Pre- and postoperative diagnostic of giant hepatic hydatid cyst: a case report and brief literature review
WJMI 2022; 2(1):1-6
Online publish date: 2022.06.30
Objectives. The presentation of case report of preoperative ultrasound and postoperative histological diagnostic of giant hydatid liver cyst. Material and methods. A 58-year-old female with a chronic right upper quadrant abdominal pain, nausea, vomiting and a history of contact with pets was admitted to hospital. Preoperative sonography, blood profile including serological testing were conducted. Pathomorphological studying was carried out after surgical treatment. Results. Abdomen ultrasonography revealed giant cyst (size: 143 x 160 x 145 mm; volume: 1728 cm3) in the right liver lobe, with presence of peripheral “daughter” cysts, intracavital echogenic linear septa and sharply defined outer borders containing the features of calcification. Postoperative gross examination of resected tissues showed: well-defined round parasitic cyst up to 18 cm in diameter with smooth yellowy-brown wall surface. Wall thickness was 4 mm. Microscopically the cyst wall consisted of rough fibrous connective tissue with chronic nonspecific inflammatory features. Conclusions. Our case presentation confirmed an important and key role of ultrasonography and ancillary role of serological testing for preoperative diagnostic of giant liver hydatid disease with following histologic study of postoperative biomaterial.