Hydatid cyst of the gall bladder-A rare location

Abstract

Abstract. A 70 year old female presented with intermittent, dull aching pain in right upper abdomen lasting for four months . Examination revealed hepatomegaly and a hard globular swelling continuous with the right costal margin. Enzyme linked immunosorbant assay for hydatid was positive. Ultrasonography of abdomen revealed a large multicystic lesion in right lobe of the liver and hyperechoic shadows in gall bladder fossa. Contrast enhanced computerized tomography of abdomen documented  huge hydatid cyst in right lobe of liver and a thick walled calcified cystic lesion in segment-VI of the liver which was confirmed as a gall bladder at laparotomy. Histopathological examination of the specimen confirmed hydatid cyst of the gall bladder. Larval stage of echinococcus causes hydatid disease. Four species can produce disease in humans. E. granulosus and E.multilocularis cause cystic and alveolar hydatid disease respectively while E. vogeli and E. oligarthus rarely infect humans. Hydatid cyst of the gall bladder is extremely rare and this case report highlights the rarest location of hydatid disease.

 

Key words: Gall bladder, hydatid cyst

Keywords

• Gall bladder, hydatid cyst

Kaynakça

1. Palanivelu C. Laparoscopic management of the hydatid cyst. Art of laparoscopic surgery- Text book and Atlas. Jaypee publishers 2007; pp 757-783.
2. Kiresi DA, Karabacakoglu A, Odev K, Karakose S. Uncommon location of hydatid cyst. Acta Radiol 2003; 44: 622-636.
3. McManus DP, Zhang W, Li J, Bartley PB. Echinococosis. Lancet 2003; 362: 1295-1304.
4. Pitiakoudis MS, Tsaroucha AK, Deftereos S, et al. Primary hydatid disease in a retroplaced gallbladder. J Gastrointestin Liver Dis 2006; 15: 383-385.
5. Raza MH, Harris SH, Khan R. Hydatid cyst of gall bladder. Indian J Gastroenterol 2003; 22: 67-68.
6. Moosavi SR, Kermany HK. Epigastric mass due to a hydatid cyst of the pancreas. A case report and review of the literature. JOP 2007; 8: 232-234.
7. Arora V, Nijjar IS, Gill KS, Singh G. Primary hydatid cyst of muscle - A rare site. Ind J Radiol Imag 2006; 2: 239-241.
8. Kumar R, Reddy SN, Thulkar S. Intrabiliary rupture of hydatid cyst; diagnosis with MRI and hepatobiliary isotope study. Br J Radiol 2002; 75: 271-274.

9. Yildirgan MI, Basoglu M, Atamanalp SS, et al. Intra biliary rupture in liver hydatid cysts; results of 20 years experience. Acta Chir Belg 2003; 103: 621- 625.
10. Saenz de San, Pedro B, Cazana JL, et al. Anaphylactic shock by rupure of hepatic hydatid cyst. Follow-up by specific IgE serum antibodies. Allergy 1992; 47: 568-570.
11. Valle Sanz YdY, Lorente Ramos RM. Sonographic and C. T demonstration of hydatid cysts communicating with biliary tree. J Clin Ultrasound 2004; 32: 144-148.
12. Eshy SAA. Some rare presentations of hydatid cyst. JR Coll Surg Edinb 1998; 43: 347-352.
13. Silva MA, Mirza DF, Bramhall SR, et al. Treatment of hydatid disease of liver; Evaluvation of UK experience. Dig Surg 2004; 21: 227-234.
14. Pedrosa I, Saiz A, Arrazola J, Ferreiros J, Pedrosa CS. Hydatid disease; radiologic and pathologic features and Complications. RadioGraphics 2000; 20: 795-817.
15. Leewal DB, McCorkell SJ. Rupture of echinococcal cysts; Diagnosis, classification, and clinical implications. AJR 1986; 146: 391-394.
16. Sistla SC, Sankar G, Basu D, Venkatasen B. Biliary cystadenocarcinoma of gall bladder: a case report. J Med Case Reports 2009; 15; 3: 79.