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

Keywords

• Cyst hydatic,multidetector computerized tomography,ultrasound,cystocolonic communication

Kaynakça

1. 1. Eckert J, Deplazes P. Biological, epidemiological, and clini-cal aspects of echinococcosis, a zoonosis of increasing con-cern. Clin Microbiol Rev. 2004;17:107-35. 2. Shukla A, Garge S, Verma P. A case of large renal hydatid cyst. Saudi J Kidney Dis Transpl. 2011 ;22:538-40.3. Meteroğlu F, Çalışkan A, Şahin A, et al. Atypically located hydatid cyst cases J Clin Exp Invest. 2013;4:352-5.4. C. Bilgen K, Oner I, OvuI T, Kirazlı. Vertebral hydatid dis-ease presenting as a parapharyngeal and neck mass: a case report. Otolaryngol Head Neck Surg. 126;2002:89-90.5. Aday U, Kapan M, Onder O, et al . Liver Hydatid Cyst Asso-ciated With Biliary Tract: Is it An Important Complication Indicator? J Curr Surg. 2011;1:25-32. 6. Lo Casto A, Salerno S, Grisanti M, Mastrandrea G. Hydatid cyst of the liver communicating with the left colon. Br J Radiol. 1997;70:650-1.7. Patankar T, Prasad S, Rohondia OS, et al: Fistulization of hepatic hydatid cyst into duodenum. Indian J Gastroenterol. 1998;17:152.8. Noguire M, Alvarez-Castells A, Castella E, et al: Spontane-ous duodenal fistula due to hepatic hydatid cyst. Abdom Imaging. 1993;18:234-6.9. Bougioukas IG, Courcoutsakis N, Korakianitis OS, et al. Liver hydatid cyst perforated into the large bowel: a case report. Cases J. 2009;2:6999. 10. Nadeem N, Khan H, Fatimi S, Ahmad MN. Giant multiple intra-abdominal hydatid cysts. J Ayub Med Coll Abbot-tabad. 2006;18:71-3.11. Daali M, Hssaida R, Zoubir Met al. [Peritoneal hydatidosis: a study of 25 cases in Morocco]. Sante. 2000;10:255-60. French.12. Gollackner B, Längle F, Auer H, et al. Radical surgical ther-apy of abdominal cystic hydatid disease: factors of recur-rence. World J Surg. 2000;24:717-21.13. Sözüer EM, Ok E, Arslan M. The perforation problem in hydatid disease. Am J Trop Med Hyg. 2002;66:575-7.14. Restivo A, Zorcolo L, D’Alia G, et al. Colonic obstruction caused by calcified hepatic hydatid cyst migrated into the left colon. Endoscopy. 2010;42:169-70.