominal mass and installation of an abdominal distention with a generalized pruritus and cutaneous erythema; the chest X-Ray showed an elevation of the right diaphragmatic dome, An abdominal ultrasound were performed demonstrating a cystic formation, appearing to develop in the right liver, n, containing multiple membranous formations and floating serpiginous with peritoneal effusion of great abundance finely echogenic, it associates vesicular formations visible at the pelvic; The abdominal CT confirmed ruptured hepatic cyst; the patient was managed in the surgical unit and was initiated on albendazole treatment with good follow up. Rupture into the free peritoneum is a complication that occurs in 2-7% of cases Rupture rate is commonly reported as approximately 20% and is associated with young age, superficial localization, trauma, and large cyst size. The anaphylaxis rate has been reported as 10% in all ruptured cases in one series. The rupture can occur after a trauma, or spontaneously as a result of increased intracystic pressure. The spontaneous intra peritoneal rupture of a hepatic hydatic cyst is a serious complication and a particular situation from its clinical presentation to imaging features.