A 35-year-old female was hospitalized for abdominal pain, bloating, and vomiting. Plain X-ray pictures exhibited bowel obstruction for which she underwent emergency surgery. On the second postoperative day, she starte...A 35-year-old female was hospitalized for abdominal pain, bloating, and vomiting. Plain X-ray pictures exhibited bowel obstruction for which she underwent emergency surgery. On the second postoperative day, she started to complain about dull right upper quadrant abdominal pain and bloating. Abdominal CT scans revealed very large cystic lesion with an inhomogeneous fluid content. The cyst occupied the whole right lobe of the liver compressing the surrounding organs and dislocating the left lobe of the liver towards the left hypochondrium (Figure 1). Additionally, several more cysts of various sizes were seen in the whole abdomen. This radio-morphology raised the possibility of a hydatid disease (caused by ruptured hydatid cyst) confirmed through positive echinococcus IgG serology (ELISA). Interestingly, no hypereosinophilia could be detected through repeated blood tests.展开更多
A 53-year-old male patient with a large hydatid cyst of the left hemidiaphragm and smaller secondary cysts located in the left thoracic cavity and upper left abdominal quadrant presented with two progressively enlargi...A 53-year-old male patient with a large hydatid cyst of the left hemidiaphragm and smaller secondary cysts located in the left thoracic cavity and upper left abdominal quadrant presented with two progressively enlarging lipoma-like masses in the left hypochondrium and under the left scapulae respectively. Total excision of all the cysts was performed through a bilateral subcostal incision, with the left hemidiaphragm near totally excised and replaced by a synthetic bilayer mesh.展开更多
文摘A 35-year-old female was hospitalized for abdominal pain, bloating, and vomiting. Plain X-ray pictures exhibited bowel obstruction for which she underwent emergency surgery. On the second postoperative day, she started to complain about dull right upper quadrant abdominal pain and bloating. Abdominal CT scans revealed very large cystic lesion with an inhomogeneous fluid content. The cyst occupied the whole right lobe of the liver compressing the surrounding organs and dislocating the left lobe of the liver towards the left hypochondrium (Figure 1). Additionally, several more cysts of various sizes were seen in the whole abdomen. This radio-morphology raised the possibility of a hydatid disease (caused by ruptured hydatid cyst) confirmed through positive echinococcus IgG serology (ELISA). Interestingly, no hypereosinophilia could be detected through repeated blood tests.
文摘A 53-year-old male patient with a large hydatid cyst of the left hemidiaphragm and smaller secondary cysts located in the left thoracic cavity and upper left abdominal quadrant presented with two progressively enlarging lipoma-like masses in the left hypochondrium and under the left scapulae respectively. Total excision of all the cysts was performed through a bilateral subcostal incision, with the left hemidiaphragm near totally excised and replaced by a synthetic bilayer mesh.