Author/Authors :
Özkan, Fuat Kahramanmaraş Sütçü İmam Üniversitesi - Tıp Fakültesi - Radyoloji Anabilim Dalı, Turkey , İnci, Mehmet Fatih Kahramanmaraş Sütçü İmam Üniversitesi - Tıp Fakültesi - Radyoloji Anabilim Dalı, Turkey , Bozkurt, Selim Kahramanmaraş Sütçü İmam Üniversitesi - Tıp Fakültesi - Acil Tıp Anabilim Dalı, Turkey , Özcan, Nuri Kahramanmaraş Sütçü İmam Üniversitesi - Tıp Fakültesi - Radyoloji Anabilim Dalı, Turkey , Yüksel, Mürvet Kahramanmaraş Sütçü İmam Üniversitesi - Tıp Fakültesi - Radyoloji Anabilim Dalı, Turkey , Pircanoğlu, Eyüp Mehmet Kahramanmaraş Sütçü İmam Üniversitesi - Tıp Fakültesi - Genel Cerrahi Anabilim Dalı, Turkey
Abstract :
Hydatid disease presents as hydatid cysts primarily in the liver. Although hepatic hydatid cysts may be asymptomatic for many years, they may be symptomatic because of its complications such as expansion, rupture, and pyogenic infection. Rupture of the hepatic hydatid cysts into the biliary tract is one of the most serious complication and is frequently related to over enlargement of the cyst. Patients with this disease usually have pain or jaundice. In this paper, we present radiological imaging findings of an hepatic hydatid cysts ruptured into left main intrahepatic biliary duct presented as the acute right upper quadrant pain and jaundice. A 64-year-old man was admitted to the emergency department for suddenly onset of right upper quadrant pain and jaundice. Abdominal ultrasonography showed that cystic lesion measuring about 7x4 cm in diameters with lobulated contour adjacent gallbladder and communication between cyst and left main intrahepatic biliary duct. Abdominal computed tomography confirmed this findings and the patient surgically treated with pericystectomy and confirmed CT findings intraoperatively. The post-operative course was uneventful. Intrabiliary rupture of hepatic hydatid cysts must be considered in the differential diagnosis of patients presenting with right upper quadrant pain in areas where the disease is endemic. Early diagnosis with ultrasound, CT and appropriate treatment are essential for favorable outcome.
