Giant pedunculated liver hydatid cyst causing inferior vena cava syndrome: a case report.

IF 0.9 Q3 MEDICINE, GENERAL & INTERNAL Journal of Medical Case Reports Pub Date : 2024-10-07 DOI:10.1186/s13256-024-04772-0
Abdi Tesemma, Miheret Adane, Kebebe Bekele, Bekam Debebe, Edoardo Rosso, Demisu Zenbaba, Degefa Gomora, Girma Beressa
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Abstract

Background: Hydatid disease is a zoonotic infection caused by the species Echinococcus that typically affects the liver. Most liver hydatid cysts are asymptomatic at first, but as the cyst grows larger, symptoms, such as compression effects, start to appear. Ultrasonography and computed tomography scans are the widely used diagnostic tools, and surgery is considered the mainstay of treatment.

Case presentation: We present an unusual case of a giant pedunculated hydatid cyst causing inferior vena cava syndrome in a 20-year-old male patient from the Oromo ethnic group from a rural area of the country. Abdominal ultrasound and computed tomography scan confirmed the diagnosis. Our patient underwent radical surgical resection of the cyst and had a good outcome.

Conclusion: Hydatid liver cyst diagnosis needs a high index of suspicion for echinococcal etiology when dealing with a giant liver cyst as it results in grave complications without any manifestations.

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引起下腔静脉综合征的巨大梗阻性肝包虫囊肿:病例报告。
背景:包虫病是一种由棘球蚴引起的人畜共患传染病,通常会影响肝脏。大多数肝包虫囊肿起初没有症状,但随着囊肿的增大,开始出现压迫效应等症状。超声波和计算机断层扫描是广泛使用的诊断工具,手术被认为是治疗的主要手段:我们介绍了一例来自该国农村地区奥罗莫族的 20 岁男性患者,他的巨大有蒂包虫囊肿引起了下腔静脉综合征。腹部超声波和计算机断层扫描证实了诊断结果。我们的患者接受了囊肿根治性手术切除,结果良好:结论:在诊断巨大肝囊肿时,需要高度怀疑棘球蚴病的病因,因为它会在没有任何表现的情况下导致严重的并发症。
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来源期刊
Journal of Medical Case Reports
Journal of Medical Case Reports Medicine-Medicine (all)
CiteScore
1.50
自引率
0.00%
发文量
436
期刊介绍: JMCR is an open access, peer-reviewed online journal that will consider any original case report that expands the field of general medical knowledge. Reports should show one of the following: 1. Unreported or unusual side effects or adverse interactions involving medications 2. Unexpected or unusual presentations of a disease 3. New associations or variations in disease processes 4. Presentations, diagnoses and/or management of new and emerging diseases 5. An unexpected association between diseases or symptoms 6. An unexpected event in the course of observing or treating a patient 7. Findings that shed new light on the possible pathogenesis of a disease or an adverse effect
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